‘Intern life’: a longitudinal study of burnout, empathy, and coping strategies used by French GPs in training
Background: More than half of French medical GP trainees (GPTs) suffer from burnout. Aim: To define and follow the evolution of risk factors, such as empathy and coping strategies, associated with burnout in this population. Design & setting: Prospective longitudinal study involving volunteers o...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Royal College of General Practitioners
2017-04-01
|
| Series: | BJGP Open |
| Subjects: | |
| Online Access: | https://bjgpopen.org/content/1/2/bjgpopen17X100773 |
| _version_ | 1811324049172725760 |
|---|---|
| author | Eric Galam Camille Vauloup Soupault Lucie Bunge Céline Buffel du Vaure Emilie Boujut Philippe Jaury |
| author_facet | Eric Galam Camille Vauloup Soupault Lucie Bunge Céline Buffel du Vaure Emilie Boujut Philippe Jaury |
| author_sort | Eric Galam |
| collection | DOAJ |
| description | Background: More than half of French medical GP trainees (GPTs) suffer from burnout. Aim: To define and follow the evolution of risk factors, such as empathy and coping strategies, associated with burnout in this population. Design & setting: Prospective longitudinal study involving volunteers of 577 Parisian university GPTs in 2012. Method: Self-reported anonymous online questionnaires were sent three times every 6 months to all participants. Stress was measured using the Intern-Life scale and burnout using the Maslach Inventory, and anxiety and depression measured using the Hospital Anxiety and Depression Scale (HADS). Sociodemographic, professional, and personal data, including coping strategies and measures of empathy were also collected. Results: In total 343 questionnaires were fully completed at baseline (T0): 304 were usable at baseline, 169 were usable at 6 months (T1) and 174 at 1 year (T2). Stress rates decreased sharply between T1 (scores 42.96) and T2 (17.08), while scores for burnout remained relatively stable: more than 13% of GPTs had high scores in all three dimensions of burnout. Depersonalisation increased from 61% (T1) to 66% (T2). One hundred and four paired samples were analysed between T0 and T1, and between T1 and T2. Emotion-centred coping was associated with emotional exhaustion (P<0.05), while professional support reduced it. Experiences of aggression increased depersonalisation (P<0.05). Social support, problem-centred coping, perspective-taking empathy, and professional support improved the sense of personal accomplishment (P<0.05). Conclusion: Tools to help GPTs are available but are underused. More training in doctor–patient relationships and understanding of medical hidden curricula are necessary to decrease burnout among GPTs and improve their wellbeing and patient care. |
| first_indexed | 2024-04-13T14:06:13Z |
| format | Article |
| id | doaj.art-276399d479674d7a9543d8f0bebfefa7 |
| institution | Directory Open Access Journal |
| issn | 2398-3795 |
| language | English |
| last_indexed | 2024-04-13T14:06:13Z |
| publishDate | 2017-04-01 |
| publisher | Royal College of General Practitioners |
| record_format | Article |
| series | BJGP Open |
| spelling | doaj.art-276399d479674d7a9543d8f0bebfefa72022-12-22T02:43:53ZengRoyal College of General PractitionersBJGP Open2398-37952017-04-011210.3399/bjgpopen17X100773‘Intern life’: a longitudinal study of burnout, empathy, and coping strategies used by French GPs in trainingEric Galam0Camille Vauloup Soupault1Lucie Bunge2Céline Buffel du Vaure3Emilie Boujut4Philippe Jaury5Département de Médecine Générale, Faculté de Médecine, Université Paris Diderot, Sorbonne Paris Cité, Paris, FranceDépartement de Médecine Générale, Université Paris Descartes, Sorbonne Paris Cité, Faculté de Médecine, Paris, FranceDépartement de Médecine Générale, Université Paris Diderot, Sorbonne Paris Cité, Faculté de Médecine, Paris, FranceInstitute of Psychology, Paris Descartes University, Paris, FranceInstitut of Psychology, Paris Descartes University, Paris, FranceDépartement de Médecine Générale, Université Paris Descartes, Sorbonne Paris Cité, Faculté de Médecine, Paris, FranceBackground: More than half of French medical GP trainees (GPTs) suffer from burnout. Aim: To define and follow the evolution of risk factors, such as empathy and coping strategies, associated with burnout in this population. Design & setting: Prospective longitudinal study involving volunteers of 577 Parisian university GPTs in 2012. Method: Self-reported anonymous online questionnaires were sent three times every 6 months to all participants. Stress was measured using the Intern-Life scale and burnout using the Maslach Inventory, and anxiety and depression measured using the Hospital Anxiety and Depression Scale (HADS). Sociodemographic, professional, and personal data, including coping strategies and measures of empathy were also collected. Results: In total 343 questionnaires were fully completed at baseline (T0): 304 were usable at baseline, 169 were usable at 6 months (T1) and 174 at 1 year (T2). Stress rates decreased sharply between T1 (scores 42.96) and T2 (17.08), while scores for burnout remained relatively stable: more than 13% of GPTs had high scores in all three dimensions of burnout. Depersonalisation increased from 61% (T1) to 66% (T2). One hundred and four paired samples were analysed between T0 and T1, and between T1 and T2. Emotion-centred coping was associated with emotional exhaustion (P<0.05), while professional support reduced it. Experiences of aggression increased depersonalisation (P<0.05). Social support, problem-centred coping, perspective-taking empathy, and professional support improved the sense of personal accomplishment (P<0.05). Conclusion: Tools to help GPTs are available but are underused. More training in doctor–patient relationships and understanding of medical hidden curricula are necessary to decrease burnout among GPTs and improve their wellbeing and patient care.https://bjgpopen.org/content/1/2/bjgpopen17X100773burnouttraineesgeneral practiceempathycoping |
| spellingShingle | Eric Galam Camille Vauloup Soupault Lucie Bunge Céline Buffel du Vaure Emilie Boujut Philippe Jaury ‘Intern life’: a longitudinal study of burnout, empathy, and coping strategies used by French GPs in training BJGP Open burnout trainees general practice empathy coping |
| title | ‘Intern life’: a longitudinal study of burnout, empathy, and coping strategies used by French GPs in training |
| title_full | ‘Intern life’: a longitudinal study of burnout, empathy, and coping strategies used by French GPs in training |
| title_fullStr | ‘Intern life’: a longitudinal study of burnout, empathy, and coping strategies used by French GPs in training |
| title_full_unstemmed | ‘Intern life’: a longitudinal study of burnout, empathy, and coping strategies used by French GPs in training |
| title_short | ‘Intern life’: a longitudinal study of burnout, empathy, and coping strategies used by French GPs in training |
| title_sort | intern life a longitudinal study of burnout empathy and coping strategies used by french gps in training |
| topic | burnout trainees general practice empathy coping |
| url | https://bjgpopen.org/content/1/2/bjgpopen17X100773 |
| work_keys_str_mv | AT ericgalam internlifealongitudinalstudyofburnoutempathyandcopingstrategiesusedbyfrenchgpsintraining AT camillevauloupsoupault internlifealongitudinalstudyofburnoutempathyandcopingstrategiesusedbyfrenchgpsintraining AT luciebunge internlifealongitudinalstudyofburnoutempathyandcopingstrategiesusedbyfrenchgpsintraining AT celinebuffelduvaure internlifealongitudinalstudyofburnoutempathyandcopingstrategiesusedbyfrenchgpsintraining AT emilieboujut internlifealongitudinalstudyofburnoutempathyandcopingstrategiesusedbyfrenchgpsintraining AT philippejaury internlifealongitudinalstudyofburnoutempathyandcopingstrategiesusedbyfrenchgpsintraining |