Burnout and clinical learning environment among residents in Tehran: A cross-sectional study

Purpose: This study aimed to evaluate the quality of the educational environment in Tehran University of Medical Sciences across different medical specialties and its correlation with residents’ burnout. Materials and methods: This cross-sectional study was conducted at Tehran University of Medical...

Full description

Bibliographic Details
Main Authors: Nastaran Maghbouli, Farzad Fatehi, Mahboobeh Khabaz Mafinejad, Saeed Pourhassan, Amir Ali Sohrabpour, Jemal Haidar Ali
Format: Article
Language:English
Published: Elsevier 2021-06-01
Series:Heliyon
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2405844021013414
_version_ 1818862398931468288
author Nastaran Maghbouli
Farzad Fatehi
Mahboobeh Khabaz Mafinejad
Saeed Pourhassan
Amir Ali Sohrabpour
Jemal Haidar Ali
author_facet Nastaran Maghbouli
Farzad Fatehi
Mahboobeh Khabaz Mafinejad
Saeed Pourhassan
Amir Ali Sohrabpour
Jemal Haidar Ali
author_sort Nastaran Maghbouli
collection DOAJ
description Purpose: This study aimed to evaluate the quality of the educational environment in Tehran University of Medical Sciences across different medical specialties and its correlation with residents’ burnout. Materials and methods: This cross-sectional study was conducted at Tehran University of Medical Sciences among residents drawn from three largest teaching hospitals affiliated. The Maslach Burnout Inventory and Postgraduate Hospital Educational Environment Measure (PHEEM) questionnaire were used to collect data through web-based, as well as paper-and pencil questionnaires. The data was analyzed using SPSS. Results: A total of 221 residents completed the survey, with a response rate of 82%. Burnout was reported by 67.4% of medical residents. The total PHEEM score had a negative correlation with emotional exhaustion (r = - 0.57, P < 0.001), depersonalization (r = - 0.40, P < 0.001), and a positive one with personal accomplishment (r = 0.42, P < 0.001). Perception of social support significantly predicted burnout subscales (P < 0.05). PHEEM subscales also explained a small proportion of variance in emotional exhaustion (R = 0.55, R2 = 0.308, P < .001). Clinical learning environment independent of personal characteristics was associated with residents' burnout according to multivariate regression analysis [OR = 0.567 (0.170–0.883), P = 0.012]. Conclusion: Clinical learning environment independent of personal characteristics was associated with residents' burnout in Iran. We suggest some initiatives to be introduced ranging from improving the clinical environments, reduce workloads and provide social support to all residents as well as encouraging them to involve in other extracurricular activities like music and physical exercise.
first_indexed 2024-12-19T09:59:14Z
format Article
id doaj.art-6890a055813146898a6c235fd3964c09
institution Directory Open Access Journal
issn 2405-8440
language English
last_indexed 2024-12-19T09:59:14Z
publishDate 2021-06-01
publisher Elsevier
record_format Article
series Heliyon
spelling doaj.art-6890a055813146898a6c235fd3964c092022-12-21T20:26:42ZengElsevierHeliyon2405-84402021-06-0176e07238Burnout and clinical learning environment among residents in Tehran: A cross-sectional studyNastaran Maghbouli0Farzad Fatehi1Mahboobeh Khabaz Mafinejad2Saeed Pourhassan3Amir Ali Sohrabpour4Jemal Haidar Ali5Department of Physical Medicine and Rehabilitation, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran; Mentoring Office, Faculty Education Deputy, School of Medicine, Tehran University of Medical Sciences, Tehran, IranDepartment of Neurology, Iranian Center of Neurological Research, Neuroscience Institute, Shariati Hospital, Tehran University of Medical Sciences, Tehran, IranDepartment of Medical Education, Education Development Center (EDC), Health Professions Education Research Center, Tehran University of Medical Sciences, Tehran, IranDepartment of Internal Medicine, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran; Corresponding author.Department of Internal Medicine, Liver and Pancreatobiliary Diseases Research Center, Digestive Disease Research Institute, Tehran University of Medical Sciences, Tehran, IranAddis Ababa University, College of Health Sciences, School of Public Health, Addis Ababa, EthiopiaPurpose: This study aimed to evaluate the quality of the educational environment in Tehran University of Medical Sciences across different medical specialties and its correlation with residents’ burnout. Materials and methods: This cross-sectional study was conducted at Tehran University of Medical Sciences among residents drawn from three largest teaching hospitals affiliated. The Maslach Burnout Inventory and Postgraduate Hospital Educational Environment Measure (PHEEM) questionnaire were used to collect data through web-based, as well as paper-and pencil questionnaires. The data was analyzed using SPSS. Results: A total of 221 residents completed the survey, with a response rate of 82%. Burnout was reported by 67.4% of medical residents. The total PHEEM score had a negative correlation with emotional exhaustion (r = - 0.57, P < 0.001), depersonalization (r = - 0.40, P < 0.001), and a positive one with personal accomplishment (r = 0.42, P < 0.001). Perception of social support significantly predicted burnout subscales (P < 0.05). PHEEM subscales also explained a small proportion of variance in emotional exhaustion (R = 0.55, R2 = 0.308, P < .001). Clinical learning environment independent of personal characteristics was associated with residents' burnout according to multivariate regression analysis [OR = 0.567 (0.170–0.883), P = 0.012]. Conclusion: Clinical learning environment independent of personal characteristics was associated with residents' burnout in Iran. We suggest some initiatives to be introduced ranging from improving the clinical environments, reduce workloads and provide social support to all residents as well as encouraging them to involve in other extracurricular activities like music and physical exercise.http://www.sciencedirect.com/science/article/pii/S2405844021013414BurnoutEducational environmentResidentSpecialtyMedical education
spellingShingle Nastaran Maghbouli
Farzad Fatehi
Mahboobeh Khabaz Mafinejad
Saeed Pourhassan
Amir Ali Sohrabpour
Jemal Haidar Ali
Burnout and clinical learning environment among residents in Tehran: A cross-sectional study
Heliyon
Burnout
Educational environment
Resident
Specialty
Medical education
title Burnout and clinical learning environment among residents in Tehran: A cross-sectional study
title_full Burnout and clinical learning environment among residents in Tehran: A cross-sectional study
title_fullStr Burnout and clinical learning environment among residents in Tehran: A cross-sectional study
title_full_unstemmed Burnout and clinical learning environment among residents in Tehran: A cross-sectional study
title_short Burnout and clinical learning environment among residents in Tehran: A cross-sectional study
title_sort burnout and clinical learning environment among residents in tehran a cross sectional study
topic Burnout
Educational environment
Resident
Specialty
Medical education
url http://www.sciencedirect.com/science/article/pii/S2405844021013414
work_keys_str_mv AT nastaranmaghbouli burnoutandclinicallearningenvironmentamongresidentsintehranacrosssectionalstudy
AT farzadfatehi burnoutandclinicallearningenvironmentamongresidentsintehranacrosssectionalstudy
AT mahboobehkhabazmafinejad burnoutandclinicallearningenvironmentamongresidentsintehranacrosssectionalstudy
AT saeedpourhassan burnoutandclinicallearningenvironmentamongresidentsintehranacrosssectionalstudy
AT amiralisohrabpour burnoutandclinicallearningenvironmentamongresidentsintehranacrosssectionalstudy
AT jemalhaidarali burnoutandclinicallearningenvironmentamongresidentsintehranacrosssectionalstudy