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...
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Elsevier
2021-06-01
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Series: | Heliyon |
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Online Access: | http://www.sciencedirect.com/science/article/pii/S2405844021013414 |
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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 |
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