Assessing burnout among Obstetrics & Gynecology residents during night float versus day float in a large academic hospital

Abstract Background The prevalence estimates of burnout among residents vary widely. Resident physicians working overnight have additional stressors and therefore, may be at higher risk of developing burnout. Objective To determine the rates of burnout among residents working night rotations versus...

Full description

Bibliographic Details
Main Authors: Miriam Tarrash, David Nelson, Nagaraj Gabbur, Gary L. Goldberg
Format: Article
Language:English
Published: BMC 2022-11-01
Series:BMC Medical Education
Subjects:
Online Access:https://doi.org/10.1186/s12909-022-03897-4
_version_ 1811304621281378304
author Miriam Tarrash
David Nelson
Nagaraj Gabbur
Gary L. Goldberg
author_facet Miriam Tarrash
David Nelson
Nagaraj Gabbur
Gary L. Goldberg
author_sort Miriam Tarrash
collection DOAJ
description Abstract Background The prevalence estimates of burnout among residents vary widely. Resident physicians working overnight have additional stressors and therefore, may be at higher risk of developing burnout. Objective To determine the rates of burnout among residents working night rotations versus day rotations. Methods This is a prospective, cross sectional, survey-based assessment of the prevalence of burnout among Obstetrics and Gynecology (OBGYN) residents on nights versus days rotations conducted at a large academic residency program that spans two separate hospitals in New York. All residents in the residency program were asked to complete the Maslach Burnout Inventory – Human Services Survey for Medical Personnel (MBI-HSS (MP)) after the first rotation of the academic year in 2018, 2019, and 2020. The results for each of the three aspects of the MBI-HSS (MP): emotional exhaustion, depersonalization, and personal accomplishment, were then compared for those on nights versus day rotations using students t-test. Results A total of 76 responses were received, 13 from residents on night rotations and 63 from residents on day rotations with a response rate of 61.8%. Comparing resident responses for a night versus day rotation, the residents averaged a low level of emotional exhaustion (a score of 17 ± 9) on day shift, compared to a moderate level of emotional exhaustion (a score of 18 ± 14) on nights (p = 0.37). Similarly, 55.6% of respondents reports low personal accomplishment on days, compared to 76.9% while on nights. Conclusions Emotional exhaustion scores were lower for residents on daytime rotations (mean score 17, SD 9), compared to those on nights rotations (mean 18, SD 14). Although there was no difference in depersonalization when comparing the day and night shift, 45% of the responses indicated high levels of depersonalization regardless of the type of shift. These results highlight the need to continue efforts to minimize burnout in medical training.
first_indexed 2024-04-13T08:09:19Z
format Article
id doaj.art-bd08515228154df6bc1fe177de56f5a8
institution Directory Open Access Journal
issn 1472-6920
language English
last_indexed 2024-04-13T08:09:19Z
publishDate 2022-11-01
publisher BMC
record_format Article
series BMC Medical Education
spelling doaj.art-bd08515228154df6bc1fe177de56f5a82022-12-22T02:55:02ZengBMCBMC Medical Education1472-69202022-11-012211710.1186/s12909-022-03897-4Assessing burnout among Obstetrics & Gynecology residents during night float versus day float in a large academic hospitalMiriam Tarrash0David Nelson1Nagaraj Gabbur2Gary L. Goldberg3Department of Obstetrics & Gynecology, Zucker School of Medicine at Hofstra/Northwell and Northwell HealthDepartment of Obstetrics & Gynecology, Zucker School of Medicine at Hofstra/Northwell and Northwell HealthDepartment of Obstetrics & Gynecology, Zucker School of Medicine at Hofstra/Northwell and Northwell HealthDepartment of Obstetrics & Gynecology, Zucker School of Medicine at Hofstra/Northwell and Northwell HealthAbstract Background The prevalence estimates of burnout among residents vary widely. Resident physicians working overnight have additional stressors and therefore, may be at higher risk of developing burnout. Objective To determine the rates of burnout among residents working night rotations versus day rotations. Methods This is a prospective, cross sectional, survey-based assessment of the prevalence of burnout among Obstetrics and Gynecology (OBGYN) residents on nights versus days rotations conducted at a large academic residency program that spans two separate hospitals in New York. All residents in the residency program were asked to complete the Maslach Burnout Inventory – Human Services Survey for Medical Personnel (MBI-HSS (MP)) after the first rotation of the academic year in 2018, 2019, and 2020. The results for each of the three aspects of the MBI-HSS (MP): emotional exhaustion, depersonalization, and personal accomplishment, were then compared for those on nights versus day rotations using students t-test. Results A total of 76 responses were received, 13 from residents on night rotations and 63 from residents on day rotations with a response rate of 61.8%. Comparing resident responses for a night versus day rotation, the residents averaged a low level of emotional exhaustion (a score of 17 ± 9) on day shift, compared to a moderate level of emotional exhaustion (a score of 18 ± 14) on nights (p = 0.37). Similarly, 55.6% of respondents reports low personal accomplishment on days, compared to 76.9% while on nights. Conclusions Emotional exhaustion scores were lower for residents on daytime rotations (mean score 17, SD 9), compared to those on nights rotations (mean 18, SD 14). Although there was no difference in depersonalization when comparing the day and night shift, 45% of the responses indicated high levels of depersonalization regardless of the type of shift. These results highlight the need to continue efforts to minimize burnout in medical training.https://doi.org/10.1186/s12909-022-03897-4BurnoutResidentsObstetrics & Gynecology
spellingShingle Miriam Tarrash
David Nelson
Nagaraj Gabbur
Gary L. Goldberg
Assessing burnout among Obstetrics & Gynecology residents during night float versus day float in a large academic hospital
BMC Medical Education
Burnout
Residents
Obstetrics & Gynecology
title Assessing burnout among Obstetrics & Gynecology residents during night float versus day float in a large academic hospital
title_full Assessing burnout among Obstetrics & Gynecology residents during night float versus day float in a large academic hospital
title_fullStr Assessing burnout among Obstetrics & Gynecology residents during night float versus day float in a large academic hospital
title_full_unstemmed Assessing burnout among Obstetrics & Gynecology residents during night float versus day float in a large academic hospital
title_short Assessing burnout among Obstetrics & Gynecology residents during night float versus day float in a large academic hospital
title_sort assessing burnout among obstetrics gynecology residents during night float versus day float in a large academic hospital
topic Burnout
Residents
Obstetrics & Gynecology
url https://doi.org/10.1186/s12909-022-03897-4
work_keys_str_mv AT miriamtarrash assessingburnoutamongobstetricsgynecologyresidentsduringnightfloatversusdayfloatinalargeacademichospital
AT davidnelson assessingburnoutamongobstetricsgynecologyresidentsduringnightfloatversusdayfloatinalargeacademichospital
AT nagarajgabbur assessingburnoutamongobstetricsgynecologyresidentsduringnightfloatversusdayfloatinalargeacademichospital
AT garylgoldberg assessingburnoutamongobstetricsgynecologyresidentsduringnightfloatversusdayfloatinalargeacademichospital