INSTITUTO MEXICANO DEL SEGURO SOCIAL
GENERAL HOSPITAL WITH FAMILY MEDICINE
NO. 1 PACHUCA, HIDALGO, MXICO.
Background: The term burnout is used to describe a type of labor
and institutional stress that occurs specifically in those professions
which maintain a constant and direct relationship with people. In
1977 Christina Maslach, used the term Burnout to describe a
situation that occurred among human service workers consisting of
the fact that, after months of hard work and dedication, ending up
emotionally exhausted.
Objective: To determine the prevalence and distribution of burnout
among medical trainees, interns and residents. To know the feelings
and attitudes of the professional in their work and towards patients
Design: A cross-sectional, observational, prospective study.
Methods: We surveyed a total of 61 medical interns, information was
collected from questionnaires that contained the survey consists of
two parts: identification form with questions of epidemiological
interest and quiz Maslach Burnout Inventory (ver. MBI-HSS) . The
questionnaire was administered at the beginning of the workday to
medical who were not in after a night shift. Measurements of central
tendency, ratios, proportions.
Results: The prevalence of burnout syndrome was 29.62%,
describing separately the three subscales 16 medical (29.62%) had
high levels of emotional exhaustion, 14 (25.92%) moderate and 24
(44.44%) had low-grade exhaustion. On a scale of depersonalization,
12 (22.22%) had high-grade, 11 (20.37%) moderate and 31 (57.40%)
low level of depersonalization. On the scale of personal
accomplishment: 7 (12.96%) had low personal accomplishment, 10
(18.51%) moderate personal accomplishment and 37 (68.51%) high
personal accomplishment.
MEDICAL TRAINEES
EMOTIONAL EXHAUSTION PERSONAL ACCOMPLISHMENT. DEPERSONALIZATION
Figure 1. Prevalence of Burnout in the Medical trainees
FAMILY MEDICINE SERVICE
Casteln-Melndez J, Martnez-ngeles J.
J.
INTERNAL MEDICAL
p=0.001
HIGH
MODERATE
LOW
. EMOTIONAL EXHAUSTION PERSONAL ACCOMPLISHMENT. DEPERSONALIZATION
Figure 2. Burnout in Internal Medical
MEDICAL REDIDENTS
p=0.004
HIGH
MODERATE
LOW
EMOTIONAL EXHAUSTION PERSONAL ACCOMPLISHMENT. DEPERSONALIZATION
Figure 3. Burnout in medical residents
Conclusions: The presence of burnout in staff fellow, who
often begin their careers, the non-identification and lack of
attention to it, can interfere negatively in the current and future
performance of each of the interns and residents. The
prevalence of burnout levels in this study are lower than those
reported in other series, but the deleterious effects of the long
term can become alarming if we consider the number of
patients to be seen by a doctor who suffer Burnout and never
received attention for this condition. The lower the degree of
emotional exhaustion and depersonalization in medical care
result in a better quality and warmth, at the same time, expect a
better personal accomplishment.
REFERENCES:
1. Gil-Monte PR, Peir JM. Desgaste Psquico en el Trabajo: El Sndrome de Quemarse. 1 edicin. Madrid: Sntesis; 1997.
2. Gil-Monte PR. Aproximaciones psicosociales y estudios diagnsticos sobre el sndrome de quemarse por el trabajo
(Burnout). Psicologa del Trabajo y de las Organizaciones. 2000;16(2):101-2.
3. Benavides G, Gimeneo D, Benach J, Martnez J, Jarque S, Berra A, et al. Descripcin de los factores de riesgo psicosocial en
cuatro empresas. Gaceta Sanitaria. 2002;16(3):222-9.
4. Organizacin Mundial de la Salud. Salud ocupacional: ticamente correcta, econmicamente adecuada. Ginebra:
HIGH
Organizacin Mundial de la Salud (OMS); 2000.
MODERATE
5. Freudenberger HJ. Staff burn-out. Journal of Social Issues. 1974;30(1):159-65.
6. Maslach C, Jackson SE. Maslach Burnout Inventory. Palo Alto (Ca): Consulting Psychologists Press; 1981.
LOW
7. Maslach C, Jackson SE. Burnout research in the social services: a critique. Special issues: Burnout among social workers.
Journal of Social Service Research. 1985;10(1):95-105.
8. Maslach C, Jackson SE, Leiter M. Maslach Burnout Inventory. Manual, 3rd. ed. Palo Alto (Ca): Consulting Psychologists
Press; 1986.
9. Fischer HJ. (1983). A psychoanalytic view of burnout. En: Gil-Monte PR, Peir SJM. Desgaste Psquico en el Trabajo: El
Sndrome de Quemarse. 1 ed. Madrid: Sntesis; 1997.
10. Pines A, Aronson E. Career burnout: Causes and curses. En: Gil-Monte PR, Peir SJM. Desgaste Psquico en el Trabajo: El
Sndrome de Quemarse. 1 ed. Madrid: Sntesis; 1997.
11. Golembiewski RT, Munzenrider RF, Carter D. Phases of progressive burnout and their work site covariantre: Critical
issues in OD research and praxis. Journal of Applied Behavioral Science. 1983;19(4):461-81.