Evaluation of Burnout Syndrome in Medical Residents Following a “Rest After Shift” Intervention

Lucrecia Maria Burgos, Luciano Battioni, Juan Pablo Costabel, Alberto Alves de Lima


Background: The burnout syndrome generates a negative impact on professional performance, patients safety and residents life. Despite this problem has become important in the residency programs in Argentina, the effective measures to prevent burnout among residents have not been evaluated yet. Objective: The aim of this study is to evaluate the prevalence of the burnout syndrome before and after the implementation of rest after shift in cardiology residents. Methods: We conducted an analytic and prospective study. The Maslach burnout inventory was used in cardiology residents in an institution in the city of Buenos Aires, before and after the implementation of a day of rest (DOR) after a 24-hour duty shift. Results: The survey was responded by 42 residents (2014: 19; 2015: 23). There was a trend toward lower prevalence of burnout in the DOR group (26.1% vs. 47.4% p = 0.152) and better outcomes in the subscale depersonalization [19 (11-21) vs. 10 (1-17) p=0.023]. Women and residents who have moved to Buenos Aires presented lower degrees of exhaustion and depersonalization. Conclusions: The implementation of the DOR after a 24-hour duty shift was associated with a reduction in the scale depersonalization, particularly among women. We emphasize the importance of creating prevention strategies aimed at improving residents’ working conditions and quality of life.

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Revista argentina de cardiología. ISSN en línea 1850-3748. Argentine journal of cardiology (English ed. Online ISSN 2314-2286) Sociedad Argentina de Cardiología. Azcuénaga 980 (C1115AAD),Ciudad Autónoma de Buenos Aires, República Argentina. Tel. (54 11) 4961-6027/8/9 Fax: 4961-6020 www.sac.org.ar revista@sac.org.ar