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Research ArticleOriginal Article
Open Access

Burnout among emergency and surgery residents

An exploration of contributing factors and implications

Mohammed S. Bu Bshait, Ahmad A. Al Abdulqader, Abdullah K. Almaqhawi, Haytham M. Alarfaj, Nawaf A. Al Khashram, Alwaleed A. Alqarni, Mohammed K. Alghamdi, Abdulrahman A. Alshehri, Saad N. Alharthi, Ali M. Alajmi and Abdullah E. Al-Melaifi
Saudi Medical Journal November 2024, 45 (11) 1270-1276; DOI: https://doi.org/10.15537/smj.2024.45.11.20240436
Mohammed S. Bu Bshait
From the Departments of Surgery (Bu Bshait, Al Abdulqader, Alarfaj); from the Department of Family and Community Medicine (Almaqhawi); from the Department of Biomedical Sciences (Al Khashram), College of Medicine, King Faisal University, and from the College of Medicine (Alqarni, Alghamdi, Alshehri, Alharthi, Alajmi, Al-Melaifi), King Faisal University, Al Hofuf, Kingdom of Saudi Arabia.
MBBS
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  • ORCID record for Mohammed S. Bu Bshait
  • For correspondence: [email protected]
Ahmad A. Al Abdulqader
From the Departments of Surgery (Bu Bshait, Al Abdulqader, Alarfaj); from the Department of Family and Community Medicine (Almaqhawi); from the Department of Biomedical Sciences (Al Khashram), College of Medicine, King Faisal University, and from the College of Medicine (Alqarni, Alghamdi, Alshehri, Alharthi, Alajmi, Al-Melaifi), King Faisal University, Al Hofuf, Kingdom of Saudi Arabia.
MBBS
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Abdullah K. Almaqhawi
From the Departments of Surgery (Bu Bshait, Al Abdulqader, Alarfaj); from the Department of Family and Community Medicine (Almaqhawi); from the Department of Biomedical Sciences (Al Khashram), College of Medicine, King Faisal University, and from the College of Medicine (Alqarni, Alghamdi, Alshehri, Alharthi, Alajmi, Al-Melaifi), King Faisal University, Al Hofuf, Kingdom of Saudi Arabia.
MBBS
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Haytham M. Alarfaj
From the Departments of Surgery (Bu Bshait, Al Abdulqader, Alarfaj); from the Department of Family and Community Medicine (Almaqhawi); from the Department of Biomedical Sciences (Al Khashram), College of Medicine, King Faisal University, and from the College of Medicine (Alqarni, Alghamdi, Alshehri, Alharthi, Alajmi, Al-Melaifi), King Faisal University, Al Hofuf, Kingdom of Saudi Arabia.
MBBS
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Nawaf A. Al Khashram
From the Departments of Surgery (Bu Bshait, Al Abdulqader, Alarfaj); from the Department of Family and Community Medicine (Almaqhawi); from the Department of Biomedical Sciences (Al Khashram), College of Medicine, King Faisal University, and from the College of Medicine (Alqarni, Alghamdi, Alshehri, Alharthi, Alajmi, Al-Melaifi), King Faisal University, Al Hofuf, Kingdom of Saudi Arabia.
PhD
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Alwaleed A. Alqarni
From the Departments of Surgery (Bu Bshait, Al Abdulqader, Alarfaj); from the Department of Family and Community Medicine (Almaqhawi); from the Department of Biomedical Sciences (Al Khashram), College of Medicine, King Faisal University, and from the College of Medicine (Alqarni, Alghamdi, Alshehri, Alharthi, Alajmi, Al-Melaifi), King Faisal University, Al Hofuf, Kingdom of Saudi Arabia.
Roles: Medical Student
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Mohammed K. Alghamdi
From the Departments of Surgery (Bu Bshait, Al Abdulqader, Alarfaj); from the Department of Family and Community Medicine (Almaqhawi); from the Department of Biomedical Sciences (Al Khashram), College of Medicine, King Faisal University, and from the College of Medicine (Alqarni, Alghamdi, Alshehri, Alharthi, Alajmi, Al-Melaifi), King Faisal University, Al Hofuf, Kingdom of Saudi Arabia.
Roles: Medical Student
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Abdulrahman A. Alshehri
From the Departments of Surgery (Bu Bshait, Al Abdulqader, Alarfaj); from the Department of Family and Community Medicine (Almaqhawi); from the Department of Biomedical Sciences (Al Khashram), College of Medicine, King Faisal University, and from the College of Medicine (Alqarni, Alghamdi, Alshehri, Alharthi, Alajmi, Al-Melaifi), King Faisal University, Al Hofuf, Kingdom of Saudi Arabia.
Roles: Medical Student
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Saad N. Alharthi
From the Departments of Surgery (Bu Bshait, Al Abdulqader, Alarfaj); from the Department of Family and Community Medicine (Almaqhawi); from the Department of Biomedical Sciences (Al Khashram), College of Medicine, King Faisal University, and from the College of Medicine (Alqarni, Alghamdi, Alshehri, Alharthi, Alajmi, Al-Melaifi), King Faisal University, Al Hofuf, Kingdom of Saudi Arabia.
Roles: Medical Student
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Ali M. Alajmi
From the Departments of Surgery (Bu Bshait, Al Abdulqader, Alarfaj); from the Department of Family and Community Medicine (Almaqhawi); from the Department of Biomedical Sciences (Al Khashram), College of Medicine, King Faisal University, and from the College of Medicine (Alqarni, Alghamdi, Alshehri, Alharthi, Alajmi, Al-Melaifi), King Faisal University, Al Hofuf, Kingdom of Saudi Arabia.
Roles: Medical Student
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Abdullah E. Al-Melaifi
From the Departments of Surgery (Bu Bshait, Al Abdulqader, Alarfaj); from the Department of Family and Community Medicine (Almaqhawi); from the Department of Biomedical Sciences (Al Khashram), College of Medicine, King Faisal University, and from the College of Medicine (Alqarni, Alghamdi, Alshehri, Alharthi, Alajmi, Al-Melaifi), King Faisal University, Al Hofuf, Kingdom of Saudi Arabia.
Roles: Medical Student
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  • Article
  • Figures & Data
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Article Figures & Data

Tables

    • View popup
    Table 1

    - Demographic characteristics of the participants (N=367).

    Variablesn (%)
    Age (years)
    22-2598 (26.7)
    26-28103 (28.1)
    29-3068 (18.5)
    >3098 (26.7)
    Gender
    Male265 (72.2)
    Female102 (27.8)
    Marital status
    Single199 (54.2)
    Married168 (45.8)
    Do you have children?
    Yes147 (40.1)
    No220 (59.9)
    Specialty
    Emergency resident178 (48.5)
    Surgical resident189 (51.5)
    Length of experience
    <6 months126 (34.3)
    6 months - one year53 (14.4)
    >1 year188 (51.3)
    Are you enrolled in an emergency medicine postgraduate program?
    Yes53 (29.8)
    No125 (70.2)
    Are you enrolled in a surgical postgraduate program?
    Yes49 (25.9)
    No140 (74.1)

    Values are presented as numbers and percentages (%).

      • View popup
      Table 2

      - Health characteristics of the participants (N=367).

      Variablesn (%)
      General health perception
      Excellent98 (26.7)
      Very good86 (23.4)
      Good158 (43.1)
      Fair23 (6.3)
      Poor2 (0.5)
      Frequency of depressed feelings
      Never53 (14.4)
      Rarely96 (26.2)
      Occasionally128 (34.9)
      Frequently59 (16.1)
      Always31 (8.4)
      Exercise frequency
      Never32 (8.7)
      Rarely49 (13.4)
      Occasionally168 (45.8)
      Frequently53 (14.4)
      Always65 (17.7)
      Consuming fast food
      Never26 (7.1)
      Rarely46 (12.5)
      Occasionally135 (36.8)
      Frequently127 (34.6)
      Always33 (9.0)
      Describe your sleeping pattern
      Excellent67 (18.3)
      Very good98 (26.7)
      Good138 (37.6)
      Fair35 (9.5)
      Poor29 (7.9)

      Values are presented as numbers and percentages (%).

        • View popup
        Table 3

        - The prevalence of burnout and burnout subscales among the participants (N=367).

        Variablesn (%)
        Emotional exhaustion
        Low76 (20.7)
        Moderate90 (24.5)
        High201 (54.8)
        Depersonalization
        Low167 (45.5)
        Moderate98 (26.7)
        High102 (27.8)
        Lack of personal accomplishment
        Low83 (22.6)
        Moderate86 (23.4)
        High198 (54.0)
        Burnout prevalence (high levels of either EE or DP)
        Burnout230 (62.7)
        Non-burnout137 (37.3)

        Values are presented as numbers and percentages (%).

        EE: emotional exhaustion, DP: depersonalization

          • View popup
          Table 4

          - The relationship between burnout and demographic factors.

          VariablesBurnoutNon-BurnoutP-valuesRS-14
          MeanP-values
          Age (years)
          22-2561 (62.2)37 (37.8)0.63864.20.4
          26-2864 (62.1)39 (37.9)62.1
          29-3043 (63.2)25 (36.8)65.1
          >3062 (63.3)36 (36.7)61.1
          Gender
          Male158 (59.6)107 (40.4)<0.001*72.1<0.001*
          Female72 (70.6)30 (29.4)54.1
          Marital status
          Single132 (65.8)67 (34.2)0.030*59.9<0.001*
          Married98 (58.3)70 (41.7)76.1
          Do you have children?
          Yes105 (71.4)42 (28.6)<0.001*78.2<0.001*
          No125 (56.8)95 (43.2)47.9
          Specialty
          Emergency resident126 (70.8)52 (29.2)<0.001*50.9<0.001*
          Surgical resident104 (55.0)85 (45.0)75.3
          Length of experience
          <6 months109 (86.5)17 (13.5)0.003*65.2<0.001*
          6 months - one year41 (77.4)12 (22.6)58.7
          >1 year80 (42.6)108 (57.4)65.3
          Are you enrolled in an emergency medicine postgraduate program?
          Yes32 (60.4)21 (39.6)<0.001*70.3<0.001*
          No94 (75.2)31 (24.8)55.9
          Are you enrolled in a surgical postgraduate program?
          Yes19 (38.8)30 (61.2)<0.001*75.3<0.001*
          No85 (60.7)55 (39.3)50.9

          Values are presented as numbers and percentages (%).

          • ↵* Significant, RS-14: resilience scale-14

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        Saudi Medical Journal: 45 (11)
        Saudi Medical Journal
        Vol. 45, Issue 11
        1 Nov 2024
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        Burnout among emergency and surgery residents
        Mohammed S. Bu Bshait, Ahmad A. Al Abdulqader, Abdullah K. Almaqhawi, Haytham M. Alarfaj, Nawaf A. Al Khashram, Alwaleed A. Alqarni, Mohammed K. Alghamdi, Abdulrahman A. Alshehri, Saad N. Alharthi, Ali M. Alajmi, Abdullah E. Al-Melaifi
        Saudi Medical Journal Nov 2024, 45 (11) 1270-1276; DOI: 10.15537/smj.2024.45.11.20240436

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        Burnout among emergency and surgery residents
        Mohammed S. Bu Bshait, Ahmad A. Al Abdulqader, Abdullah K. Almaqhawi, Haytham M. Alarfaj, Nawaf A. Al Khashram, Alwaleed A. Alqarni, Mohammed K. Alghamdi, Abdulrahman A. Alshehri, Saad N. Alharthi, Ali M. Alajmi, Abdullah E. Al-Melaifi
        Saudi Medical Journal Nov 2024, 45 (11) 1270-1276; DOI: 10.15537/smj.2024.45.11.20240436
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        Keywords

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