Burnout syndrome among residents of different surgical specialties in a tertiary referral teaching hospital in Indonesia during COVID-19 pandemic

Probably not a substantial claim: may not pass S3 (load-bearing).

Previous work has recommended MBI-HSS as the preferred tool for measuring burnout.

“MBI-HSS has been suggested by previous studies as the “instrument of choice” for assessing burnout.12 , 13”

• cites [12] Leiter, 2015, Burnout Encycl Clinic. Psychol sourceNot checked — no full text of the source
• cites [13] Amanullah, 2020, The impact of COVID-19 on physician burnout globally: a review, Healthcare sourcePartly supported

  The Introduction calls the Maslach Burnout Inventory (MBI) the “measure of choice” for assessing burnout, and Methods §2.2.1 calls it the gold standard. Section 3.1 identifies MBI-HSS as a version used in a study, but the review does not specifically call MBI-HSS the instrument of choice. (LLM, conf=0.85)

  Experimental — accuracy not yet measured

May combine two claims.

Residency can add substantially to burnout, which may impair residents' clinical judgment, communication, and quality of patient care.

“Residency may also contribute significantly to burnout, thereby affecting residents’ clinical judgment, ability to communicate, and deliver high-quality care for patients.”

• cites [3] Dimitriu, 2020, Burnout syndrome in Romanian medical residents in time of the COVID-19 pandemic, Med Hypotheses sourceSupported

Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

Physicians experience burnout more often than people in other occupations, and about 44% of physicians reported burnout in the 2019 Medscape report.

“Clinicians are prone to experience burnout more frequently than other occupations, as seen in the 2019 Medscape National Physician Burnout, Depression, & Suicide Report which mentioned around 44% of physician reported feeling burnout.3 , 4”

• cites [3] Dimitriu, 2020, Burnout syndrome in Romanian medical residents in time of the COVID-19 pandemic, Med Hypotheses sourcePartly supported

  The Introduction states that clinicians are more susceptible to burnout than people in other jobs. Our copy does not mention the 2019 Medscape report or its approximately 44% figure; the Results instead report 76% burnout among Romanian medical residents during the pandemic. (LLM, conf=0.88)

  Experimental — accuracy not yet measured
• cites [4] Kane, 2019Not matched

  Couldn’t be matched to a paper in Crossref, so it can’t be checked.

May combine two claims.

Mean emotional exhaustion and depersonalization scores differed significantly by residency specialty (p = 0.000 and p = 0.003, respectively).

“Residency specialty type yielded statistically significant differences upon comparison of mean EE and DP (p = 0.000 and p = 0.003, respectively).”

May combine two claims.

Emotional exhaustion classification differed significantly by marital status, residency specialty, year of residency, and working hours (p = 0.048, 0.004, 0.021, and 0.001, respectively).

“There were statistically significant differences in the marital status, residency specialty, year of residency, and working hour factor (p-value of 0.048, 0.004, 0.021, and 0.001, respectively) upon comparison between EE classification and socio-demographic, academic, and work-related factors.”

May combine two claims.

In post-hoc analysis, mean emotional exhaustion for residents working less than 70 h/week differed significantly from both 70-100 h/week and more than 100 h/week groups (p = 0.011 and p = 0.009), and mean depersonalization for less than 70 h/week differed from 70-100 h/week (p = 0.011).

“Further post-hoc analysis revealed that mean EE in those who worked for less than 70 h per week differed significantly with both 70–100 h per week and more than 100 h per week group (p = 0.011 and p = 0.009). On the other hand, mean DP in residents working less than 70 h per week differed with residents working for 70–100 h per week (p = 0.011).”

May combine two claims.

Mean emotional exhaustion and depersonalization scores differed significantly by working hours (p = 0.004 and p = 0.016, respectively).

“Statistically significant difference in mean EE and DP were observed upon comparison with working hours (p = 0.004 and p = 0.016, respectively).”

May combine two claims.

Among residents who experienced burnout, most were general surgery residents (47.4%), followed by orthopedics (38.6%) and urology (14%).

“Our study showed that among residents in this study who experienced burnout, most of them were general surgery residents (47.4%), followed by orthopedics, and urology residents (38.6% and 14%, respectively).”

May combine two claims.

Depersonalization score correlated with marital status, residency specialty, and working hours (p = 0.009, 0.001, and 0.004, respectively).

“However, it was found that DP score was also correlated with marital status aside from residency specialty and working hours (p value of 0.009, 0.001, and 0.004, respectively).”

May combine two claims.

Residents working less than 70 h/week tended not to experience burnout, while those working 70-100 and more than 100 h/week experienced more burnout.

“Residents who worked for less than 70 h per week tended to not experience burnout, while those who worked for 70–100 and more than 100 h per week were found to experience more burnout.”

May combine two claims.

Depersonalization classification differed significantly by residency specialty and working hours (p = 0.039 and p = 0.017, respectively).

“There were significant differences between the classification of DP and residency specialty as well as working hours (p = 0.039 and 0.017, respectively).”

May combine two claims.

No significant differences or correlation were found between burnout and age, gender, and living companion.

“Meanwhile, our study found neither significant differences upon comparison nor significant correlation between burnout and age, gender, and living companion.”

Probably not a substantial claim: may not pass S3 (load-bearing).

Other traumatic events or stressors close to the survey time were possible confounders that the study did not measure.

“Potential confounding factors include other traumatic experiences or other stressors near the time of the survey, which were not assessed in this study.”

Classified as probably not a substantial claim. May combine two claims.

The study was conducted at one center with a small sample, so its findings should be read within the context of that population.

“This is a single-center study with a relatively small number of subjects; therefore, the results must be taken in the context of the study population.”

Probably not a substantial claim: may not pass S3 (load-bearing).

Response bias could still occur even though the authors used a standardized burnout scale, kept data confidential, and were transparent about data use.

“Residents might choose the perceived “desired/expected” answers or be compelled to choose “neutral” or even the extreme ends of the scale only, therefore response biases may potentially occur, despite the efforts of minimizing them using a standardized burnout scale, ensuring the confidentiality of data collection, and provide transparency in the way the data will be used.”

May combine two claims.

Using total sampling reduced bias from a low response rate, allowing the data to represent all residents in the different surgical specialties at the center.

“However, our total sampling method minimizes bias caused by low response rate, therefore our data may provide the “whole picture” of the residents across different surgical specialties in our center.”