Burnout syndrome in Romanian medical residents in time of the COVID-19 pandemic
Open accessAbstract
Burnout is a state of physical or mental collapse caused by overwork or stress. Burnout during residency training has gained significant attention secondary to concerns regarding job performance and patient care. The new COVID-19 pandemic has raised public health problems around the world and required a reorganization of health services. In this context, burnout syndrome and physical exhaustion have become even more pronounced. Resident doctors, and especially those in certain specialties, seem even more exposed due to the higher workload, prolonged exposure and first contact with patients. This article is a short review of the literature and a presentation of some considerations regarding the activity of the medical residents in a non-Covid emergency hospital in Romania, based on the responses obtained via a questionnaire. Burnout prevalence is not equal in different specialties. We studied its impact and imagine the potential steps that can be taken in order to reduce the increasing rate of burnout syndrome in the pandemics.
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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”
From Burnout syndrome among residents of different surgical specialties in a tertiary referral teaching hospital in Indonesia during COVID-19 pandemic (2022) · cites this paper as [3]
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 measuredResidents are especially vulnerable to chronic stress, anxiety, and burnout.
“According to research, residents are especially vulnerable to the effects of chronic stress, anxiety, and burnout [4,5,6,7,8,9].”
From Validation of the Arabic Version of the Maslach Burnout Inventory-HSS Among Tunisian Medical Residents (A-MBI-MR): Factor Structure, Construct Validity, Reliability, and Gender Invariance (2025) · cites this paper as [8]
The Introduction (page unavailable) says residency can cause substantial burnout and that resident physicians face pronounced stress during COVID-19. It discusses anxiety among medical staff generally, but does not establish that residents are especially vulnerable to anxiety or specifically to chronic stress. (LLM, conf=0.82)
Experimental — accuracy not yet measuredBurnout may increase medical errors through fatigue and reduced caution, which can compromise personal safety and patient safety.
“Moreover, burnout can also cause higher medical errors due to fatigue and reduced caution which may lead to negligence on personal safety measures and patient safety.3”
From Burnout syndrome among residents of different surgical specialties in a tertiary referral teaching hospital in Indonesia during COVID-19 pandemic (2022) · cites this paper as [3]
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.”
From Burnout syndrome among residents of different surgical specialties in a tertiary referral teaching hospital in Indonesia during COVID-19 pandemic (2022) · cites this paper as [3]
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Burnout among physicians working in a pandemic hospital during the COVID-19 pandemic
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Surgical trainee burnout during the COVID-19 pandemic: a systematic review
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Factors associated with mental health outcomes among medical residents exposed to COVID-19
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Burnout Toll on Empathy Would Mediate the Missing Professional Support in the COVID-19 Outbreak
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Association between burnout and immunological and endocrine alterations
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COVID-19 pandemic: Burnout syndrome in healthcare professionals working in field hospitals in Brazil
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Boland, J. W., Kabir, M., Spilg, E. G., Webber, C., Bush, S. H., Murtagh, F., & Lawlor, P. G. (2023) · Palliative Medicine · doi:10.1177/02692163231153067 · Cited by 16 · see citing works
Burnout and resilience during the COVID-19 outbreak: differences between male and female students
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Burnout and quality of life of medical residents: a mixed-method study
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Compassion fatigue and compassion satisfaction among Romanian emergency medicine personnel
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Problem gambling during Covid-19
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El síndrome de burnout en los profesionales de salud en la pandemia por la COVID-19.
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Burnout Syndrome among Staff at an Emergency Department during the COVID-19 Pandemic
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Burnout in the disaster response workforce: The impact of work roles and the COVID-19 pandemic
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Exhaustion in Healthcare Workers after the First Three Waves of the COVID-19 Pandemic
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- Authors
- Dimitriu, M. C. T., Pantea-Stoian, A., Smaranda, A. C., Nica, A. A., Carap, A. C., Constantin, V. D., Davitoiu, A. M., Cirstoveanu, C., Bacalbasa, N., Bratu, O. G., Jacota-Alexe, F., Badiu, C. D., Smarandache, C. G., & Socea, B.
- Affiliations
- Carol Davila University of Medicine and Pharmacy (RO)
- ORCID
- Venue
- Medical Hypotheses
- Publisher
- Elsevier BV
- Published
- 2020-11
- Volume
- 144
- Pages
- 109972
- ISSN
- 0306-9877 (ISSN-L)
- PMC
- PMC7276114
- OpenAlex
- W3033303496
- Cited by
- 319
- References
- 33
- Citations by year
- 2026: 5 · 2025: 18 · 2024: 33 · 2023: 58 · 2022: 87 · 2021: 100 · 2020: 18
- FWCI
- 68.65
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Medical Hypotheses (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Universitatea de Medicină şi Farmacie "Carol Davila" Bucureşti
- Topics
- Health Sciences › Health Professions › General Health Professions › Healthcare professionals’ stress and burnout
- Social Sciences › Psychology › Clinical Psychology › COVID-19 and Mental Health
- Health Sciences › Health Professions › Occupational Therapy › Occupational Health and Burnout
- Keywords
- burnout, medical residents, COVID-19 pandemic, physician burnout, resident workload, physical fatigue, Romania
- MeSH terms
- Personal Protective Equipment, COVID-19, Adult, Attitude of Health Personnel, Burnout, Professional, Emergency Service, Hospital, Female, Hospital Departments, Humans, Intensive Care Units, Internship and Residency, Male, Physician-Patient Relations, Physicians, Surveys and Questionnaires, Romania, Stress, Psychological, Workload, Young Adult, Pandemics
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