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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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“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]
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“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]
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“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]
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“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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Islamiyah, H. S., Febriyana, N., & Jayanti, R. D. (2023) · Indonesian Midwifery and Health Sciences Journal · doi:10.20473/imhsj.v7i2.2023.142-152
“The characteristics of burnout consist of three dimensions including emotional exhaustion, depersonalization, and feelings of decreased personal achievement (Dimitriu et al., 2020).”
BackgroundAutocuidado y bienestar en residencias de psiquiatría: encuesta de opinión a los docentes
Pacheco, B. E. P., Villarroel, M. F., García, P. B., & Castañeda, F. (2023) · ARS MEDICA Revista de Ciencias Médicas · doi:10.11565/arsmed.v48i2.1931
The Contribution of Co-Worker Social Support on Burnout of School Counselor
Habibah, S., Alfiah, A., Nirwana, H., Afdal, A., Rahima, R., & Hasgimianti, H. (2022) · Bisma The Journal of Counseling · doi:10.23887/bisma.v6i3.53486
Castillo, L. A. D., Guatibonza, M. C. M., Ricardo, L. G. P., & Teherán, A. A. (2020) · Revista Navarra Médica · doi:10.61182/rnavmed.v6n1a4
“(37) a partir de un grupo de residentes de Romania y una revisio n de la literatura.”
BackgroundInvestigação de estressores associados a Síndrome de Burnout em médicos residentes
Teixeira, L. M., de Paiva, L. L. L., & Figueira, O. A. (2023) · Brazilian Journal of Health Review · doi:10.34119/bjhrv6n5-148
A PREVENÇÃO DA SÍNDROME DE BURNOUT NA ÁREA MÉDICA: UMA REVISÃO INTEGRATIVA DA LITERATURA
Lemos, R. F., Lopes, M. F. N. M., MEDEIROS, R. L. D., SOBRINHO, K. A., Medeiros, A. A., & Soares, A. L. F. D. H. (2023) · Congresso Nacional de Inovações em Saúde · doi:10.51161/conais2023/22880
Qian, Y., Wang, N., Gou, L., Yuan, L., Lu, L., Al-shdifat, M. S. F., Chen, X., Chen, J., & Liu, S. (2023) · Research Square · doi:10.21203/rs.3.rs-3353701/v1
Psychological Symptoms Among Iranian Healthcare Workers During COVID-19 Pandemic
Eskandari, S., Bazrafshan, M.-R., Ziba, Z., Shakeri, Z., Sarvi, F., Sadeghi, Z., & Rahimpoor, R. (2023) · Iranian Journal of Psychiatry and Behavioral Sciences · doi:10.5812/ijpbs-137732 · Cited by 2
“During this period, some causes of psychological symptoms in HCWs, such as emotional exhaustion, fear, stress, anxiety, depression, suffering, and nervousness, were exacerbated.”
Erdoğan, R. U., & Yurdalan, S. U. (2023) · Sağlık Profesyonelleri Araştırma Dergisi · doi:10.57224/jhpr.1224530
Quiroz-Ascencio, G., Vergara-Orozco, M., Aranda-Torres, A., Raygoza-Castillo, C. I., Santiago-González, M. D. R., & Moreno-Ponce, R. (2023) · Salud Jalisco · doi:10.35366/113306
Regulatory Framework and Dynamics of Human and Financial Resources regarding Medical Residency
Bostan, P., & Bostan, I. (2023) · Logos Universality Mentality Education Novelty SOCIAL SCIENCES · doi:10.18662/lumenss/12.2/88
“Several Romanian authors focused their attention precisely on reporting these problems (Dimitriu et al., 2020; Muntean et al., 2022; Constantinescu et al., 2022; Musteaţă, 2017; Dehelean et al., 2015; Feraru, 2013), also proposing certain improvement solutions.”
BackgroundBriles, B. L., Kahl, A., Anaissie, J. E., Brettmann, L., Pathak, U. I., Staggers, K. A., Popat, S., Agrawal, A., Rose, S., & Taylor, J. M. (2024) · Postgraduate Medicine · doi:10.1080/00325481.2024.2303974
El irrespeto y su influencia en el estado emocional
Jaramillo, Y. D. C. G., & Álvarez, G. V. V. (2024) · Revista Científica y Arbitrada de Ciencias Sociales y Trabajo Social Tejedora · doi:10.56124/tj.v6i12ep.0115
Rodríguez, M. (2024) · Instituto Universitario de Innovación Ciencia y Tecnología Inudi Perú eBooks · doi:10.35622/inudi.c.02.10
Shastri, T., Gawri, K., Rodríguez, E., & Dawar, R. (2024) · Health Psychology Research · doi:10.52965/001c.117641
Burnout among emergency physicians : from detection to prevention
Somville, F. J. M. P. (2024) · doi:10.63028/10067/2052510151162165141
ÖZÇOBAN, K., & Altunkürek, Ş. Z. (2024) · Perspectives In Psychiatric Care · doi:10.1155/2024/6655880
Síndrome de burnout en pandemia y satisfacción laboral en médicos serumistas de Ayacucho
Prado-Núñez, S., & Colina, A. M. V. (2024) · Horizonte Médico (Lima) · doi:10.24265/horizmed.2024.v24n2.10
Notejane, M., Fernandes, A., Sanders, R., Agrela, M. D., Arce, M., García, L., Coimbra, A. I., Vernazza, E., & Siciliano, J. C. (2024) · Anales de la Facultad de Medicina · doi:10.25184/anfamed2024v11n1a7
Sultana, F., Anqur, M. E., Amanullah, A. M., Imtiaz, M. S., Arshadullah, A. M., & Mondal, P. (2023) · Journal of Global Health Economics and Policy · doi:10.52872/001c.121816
Professional, educational and psychosocial impacts of the COVID-19 pandemic on pediatricians
Murğ, İ., Leventoğlu, E., Bıdecı, A., Boduroğlu, K., Hasanoğlu, E., & Bakkaloglu, S. A. (2024) · Postgraduate Medicine · doi:10.1080/00325481.2024.2396798
Pandemia e Burnout em profissionais da saúde
Giacinti, G. M., Alvarenga, F. D. S., Barbosa, K. R. M., Martins, I. M., Campanharo, C. V., Uchiya, T. D. S., Pavan, I. P., Casotti, M. C., Meira, D. D., & Louro, I. D. (2024) · Brazilian Journal of Health Review · doi:10.34119/bjhrv8n4-335
Qian, Y., Qian, Y., Gou, L., Yuan, L., Lu, L., Al-shdifat, M. S. F., Chen, X., Chen, J., & Liu, S. (2025) · Journal of Nursing Management · doi:10.1155/jonm/1280959
Mapeo de la investigación científica sobre el síndrome de burnout
Jiménez, M. U., Mallama, Ó. M. L., & Espinosa, A. A. (2025) · Revista Salud Bosque · doi:10.18270/rsb.4833 · Cited by 2
Mathkour, A. A., Alzahrani, A. H., Narapureddy, B. R., Alqahtani, F. M., Alshehri, A., Althagafi, M. A., Alsyd, S. M., Asif, S. M., & Vaddamanu, S. K. (2025) · PLoS ONE · doi:10.1371/journal.pone.0322803 · Cited by 1
Modeste-James, A., & Huggins, C. (2025) · Journal of Health Management · doi:10.1177/09720634251362289
Risk of burnout syndrome in paediatricians in Bogotá, Colombia: a cross-sectional survey
Barrera, P., Jaime, C., Argote‐Bolaños, F., Molano, J. C., Sanmiguel, A., Hoz, J. D. L., & Escobar, M. (2025) · BMJ Paediatrics Open · doi:10.1136/bmjpo-2025-003525
Fiest, K. M., Leigh, J. P., Krewulak, K. D., Plotnikoff, K. M., Kemp, L. G., Ng-Kamstra, J., & Stelfox, H. T. (2021) · Figshare · doi:10.6084/m9.figshare.13889052
Metadata
- 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 › Medicine › Public Health, Environmental and Occupational Health › 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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