DOI QR코드

DOI QR Code

Burnout among Medical School Faculty Members: Incidence and Demographic Characteristics at Three Medical Schools in the Busan and Gyeongnam Area of Korea

의과대학 교수들의 탈진: 부산·경남지역 3개 의과대학 교수 탈진 빈도와 양상

  • Seo, Ji-Hyun (Department of Medical Education, Gyeongsang National University School of Medicine) ;
  • Kim, Bukyung (Department of Internal Medicine, Kosin University College of Medicine) ;
  • Bae, Hwa-Ok (Department of Social Welfare, Gyeongsang National University College of Social Sciences) ;
  • Im, Sun Ju (Department of Medical Education, Pusan National University School of Medicine) ;
  • Kim, Kyung Han (Department of Anesthesiology, Kosin University College of Medicine)
  • 서지현 (경상대학교 의학전문대학원 의학교육학교실) ;
  • 김부경 (고신대학교 의과대학 내과학교실) ;
  • 배화옥 (경상대학교 사회과학대학 사회복지학과) ;
  • 임선주 (부산대학교 의학전문대학원 의학교육학교실) ;
  • 김경한 (고신대학교 의과대학 마취통증의학교실)
  • Received : 2014.05.15
  • Accepted : 2014.06.10
  • Published : 2014.06.30

Abstract

Few studies have examined burnout among the faculty of medical schools in the Republic of Korea. The aim of this study was to determine the level of burnout and its associated factors among the faculty members of three medical schools in the Busan-Gyeongnam area, and to summarise the available literature on burnout. We conducted the survey using a validated questionnaire that incorporated the Maslach Burnout Inventory-Human Services Survey (MBI-HSS) as well as questions about demographic characteristics, working experience, health, lifestyle, most time spent and most difficult work, and suicidal ideation and job quitting ideation of the survey participants. MBI-HSS scores were analysed in the three dimensions of emotional exhaustion (EE), depersonalization (De), and personal accomplishment (PA). Through the survey, the 186 professors, 49% among the total, provided data which were included in the present analysis. More than thirty per cent (37.1%) of the professors reported at least 1 symptom of burnout. For burnout dimensions, 11.8% of the respondents scored high for EE burnout, 25.3% for De, and 14.5% for PA, with 1.6% scoring high on all three dimensions of burnout. High burnout was found to be strongly associated with several of the variables under study, especially hours worked per week, self-rated health, career (range, 4 to 9 years), and age (range, 50 to 59 years). The EE score was highest for the professors who chose 'patient care' as the most difficult type of work. This study showed that just over one-third of professors have at least 1 symptom of burnout and working more hours per week, short length of work (years), and especially suicidal ideation seem to be associated with the burnout of medical school faculty members in the Busan-Gyeongnam area. In summary, a greater risk of burnout of physicians (including medical professors) seems to be associated with specialties at the front line of care, working more hours per week, work-life imbalance, low self-efficacy, depression, and conflicts with colleagues and patients.

Keywords

References

  1. Arora, M., Asha, S., Chinnappa, J., & Diwan, A. D. (2013). Review article:burnout in emergency medicine physicians. Emerg Med Australas, 25(6), 491-495. https://doi.org/10.1111/1742-6723.12135
  2. Butler, R. W., Damarin, F. L., Beaulieu, C., Schwebel, A. I., & Thorn, B. E. (1989). Assessing cognitive coping strategies for acute postsurgical pain. Psychol Assess, 1(1), 41-45. https://doi.org/10.1037/1040-3590.1.1.41
  3. Centers for Disease Control and Prevention. (2011a). Behavioral risk factor surveillance system: prevalence and trends data: alcohol consumption. Retrieved from http://apps.nccd.cdc.gov/brfss/page.asp?yr=2011&state=All&cat=AC#AC
  4. Centers for Disease Control and Prevention. (2011b). Behavioral risk factor surveillance system: prevalence and trends data: tobacco use: adults who are current smokers. Retrieved from http://apps.nccd.cdc.gov/brfss/list.asp?cat=TU&yr=2011&qkey=8161&state=All
  5. Centor, R. M., Morrow, R. W., Poses, R. M., & Vega, C. P. (2013). Physician lifestyles: linking to burnout: a Medscape survey. Retrieved from http://www.medscape.com/viewarticle/774013
  6. Chung, E. K., Han, E. R., & Woo, Y. J. (2013). Medical residents' job satisfaction and their related factors. Korean J Med Educ, 25(1), 39-46. https://doi.org/10.3946/kjme.2013.25.1.39
  7. Dyrbye, L. N., Thomas, M. R., Massie, F. S., Power, D. V., Eacker, A., Harper, W., ... Shanafelt, T. D. (2008). Burnout and suicidal ideation among U.S. medical students. Ann Intern Med, 149(5), 334-341. https://doi.org/10.7326/0003-4819-149-5-200809020-00008
  8. Freudenberger, H. J. (1974). Staff burnout. J Soc Issues, 30(1), 159-165.
  9. Gabbe, S. G., Webb, L. E., Moore, D. E., Harrell, F. E. Jr., Spickard, W. A. Jr., & Powell R. Jr. (2008). Burnout in medical school deans:an uncommon problem. Acad Med, 83(5), 476-482. https://doi.org/10.1097/ACM.0b013e31816bdb96
  10. Golub, J. S., Johns, M. M. 3rd., Weiss, P. S., Ramesh, A. K., & Ossoff, R. H. (2008). Burnout in academic faculty of otolaryngology-head surgery. Laryngoscope, 118(11), 1951-1956. https://doi.org/10.1097/MLG.0b013e31818226e9
  11. Harrison, R. V. (1978). Person-environment fit and job stress. In C. L. Cooper, & R. Payne (Eds.). Stress at work (pp. 175-205). New York:Wiley.
  12. Helewa, R. M., Kholdebarin, R., & Hochman, D. J. (2012). Attending surgeon burnout and satisfaction with the establishment of a regional acute care surgical service. Can J Surg, 55(5), 312-316. https://doi.org/10.1503/cjs.000611
  13. Isaksson Ro, K. E., Tyssen, R., Hoffart, A., Sexton, H., Aasland, O. G., & Gude, T. (2010). A three-year cohort study of the relationships between coping, job stress and burnout after a counselling intervention for help-seeking physicians. BMC Public Health, 10, 213. https://doi.org/10.1186/1471-2458-10-213
  14. Jennings, M. L. (2009) Medical students burnout: interdisplinary exploration and analysis. J Med Humanit, 30(4), 253-269. https://doi.org/10.1007/s10912-009-9093-5
  15. Kang, S. H., Boo, Y. J., Lee, J. S., Ji, W. B., Yoo, B. E., & You, J. Y.(2013). Analysis of the occupational stress of Korean surgeons: a pilot study. J Korean Surg Soc, 84(5), 261-266. https://doi.org/10.4174/jkss.2013.84.5.261
  16. Maslach, C., & Jackson, S. E. (1981). The measurement of experienced burnout. J Occup Behav, 2(2), 99-113. https://doi.org/10.1002/job.4030020205
  17. Maslach, C., Jackson, S. E., & Leiter, M. P. (1996). Maslach burnout inventory manual (3rd ed.). Palo Alto, CA: Consulting Psychologists Press.
  18. Mion, G., Libert, N., & Journois, D. (2013). Burnout-associated factors in anesthesia and intensive care medicine: 2009 survey of the French Society of anesthesiology and intensive care. Ann Fr Anesth Reanim, 32(3), 175-188. https://doi.org/10.1016/j.annfar.2012.12.004
  19. Oreskovich, M. R., Kaups, K. L., Balch, C. M., Hanks, J. B., Satele, D., Sloan, J., ... Shanafelt, T. D. (2012). Prevalence of alcohol use disorders among American surgeons. Arch Surg, 147(2), 168-174. https://doi.org/10.1001/archsurg.2011.1481
  20. Pew Forum on Religion and Public Life. (2008). U.S. religious landscape survey:religious affiliation: diverse and dynamic: February 2008. Retrieved from http://religions.pewforum.org/pdf/report-religious-landscape-study-full.pdf
  21. Pretty, G. M., McCarthy, M. E., & Catano, V. M. (1992). Psychological environments and burnout: gender considerations within the corporation. J Organ Behav, 13(7), 701-712. https://doi.org/10.1002/job.4030130706
  22. Ramirez, A. J., Graham, J., Richards, M. A., Cull, A., Gregory, W. M., Leaning, M. S., ...Timothy, A. R. (1995). Burnout and psychiatric disorder among cancer clinicians. Br J Cancer, 71(6), 1263-1269. https://doi.org/10.1038/bjc.1995.244
  23. Roh, M. S., Jeon, H. J., Kim, H., Cho, H. J., Han, S. K., Halm, B. J. (2009). Factors influencing treatment for depression among medical students: a nationwide sample in South Korea. Med Educ, 43(2), 133-139. https://doi.org/10.1111/j.1365-2923.2008.03255.x
  24. Shanafelt, T. D., Balch, C. M., Bechamps, G. J., Russell, T., Dyrbye, L., Satele, D., ...Freischlag, J. A. (2009a). Burnout and career satisfaction among American surgeons. Ann Surg, 250(3), 463-471.
  25. Shanafelt, T. D., West, C. P., Sloan, J. A., Novotny, P. J., Poland, G. A., Menaker, R., ... Dyrbye, L. N. (2009b). Career fit and burnout among academic faculty. Arch Intern Med, 169(10), 990-995. https://doi.org/10.1001/archinternmed.2009.70
  26. Shanafelt, T. D., Balch, C. M., Dyrbye, L., Bechamps, G., Russell, T., Satele, D., ... Oreskovich, M. R. (2011). Special report: suicidal ideation among American surgeons. Arch Surg, 146(1), 54-62. https://doi.org/10.1001/archsurg.2010.292
  27. Shanafelt, T. D., Boone, S., Tan, L., Dyrbye, L. N., Sotile, W., Satele, D., ... Oreskovich, M. R. (2012). Burnout and satisfaction with work-life balance among US physicians relative to the general US population. Arch Intern Med, 172(18), 1377-1385. https://doi.org/10.1001/archinternmed.2012.3199
  28. Shanafelt, T. D., Gradishar, W. J., Kosty, M., Satele, D., Chew, H., Horn, L., ... Raymond, M. (2014). Burnout and career satisfaction among US oncologists. J Clin Oncol, 32(7), 678-686. https://doi.org/10.1200/JCO.2013.51.8480
  29. Soler, J. K., Yaman, H., Esteva, M., Dobbs, F., Asenova, R. S., Katic, M., ... European General Practice Research Network Burnout Study Group.(2008). Burnout in European family doctors: the EGPRN study. Fam Pract, 25(4), 245-265. https://doi.org/10.1093/fampra/cmn038
  30. West, C. P., Dyrbye, L. N., Satele, D. V., Sloan, J. A., & Shanafelt, T. D. (2012). Concurrent validity of single-item measures of emotional exhaustion and depersonalization in burnout assessment. J Gen Intern Med, 27(11), 1445-1452. https://doi.org/10.1007/s11606-012-2015-7
  31. Whippen, D. A., & Canellos, G. P. (1991). Burnout syndrome in the practice of oncology: results of a random survey of 1,000 oncologists. J Clin Oncol, 9(10), 1916-1920.

Cited by

  1. 우리나라 의학의 현실과 미래: 교육, 연구, 진료를 중심으로 vol.21, pp.2, 2019, https://doi.org/10.17496/kmer.2019.21.2.73