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SCREENING FOR BURNOUT AND DEPRESSION AMONG RESIDENTS OF A CHILEAN UNIVERSITY (PUC) Trinidad Hoyl MD 1 , Ximena Fuentes MD 2 , Patricio Torres MD 2 , Jaime Godoy MD 3 Internal Medicine 1 , Psychiatry 2 and Neurology 3 Departments &
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SCREENING FOR BURNOUT AND DEPRESSION AMONG RESIDENTS OF A CHILEAN UNIVERSITY (PUC) Trinidad HoylMD1, Ximena Fuentes MD2, Patricio Torres MD2, Jaime Godoy MD3 Internal Medicine1, Psychiatry2 and Neurology3Departments & PostgraduateMedicalEducation. Facultyof Medicine. Pontificia Universidad Católica de Chile. C1 C2 C3 G1 G2 G3 G4 RESULTS RegardingMaslachburnoutscores, theresultswere: INTRODUCTION Residencies can be stressfuland overwhelming, dependingonseveralfactorssuch as work load, responsabilities, sense of control and personal copingresources. Mental healthproblems, mainlyburnout and depression, are associatedwithpoorquality of life and poorwork performance, oftenmanifested as lowacademicachievements in graduate medical students. Burnoutisa syndromecharacterizedbyemotionalexhaustion, depersonalization and feelings of inefficacy. TheMaslachscaleis a usefullinstrumentforburnoutscreeningamonghealthcareprofesionals, and has becomethegoldstandardforidentifyingburnout in the medical researchliterature. A total of 69 (29%) residentsscored “HIGH” in oneor more out of the 3 dimensions of theMaslachinventory. Distribution of emotionalexhaustion scores amongprograms: OBJECTIVE To describe thefrecuency of Burnout and Depressionamong PUC residents, during 2011 academicperiod. Low Med high METHODOLOGY During the first semester of 2011, all PUC residents complete an anonymous questionnaire that includes: - demographic information, - evaluation of their Residency Program, - the Maslach scale for burnout screening and - the Beck inventory for depression screening. The Maslach scale has 22 items, divided in 3 dimensions: a) Emotional exhaustion (overwhelming work demands deplete individual energy (9 items)); b) Depersonalization and cynism (individual detaches from the job (5 items)); c) Feelings of inefficacy (perception of lack of personal achievement (8 items)). The 3 burnout dimensions are measured with a 7-point Likert scale, indicating frequency of the symptom. A high score in emotional exhaustion or depersonalization is considered indicative of clinically significant burnout. The Beck Depression Inventory is a validated 21-item scale for depression screening. A score of 10-18 suggest mild depression, 19-29 moderate depression, and >30 severe depression. This proyect was approbedby the PUC`s Ethics of Research Committee. Residentswith HIGH scores in emotionalexhaustionand/ordepersonalizationwere 30 y.o. as averageage, 70% males and 60% married. Residencyprogramswithhighestproportion of burnout : Obstetrics: (11/15) 73%, Neurology (4/10) 40% , Pathology (5/13) 38%; Radiology, InternalMed, Anesthesia, FamilyMed: 24%; General Surgery, Pediatrics: 17%. Regardingdepressionscreening, the Beck scores were: RESULTS A total of 239 residentsansweredthequestionnaire (65% of allresidents, from 24 different PUC programs). Mean age: 30 years (25-44) Gender: 46% female. Pregraduatestudies: 39% PUC, 10% foreignuniversities, 18% U.Chile, 33% otherchileanuniversities. Marital status: single 55,6%, married 43%. Residency-financialsupport: PUC 40%, MINSAL 37%, self/ family: 11% (chilean) and 8% (foreign). Allresidentswithmoderateorseveredepression, alsoscored HIGH in Burnoutinventory (at least in onedimension). CONCLUSIONS A significant proportion of our residents present either burnout (29%), depression (23%) or both, as measured by screening scales. Although policies oriented to early detection and prevention of burnout and depression are being implemented at our programs (stress and burnout preventive workshops and personal counseling) this findings emphasizes the need for further specific interventions, focused in those residency programs with higher rates of burnout.