Prevalence of burnout in medical students during residency: a global systematic review
DOI:
https://doi.org/10.5281/zenodo.18210457Keywords:
Burnout Syndrome, Internship and Residency, Prevalence, Mental Health, Medical EducationAbstract
Introduction: Medical residency is a period of high vulnerability, marked by exhausting workloads and psychological pressures, which favors the development of Burnout Syndrome, an occupational disorder characterized by emotional exhaustion, depersonalization, and low professional accomplishment. Objective: To analyze the overall prevalence and impacts of Burnout Syndrome in medical residents over the last decade (2013-2023). Methods: Systematic review based on the PRISMA protocol, with searches in the PubMed, Embase, Scielo, and Cochrane databases. Quantitative observational studies that evaluated residents from various specialties within the established time frame were included. Results and Discussion: The overall prevalence ranged from 35% to 65%, with higher rates in "frontline" specialties such as Emergency Medicine and Surgery. Excessive workload and low institutional support were identified as the main predictors of burnout. The discussion points out that burnout compromises patient safety, increases medical error rates, and is associated with serious outcomes such as suicidal ideation and erosion of clinical empathy. Conclusion: Burnout in medical residency is a systemic and global phenomenon that requires urgent structural reforms. Protecting the mental health of residents is fundamental to the sustainability of health systems and to guaranteeing humanized and safe medical care.
References
DOWELL, A. C. et al. The epidemiology of burnout and depression in medical students and residents. Medical Education, [s. l.], v. 49, n. 11, p. 1063-1065, 2015.
HIGGINS, J. P. T. et al. Cochrane Handbook for Systematic Reviews of Interventions. 2. ed. London: Wiley-Blackwell, 2019.
LIBERATI, A. et al. The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate health care interventions: explanation and elaboration. PLoS Medicine, [s. l.], v. 6, n. 7, e1000100, 2009.
LOW, Z. X. et al. Prevalence of Burnout among Medical Students: A Systematic Review and Meta-Analysis. International Journal of Environmental Research and Public Health, [s. l.], v. 16, n. 21, p. 4143, 2019.
MASLACH, C.; LEITER, M. P. Understanding the burnout experience: recent research and its implications for psychiatry. World Psychiatry, [s. l.], v. 15, n. 2, p. 103-111, 2016.
MATA, D. A. et al. Prevalence of Depression and Depressive Symptoms Among Resident Physicians: A Systematic Review and Meta-analysis. JAMA, [s. l.], v. 314, n. 22, p. 2373-2383, 2015.
MOHER, D. et al. Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) 2015 statement. Systematic Reviews, [s. l.], v. 4, n. 1, p. 1-9, 2015.
MUNN, Z. et al. Methodological guidance for systematic reviews of observational epidemiological studies reporting prevalence and cumulative incidence data. International Journal of Evidence-Based Healthcare, [s. l.], v. 12, n. 1, p. 5-12, 2014.
PAGE, M. J. et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ, [s. l.], v. 372, n. 71, 2021.
RODRIGUES, H. et al. Burnout syndrome among medical residents: A systematic review and meta-analysis. PloS One, [s. l.], v. 13, n. 11, e0206840, 2018.
ROTENSTEIN, L. S. et al. Prevalence of Burnout Among Physicians: A Systematic Review. JAMA, [s. l.], v. 320, n. 11, p. 1131-1150, 2018.
SHAMSEER, L. et al. Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) 2015: elaboration and explanation. BMJ, [s. l.], v. 349, g7647, 2015.
SHANAFELT, T. D. et al. Changes in Burnout and Satisfaction With Work-Life Balance in Physicians and the General US Working Population Between 2011 and 2014. Mayo Clinic Proceedings, [s. l.], v. 90, n. 12, p. 1600-1613, 2015.
STERNE, J. A. et al. RoB 2: a revised tool for assessing risk of bias in randomised trials. BMJ, [s. l.], v. 366, l4898, 2019.
WELLS, G. A. et al. The Newcastle-Ottawa Scale (NOS) for assessing the quality of nonrandomised studies in meta-analyses. Ottawa: Ottawa Hospital Research Institute, 2014.
WEST, C. P.; DYRBYE, L. N.; SHANAFELT, T. D. Physician burnout: contributors, consequences and solutions. Journal of Internal Medicine, [s. l.], v. 283, n. 6, p. 516-529, 2018.
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