Aumento del síndrome de burnout en los adjuntos de Medicina Interna durante la pandemia de COVID-19 / Burnout syndrome increase during COVID-19 pandemic in attending Internal Medicine physicians

Introducción El burnout es un síndrome psicosocial causado por situaciones estresantes en el ámbito laboral. Afecta al 30-60% de los profesionales médicos. El objetivo de este estudio es realizar un análisis comparativo de su frecuencia antes y después del brote de la COVID-19 en los médicos adjuntos de Medicina Interna españoles. Métodos Se enviaron encuestas por correo electrónico y redes sociales integradas con el Maslach Burnout Inventory a los miembros de la Sociedad Española de Medicina Interna en 2019 y 2020. Resultados Se ha observado un aumento no significativo de burnout (38,0% vs. 34,4%). Sin embargo, sí se constata un aumento en la baja realización personal (66,4% vs. 33,6%; p=0,002), dimensión asociada a la prevención de la morbilidad psiquiátrica, además de otras dos: la fatiga emocional y la despersonalización, que pueden afectar negativamente a la atención del paciente. Conclusiones Es esencial abordar este síndrome individual e institucionalmente (AU)

Introduction Burnout is a psychosocial syndrome caused by stressful situations in the workplace. It affects 30% to 60% of medical professionals. The aim of this study is to carry out a comparative analysis of its frequency before and after the COVID-19 outbreak in Spanish internal medicine attending physicians. Methods Surveys that included the Maslach Burnout Inventory were sent via email and associated social networks to physicians who were members of the Spanish Society of Internal Medicine in 2019 and 2020. Results A non-significant increase in burnout was observed (38.0% vs. 34.4%). However, an increase in low personal fulfilment was observed (66.4% vs. 33.6%; p=0.002), a dimension associated with the prevention of psychiatric morbidity, in addition to two others: emotional fatigue and depersonalization, which can negatively affect patient care. Conclusions It is essential to address this syndrome individually and institutionally (AU)

Burnout syndrome increase during COVID-19 pandemic in attending Internal Medicine physicians.

INTRODUCTION: Burnout is a psychosocial syndrome caused by stressful situations in the workplace. It affects 30%-60% of medical professionals. The aim of this study is to carry out a comparative analysis of its frequency before and after the COVID-19 outbreak in Spanish internal medicine attending physicians. METHODS: Surveys that included the Maslach Burnout Inventory were sent via email and associated social networks to physicians who were members of the Spanish Society of Internal Medicine in 2019 and 2020. RESULTS: A non-significant increase in burnout was observed (38.0% vs. 34.4%). However, an increase in low personal fulfilment was observed (66.4% vs. 33.6%; p = 0.002), a dimension associated with the prevention of psychiatric morbidity, in addition to two others: emotional fatigue and depersonalization, which can negatively affect patient care. CONCLUSIONS: It is essential to address this syndrome individually and institutionally.

[Burnout syndrome increase during COVID-19 pandemic in attending Internal Medicine physicians]. / Aumento del síndrome de burnout en los adjuntos de Medicina Interna durante la pandemia de COVID-19.

Introduction: Burnout is a psychosocial syndrome caused by stressful situations in the workplace. It affects 30% to 60% of medical professionals. The aim of this study is to carry out a comparative analysis of its frequency before and after the COVID-19 outbreak in Spanish internal medicine attending physicians. Methods: Surveys that included the Maslach Burnout Inventory were sent via email and associated social networks to physicians who were members of the Spanish Society of Internal Medicine in 2019 and 2020. Results: A non-significant increase in burnout was observed (38.0% vs. 34.4%). However, an increase in low personal fulfilment was observed (66.4% vs. 33.6%; p = 0.002), a dimension associated with the prevention of psychiatric morbidity, in addition to two others: emotional fatigue and depersonalization, which can negatively affect patient care. Conclusions: It is essential to address this syndrome individually and institutionally.

Síndrome de burnout en especialistas de medicina interna y factores asociados a su desarrollo / Burnout syndrome in internal medicine specialists and factors associated with its onset

ANTECEDENTES Y OBJETIVOS: El burnout es un síndrome psicosocial que se produce en respuesta a situaciones estresantes durante el desarrollo laboral; afecta a un 30-60% del personal sanitario. El objetivo de este estudio es valorar su frecuencia en los internistas de España y qué factores podrían relacionarse con su aparición. MATERIAL Y MÉTODOS: Se realizó una encuesta sobre las condiciones laborales seguida del Maslach Burnout Inventory y se difundió mediante el registro de correos electrónicos y las redes sociales de la Sociedad Española de Medicina Interna. Se realizó un estudio descriptivo y un análisis univariante y multivariante para valorar qué variables se asociaron con la presencia de síndrome de burnout. RESULTADOS: Contestaron la encuesta 934 internistas, 58,8% mujeres, con una mediana de edad de 40,0 años. Un 55,0% presentaba un grado de cansancio emocional alto, un 61,7% un grado de despersonalización alto y un 58,6% un grado de realización personal bajo. El 33,4% presentaba burnout. El síndrome de burnout se relacionó de forma independiente con la edad (OR 0,96; IC 95% 0,94-0,98), el mal ambiente de trabajo (OR 1,94; IC 95% 1,31-2,82), no ganar suficiente dinero (OR 1,79; IC 95% 1,20-2,67), haber recibido amenazas (OR 1,703; 1,204-2,410) y tener la sensación de no progresar profesionalmente (OR 2,83; IC 95% 1,92-4,17). CONCLUSIONES: El síndrome de burnout afecta al 33,4% de los internistas de España. Su desarrollo se relaciona de forma independiente con la edad, el mal ambiente de trabajo, no tener la sensación de poder progresar profesionalmente, no creer suficiente la retribución económica recibida y haber sufrido amenazas por parte de pacientes o compañeros

BACKGROUND AND OBJECTIVES: Burnout is a psychosocial syndrome caused by stressful working conditions and affects 30-60% of medical personnel. The aim of this study was to assess the burnout rate of Spanish internists and the factors related to its onset. MATERIAL AND METHODS: We conducted a survey of work conditions followed by the Maslach Burnout Inventory, which was disseminated through the email registry and social networks of the Spanish Society of Internal Medicine. We performed a descriptive study and a univariate and multivariate analysis assessing the variables associated with burnout syndrome. RESULTS: A total of 934 internists (58.8% women and a median age of 40.0 years) answered the survey. Some 55.0% of the internists indicated high emotional fatigue, 61.7% indicated a high sense of depersonalisation, and 58.6% indicated low personal fulfilment. Some 33.4% of the interns experienced burnout. Burnout syndrome was independently related to age (OR 0.96; 95% CI 0.94-0.98), poor work environment (OR 1.94; 95% CI 1.31-2.82), insufficient wages (OR 1.79; 95% CI 1.20-2.67), receiving threats (OR 1.703; 95% CI 1.204-2.410) and the feeling of a lack of professional progress (OR 2.83; 95% CI 1.92-4.17). CONCLUSIONS: Burnout syndrome affects 33.4% of internists in Spain, and its onset is independently related with age, poor work environment, a lack of professional progress, insufficient financial remuneration and experiencing threats by patients or colleagues

Burnout syndrome in internal medicine specialists and factors associated with its onset. / Síndrome de burnout en especialistas de medicina interna y factores asociados a su desarrollo.

BACKGROUND AND OBJECTIVES: Burnout is a psychosocial syndrome caused by stressful working conditions and affects 30-60% of medical personnel. The aim of this study was to assess the burnout rate of Spanish internists and the factors related to its onset. MATERIAL AND METHODS: We conducted a survey of work conditions followed by the Maslach Burnout Inventory, which was disseminated through the email registry and social networks of the Spanish Society of Internal Medicine. We performed a descriptive study and a univariate and multivariate analysis assessing the variables associated with burnout syndrome. RESULTS: A total of 934 internists (58.8% women and a median age of 40.0 years) answered the survey. Some 55.0% of the internists indicated high emotional fatigue, 61.7% indicated a high sense of depersonalisation, and 58.6% indicated low personal fulfilment. Some 33.4% of the interns experienced burnout. Burnout syndrome was independently related to age (OR 0.96; 95% CI 0.94-0.98), poor work environment (OR 1.94; 95% CI 1.31-2.82), insufficient wages (OR 1.79; 95% CI 1.20-2.67), receiving threats (OR 1.703; 95% CI 1.204-2.410) and the feeling of a lack of professional progress (OR 2.83; 95% CI 1.92-4.17). CONCLUSIONS: Burnout syndrome affects 33.4% of internists in Spain, and its onset is independently related with age, poor work environment, a lack of professional progress, insufficient financial remuneration and experiencing threats by patients or colleagues.

Residentes de medicina interna de quinto año en España: encuesta sobre educación, evaluación de competencias y perspectivas de empleo / Fifth-year internal medicine residents in Spain: a survey on education, assessment of competencies and job perspectives

Introducción: la formación de especialistas está basada en la adquisición gradual de conocimientos, habilidades y responsabilidades. El objetivo del estudio es conocer la opinión de los residentes sobre su formación. Material y métodos: estudio descriptivo transversal basado en una encuesta online realizada a los residentes de quinto año durante los meses de febrero y marzo de 2017. Resultados: respondieron la encuesta 194 residentes (62,8% del total); el 62,9% fueron mujeres y el 50% eran menores de 30años, con representación de hospitales de todos los niveles y de las 17 comunidades autónomas. Más del 80% volverían a elegir la especialidad y creen que la duración de la residencia es adecuada; sin embargo, el 76,3% eliminarían alguna de las rotaciones. La mayoría de los residentes desconocen los objetivos de cada rotación y un 37,1% no se han sentido adecuadamente supervisados. Un 82,5% cambiarían el sistema de evaluación y un 68,0% estarían a favor de realizar una prueba de excelencia. La mayoría de residentes han publicado al menos un artículo o realizado una comunicación en un congreso; sin embargo, solo el 27,8% están realizando una tesis doctoral. A pesar de que un 74,7% consideran que van a encontrar empleo, solo un 28,4% tienen una oferta a un mes de finalizar la residencia. Conclusiones: los residentes están satisfechos con la formación recibida, aunque sigue existiendo un déficit en la supervisión y un descontento tanto con la forma de evaluar sus conocimientos como con la precariedad laboral durante los primeros años de especialistas

Background: specialist training is based on the gradual acquisition of expertise, skills and responsibilities. The aim of this study is to determine the opinion of residents regarding their training. Material and methods: this was a cross-sectional descriptive study based on an online survey of 5th-year residents during February and March 2017. Results: a total of 194 residents (62.8% of the total) responded to the survey, 62.9% of whom were women and 50% of whom were younger than 30years, representing hospitals from all levels and from the 17 autonomous communities. More than 80% of the residents choose the specialty once again and believed that the duration of the residence was appropriate; however, 76.3% would eliminate some of their rotations. Most of the residents did not know the objectives of each rotation, and 37.1% felt they were not adequately supervised. Some 82.5% would change the evaluation system, and 68.0% would favour performing an excellence test. Most of the residents had published at least one article or performed one presentation at a congress; however, only 27.8% had completed a doctoral thesis. Although 74.7% of the internists believed they would find employment, only 28.4% had an offer 1month after completing their residence. Conclusions: the residents are satisfied with their training, although there is still a deficit in supervision and dissatisfaction with the method of assessing their knowledge and the precarious job market during the first year for specialists

Fifth-year internal medicine residents in Spain: A survey on education, assessment of competencies and job perspectives. / Residentes de medicina interna de quinto año en España: encuesta sobre educación, evaluación de competencias y perspectivas de empleo.

BACKGROUND: Specialist training is based on the gradual acquisition of expertise, skills and responsibilities. The aim of this study is to determine the opinion of residents regarding their training. MATERIAL AND METHODS: This was a cross-sectional descriptive study based on an online survey of 5th-year residents during February and March 2017. RESULTS: A total of 194 residents (62.8% of the total) responded to the survey, 62.9% of whom were women and 50% of whom were younger than 30years, representing hospitals from all levels and from the 17 autonomous communities. More than 80% of the residents choose the specialty once again and believed that the duration of the residence was appropriate; however, 76.3% would eliminate some of their rotations. Most of the residents did not know the objectives of each rotation, and 37.1% felt they were not adequately supervised. Some 82.5% would change the evaluation system, and 68.0% would favour performing an excellence test. Most of the residents had published at least one article or performed one presentation at a congress; however, only 27.8% had completed a doctoral thesis. Although 74.7% of the internists believed they would find employment, only 28.4% had an offer 1month after completing their residence. CONCLUSIONS: The residents are satisfied with their training, although there is still a deficit in supervision and dissatisfaction with the method of assessing their knowledge and the precarious job market during the first year for specialists.