Burnout in South Asian rheumatologists in the COVID-19 pandemic: an online survey
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Authors
Gupta, Latika
Issue Date
2023-06-01
Journal
Type
Peer-Reviewed Publication
Article
Article
Keywords
Burnout
Mental health
Rheumatologists
Asia
South Asia
COVID-19
Professional burnout
Occupational burnout
Survey
Questionnaire
Retrospective study
Multicentre study
Peer-reviewed article
Mental health
Rheumatologists
Asia
South Asia
COVID-19
Professional burnout
Occupational burnout
Survey
Questionnaire
Retrospective study
Multicentre study
Peer-reviewed article
Journal Title
Rheumatology International
Volume
43
Issue
6
Begin page
1143
End page
1150
Abstract
Physician burnout is recognized as a global crisis and an epidemic. However, burnout in rheumatology is an understudied phenomenon. We explored the prevalence of physician burnout among rheumatologists from South Asia in the peri-pandemic period (2021-2022). Rheumatologists from Asian countries were invited to participate in an anonymized, validated, and pilot-tested e-survey via social media platforms from December 2021 to April 2022. Demographic information, social aspects (marital status, income, vacation time, daily exercise), substance abuse, EHR (electronic health record) use, and years in practice were obtained. In addition, burnout was estimated using Maslach Burnout Inventory-Human Services Survey for Medical Personnel (MBI-HSS) in three domains: emotional exhaustion (EE), depersonalization (DP), and personal accomplishment (PA), and intergroup comparisons were made using independent t test and one-way ANOVA using SPSS v27. Of 146 respondents who participated in the survey, 134 belonged to Asian nations. The highest number of respondents was from Pakistan (56/134, 38.36%), followed by India (49/134, 33.56%). Slightly more respondents were male, 75 (51.4%), than females, 71 (48.6%). Over two-thirds of our respondents (99/134, 67.8%) reported burnout in at least one domain. Notably, we found statistically significant increased depersonalization scores in males. (P < 0.05). Females scored significantly higher on the following items: #5 (I feel I treat some patients as if they were impersonal objects), item# 10 (I've become more insensitive toward people since I took this job and item#22 (I feel patients blame me for some of their problems) (P < 0.05). We found differences in monthly salaries among South Asian (1484 ± 2717 USD) and non-South Asian respondents (5672 ± 8874 USD) (P < 0.01). A substantial proportion of rheumatologists in our survey report burnout, suggesting a felt need to introduce organizational measures to prevent and mitigate burnout and preserve the rheumatology workforce.
Citation
Khursheed T, Sharif M, Khan MS, Masood A, Aziz W, Shah S, Gupta L, Miraj MA. Burnout in South Asian rheumatologists in the COVID-19 pandemic: an online survey. Rheumatol Int. 2023 Mar 14:1–8. doi: 10.1007/s00296-023-05304-7. Epub ahead of print. PMID: 36917244; PMCID: PMC10012323.