Page 10 - JCBP-2-2

Journal of Clinical and
Basic Psychosomatics Burnout interventions in residency

4. Negative effects of burnout during to reduce resident burnout. When conditions permit,
24
standardized residency training relevant reforms in personnel, remuneration, and incentive
systems may be introduced. Meanwhile, the adoption
4.1. Work effectiveness of updated technological tools can also contribute to
Burnout among residents may affect their enthusiasm, alleviating resident burnout. Research indicates that digital
attitude, efficiency, satisfaction, and sense of achievement medical technologies and electronic communication
in their work, subsequently influencing the overall quality systems can reduce unnecessary non-emergency calls
of medical care. It can result in physical and EE, a sense between medical and nursing staff, streamlining the
31
of helplessness, and a lack of motivation among residents, workflow and improving efficiency. 34
consequently affecting their job performance. In addition, 5.2. Improving educational content
16
burnout may contribute to a decrease in residents’ attention
and concentration, thereby increasing the risk of medical The high incidence of burnout among residents
errors and accidents. 31 suggests that there is room for improvement in the
standardized training and education for this group.
4.2. Interpersonal relationships Current recommendations for improving standardized
Burnout among residents can detrimentally affect residency training focus on strengthening professional
colleague relationships, doctor–patient relationships, and ethics education, mental health education, and clinical
20
social harmony. 16,32 It hinders residents’ willingness and skill training. Research emphasizes the role of clinical
32
efficacy in communicating with patients and colleagues. educators in encouraging residents by emphasizing the
10
The impact of burnout on work relationships manifests in significance of learning over workload in residency tasks.
reduced enthusiasm for patient care and communication, In large general hospitals with heavy workloads and
difficulties in interpersonal communication with colleagues high training standards, relieving resident burnout and
and compromised communication and decision-making enhancing their sense of professional accomplishment
skills. 16 might involve a reasonable allocation of clinical education
duration, the adjustment of work assignments, and the
4.3. Career vision optimization of repetitive, monotonous, and transactional
tasks. Improving the assignment and distribution of tasks
23
Burnout heightens the intention to quit one’s job, with for junior and senior residents can also, to some extent,
the EE dimension of burnout having a positive predictive alleviate burnout. Related research suggests additional
35
influence on this intention among residents in general
practice. A plausible explanation for this trend may be the measures, such as strengthening the faculty team,
33
absence of a well-defined career vision during residency, upgrading the training curriculum, enhancing assessment
10
rendering residents less equipped to effectively cope with methods, and strengthening residency management.
setbacks and workplace pressures. In addition, for some 5.3. Optimizing training strategies
residents, the improvement of clinical skills stagnates
at this stage, leading to a lower-than-expected sense of Training strategies play a crucial role in ensuring high-
work accomplishment. Consequently, their sense of quality standardized residency training programs, which
16
professional identity gradually decreases, and negative would contribute to the alleviation of burnout, as revealed
32,33
perceptions intensify, ultimately resulting in an increased in the studies discussed in this sub-section. This section
explores several representative optimization measures,
intention to resign or even abandon a medical career providing an initial reference for improving current
altogether. 17
standardized residency training programs. 34-36 However,
5. Countermeasures to burnout during the actual implementation of these measures requires
standardized residency training further evaluation to adapt to different educational
contexts within standardized residency training.
5.1. Improving job satisfaction First, the implementation and promotion of integrated
Countermeasures against burnout during standardized training that combines individuals from different
residency training can be addressed and implemented educational backgrounds can be considered. This approach
across several aspects. The current research generally involves training residents with undergraduate degrees
recommends methods to improve job satisfaction, such alongside medical postgraduates, thus raising the standards
as adjusting work schedules, implementing a reasonable of residency training bases and hospitals. Integrated
rotation system, and optimizing work content. In addition, training can effectively address the disconnection between
a proper salary increment has been identified as a means different clinical stages of training and clinical practice,

Volume 2 Issue 2 (2024) 4 https://doi.org/10.36922/jcbp.1153