RESUMO
Objective: To determine the burnout among postgraduate residents' and junior consultants in a tertiary care hospital
Methods: This cross-sectional study was conducted among the postgraduate residents [PGR] and junior consultants [JC] working at The Children's Hospital Lahore in 2018. Participants were asked to complete Copenhagen Burnout Inventory questionnaire about burnout on 5 point Likert scale. '100 [always], 75 [often], 50 [sometimes], 25 [seldom] and 0 [never/almost never or according to intensity ranging from 'a very low degree' to 'to a very high degree'. Data was analyzed using SPSS version 22. Three questions were added related to hospital factors but scored separately. Students t-test and chi square test were used to compare the burnout
Results: A total of 227 participants including 177 PGR and 50 JC completed the questionnaire with a response rate of 84% and 86% respectively. There was a female predominance, 140 participants [61.7%] were female. Majority was from pediatric medicine 173 [76.2%]. The mean personal and work related-burnout was high among PGRs as compared to JCs [18.68+/-5.01 vs 16.62+/-4.57] [p=0.008] and [21.14+/-5.57 vs. 18.56+/-5.52] [p=0.004] respectively. Similarly, there was significantly more burnout among pediatric medicine study participants as compared to surgery and diagnostic in all domains [personal BO; p=0.030, work-related BO; p=0.021, patient related BO; 0.033 and hospital related BO; 0.001]. No difference was noted based on gender and year of training
Conclusion: Tertiary care hospital postgraduate residents and junior consultants face moderate burnout. Postgraduate residents had significantly more burnout as compared to junior consultants and majority were from pediatric medicine
RESUMO
Objective: To measure the level of awareness of patient safety among undergraduate medical students in Pakistani Medical School and to find the difference with respect to gender and prior experience with medical error
Methods: This cross-sectional study was conducted at the University of Lahore [UOL], Pakistan from January to March 2017, and comprised final year medical students. Data was collected using a questionnaire 'APSQ- III' on 7 point Likert scale. Eight questions were reverse coded. Survey was anonymous. SPSS package 20 was used for statistical analysis
Results: Questionnaire was filled by 122 students, with 81% response rate. The best score 6.17 was given for the 'team functioning', followed by 6.04 for 'long working hours as a cause of medical error'. The domains regarding involvement of patient, confidence to report medical errors and role of training and learning on patient safety scored high in the agreed range of >5. Reverse coded questions about 'professional incompetence as an error cause' and 'disclosure of errors' showed negative perception. No significant differences of perceptions were found with respect to gender and prior experience with medical error [p= >0.05]
Conclusion: Undergraduate medical students at UOL had a positive attitude towards patient safety. However, there were misconceptions about error disclosure among students and patient safety education needs to be incorporated in medical curriculum of Pakistan