Burnout in oral and maxillofacial surgeons in Brazilian population during the COVID-19 pandemic: a critical analysis
DOI:
https://doi.org/10.33448/rsd-v11i1.25278Keywords:
Psychological burnout; Oral and Maxillofacial Surgeons; Oral Surgery; Occupational Health Brazil; Brazil.Abstract
The training and activities of an oral and maxillofacial surgeon, although stimulating, motivating, and satisfactory, are not exempt from technical and psychological challenges. Residency training programs aim to develop necessary skills of resistance and rational decision-making under pressure in clinical, outpatient, and complex hospital interventions. Furthermore, these programs also require the fulfillment of activities outside the operating room, such as issuing diagnoses and planning high complexity procedures with a high risk of complications. The aim of this study was to evaluate the levels of burnout in attending surgeons and residents from oral and to maxillofacial surgery residency programs located in the State of Ceará, Brazil, during the SARS CoV-2 (COVID-19) disease pandemic. This observational, cross-sectional study with a quantitative approach was conducted on attending surgeons and residents registered at the Regional Council of Dentistry – Ceará Section. Data were obtained through an online questionnaire with three sets of questions: 1) professional factors; 2) the Oldenburg Burnout Inventory instrument; and 3) sociodemographic aspects. Quantitative data were analyzed with the Statistical Package for Social Science software. Nonparametric statistical analysis (Fisher and Kruskal-Wallis Exact tests) was used, in addition to the Chi-square test, adopting a significance level of 5%. A sample of 78 participants was obtained, in which most attendings (58.7%) and residents (40%) demonstrated moderate levels of burnout. We can conclude that the levels of burnout in oral and maxillofacial attending surgeons and residents from the State of Ceará during the COVID-19 pandemic were moderate, not resulting in high levels of emotional exhaustion and depersonalization.
References
Al Atassi, H., Shapiro, M. C., Rao, S. R., Dean, J., & Salama A. (2018). Oral and Maxillofacial Surgery Resident perception of personal achievement and anxiety: A cross-sectional analysis. J Oral Maxillofac Surg, 76, 2532-2539. https://doi.org/10.1016/j.joms.2018.06.018
Alkindi, M., Alghamdi, O., Alnofaie, H., AlHammad, Z., Badwelan, M., & Albarakati, S. (2020). Assessment of Occupational Stress Among Oral and Maxillofacial Surgeons and Residents in Saudi Arabia: A Cross-Sectional Study. Adv Med Educ Pract, 11, 741-753. https://dx.doi.org/10.2147%2FAMEP.S268430
Amin, D., Austin, T. M., Roser, S. M., & Abramowicz, S. (2021). A cross-sectional survey of anxiety levels of oral and maxillofacial surgery residents during the early COVID-19 pandemic. Oral Surg Oral Med Oral Pathol Oral Radiol, S2212-4403, 0071-7. https://dx.doi.org/10.1016%2Fj.oooo.2021.01.024
Bhalla, N., Suneja, N., Kobryn, A., Lew, S., & Dym, H. The psychological well-Being of medical versus dental GME Residents during the COVID 19 Pandemic: A Cross-Sectional Study. (2021). J Oral Maxillofac Surg, 79, 1828.e1-1828.e8. https://doi.org/10.1016/j.joms.2021.04.016
Contag, S. P., Golub, J. S., Teknos, T.N., Nussenbaum, B., Stack, B. C. Jr., Arnold, D. & Johns, M. M. 3rd. (2010). Professional burnout among microvascular and reconstructive free-flap head and neck surgeons in the United States. Arch Otolaryngol Head Neck Surg., 136, 950–956. https://doi.org/10.1001/archoto.2010.175
Demerouti, E., & Nachreiner, F. (1998). Zur spezifität von burnout für dienstleistungsberufe: Fakt oder artefakt? Z. Arbeitswiss, 52, 82–89.
Divaris, K., Lai, C. S., Polychronopoulou, A., Eliades, T., & Katsaros, C. (2012). Stress and burnout among Swiss dental residents. Schweizer Monatsschrift für Zahnmedizin , 122, 610-615. https://doi.org/10.5167/uzh-76301
Ferrel, M. N., & Ryan, J. J. (2020). The Impact of COVID19 on Medical Education. Cureus, 12, e7492. https://doi.org/10.7759/cureus.7492
Gorter, R. C., Jacobs, B. L., & Allard, R. H. (2012). Low burnout risk and high engagement levels among oral and maxillofacial surgeons. Eur J Oral Sci, 120, 69-74. https://doi.org/10.1111/j.1600-0722.2011.00923.x
Hammer, G. P., du Prel, J. B., & Blettner, M. (2009). Avoiding bias in observational studies: part 8 in a series of articles on evaluation of scientific publications. Dtsch Arztebl Int, 106, 664-668. https://doi.org/10.3238/arztebl.2009.0664
LaPorta, L. D. (2010). Occupational stress in oral and maxillofacial surgeons: tendencies, traits, and triggers. Oral Maxillofac Surg Clin North Am, 22, 495-502. https://doi.org/10.3238/arztebl.2009.0664
Shapiro, M. C., Rao, S. R., Dean, J., & Salama, A. R. (2017). What a Shame: Increased rates of OMS resident burnout may be related to the frequency of shamed events during training. J Oral Maxillofac Surg, 75, 449-457. https://doi.org/10.1016/j.joms.2016.08.040
Raftopulos, M., Wong, E. H., Stewart, T. E., Boustred, R. N., Harvey, R. J., & Sacks, R. (2019). Occupational burnout among Otolaryngology-Head and Neck Surgery Trainees in Australia. Otolaryngol Head Neck Surg, 160, 472-479. https://doi.org/10.1177/0194599818822987
Santos, G. N. M., Silva, H. E. C da., Caracas, H. C. P., & Melo, N. S de. (2021). Impacto da COVID-19 na residência em Cirurgia Buco-Maxilo-Facial da Secretaria de Saúde do Distrito Federal. Rev ABENO, 21, 1266. https://doi.org/10.30979/rev.abeno.v21i1.1266
Maslach, C., & Jackson, S. E. (1981) The Measurement of Experienced Burnout. J Occup Behav, 2, 99-113. http://dx.doi.org/10.1002/job.4030020205
Marrelli, M., Gentile, S., Palmieri, F., Paduano, F., & Tatullo, M. (2014). Correlation between surgeon’s experience, surgery complexity and the alteration of stress related physiological parameters. PLoS ONE, 9, e112444. https://doi.org/10.1371/journal.pone.0112444
Organisation WH (2021). Coronavirus disease (COVID-19) pandemic. https://www.who.int/emergencies/diseases/ novel-coronavirus-2019 Acessado em 10 de março de 2021
Panesar, K., Dodson, T., Lynch, J., Bryson-Cahn, C., Chew, L., & Dillon, J. (2020) Evolution of COVID-19 guidelines for University of Washington oral and maxillofacial surgery patient care. J Oral Maxillofac Surg, 78, 1136-1146. https://dx.doi.org/10.1016%2Fj.joms.2020.04.034
Patel, N. A., Ji, Y. D., & Odera, S. L. (2020). The role of oral and maxillofacial surgeons in COVID-19 response. J Oral Maxillofac Surg, 78, 1052–1053. https://doi.org/10.1016/j.joms.2020.04.016
Peng, X., Xu, X., Li, Y., Cheng, L., Zhou, X., & Ren, B. (2020). Transmission routes of 2019-nCoV and controls in dental practice. Int J Oral Sci, 12(1), 9. https://doi.org/10.1038/s41368-020-0075-9
Porto, G. G., Carneiro, S. C., Vasconcelos, B. C., Nascimento, M. M., & Leal, J. L. (2014) Burnout syndrome in oral and maxillofacial surgeons: a critical analysis. Int J Oral Maxillofac Surg, 43, 894-899. https://doi.org/10.1016/j.ijom.2013.10.025
Shanafelt, T. D., Balch, C. M., Bechamps, G. J., Russel, T., Dyrbye, L., Satele, D., Collicot P., Novotny, J., Sloan J., & Freischlag J. A. (2009). Burnout and career satisfaction among American surgeons. Ann Surg, 250, 463-471. https://doi.org/10.1097/sla.0b013e3181ac4dfd
Sinval, J., Queirós, C., Pasian, S., & Marôco, J. (2019). Transcultural Adaptation of the Oldenburg Burnout Inventory (OLBI) for Brazil and Portugal. Front Psychol, 10, 338. https://doi.org/10.3389/fpsyg.2019.00338
Torres, I. G. (2020). Avaliação do Burnout nos enfermeiros do centro hospitalar tondela-viseu. Viseu, Portugal. Tese. Mestrado em Medicina. Universidade Beira Interior.
Von, Elm. E., Altman, D. G., Egger, M., Pocok, S., Gotzsche, T., Vandenbroucke, J. STROBE Initiative. (2008). The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies. J Clin Epidemiol, 61, 344-349. https://doi.org/10.1016/j.jclinepi.2007.11.008
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Copyright (c) 2022 Marcela Maria Costa Borges; Andréa Silvia Walter de Aguiar; Natalia Fernandes Teixeira Alves; Diego Santiago de Mendonça
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