• Michael Ke Wang, Olivia Geen, Zi Hymn Mach, and Zahira Khalid.
• Department of Medicine, McMaster University, Hamilton, Canada. wangm7@mcmaster.ca.
• J Gen Intern Med. 2024 Feb 1; 39 (3): 366372366-372.

BackgroundBurnout is common among medical trainees. Whether brief periods of training on the internal medicine ward leads to resident burnout is unknown.MethodsA survey-based study was conducted at a single academic institution. Medical residents undertaking four-week rotations on the internal medicine ward were included. Burnout was measured at the beginning and end of each rotation using the Maslach Burnout Inventory - Human Services Survey. Burnout was defined as either an emotional exhaustion score of ≥ 27 or a depersonalization score of ≥ 10. Self-reported workplace conditions, behaviors and attitudes were recorded.ResultsThe survey response rate was 71% and included 148 participants. The overall prevalence of burnout was 17% higher at the end of the rotation compared to the beginning of the rotation (71% vs. 54%; P < 0.001). Forty-three percent of residents without pre-rotation burnout developed post-rotation burnout. Residents with post-rotation burnout were more likely to report at least one suboptimal behavior or attitude related to patient care or professionalism (84% vs. 35%; P < 0.001). Respondents with new onset burnout were less likely to report being appreciated for their work, having their role as a learner emphasized, and receiving satisfactory support from allied healthcare professionals. New onset burnout was inversely associated with completing a second consecutive internal medicine ward rotation (adjusted OR 0.19; 95% CI, 0.04-0.90; P = 0.04).ConclusionSeven in ten residents are in a state of burnout after completing internal medicine ward rotations. Interventions to mitigate burnout development during periods of high intensity clinical training are needed.© 2023. The Author(s), under exclusive licence to Society of General Internal Medicine.

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