• Paul O'Connor, Sinéad Lydon, Angela O'Dea, Layla Hehir, Gozie Offiah, Akke Vellinga, and Dara Byrne.
• School of Medicine, National University of Ireland Galway, Galway, Ireland.
• Postgrad Med J. 2017 Nov 1; 93 (1105): 660-664.

BackgroundJunior doctors have been found to suffer from high levels of burnout.AimsTo measure burnout in a population of junior doctors in Ireland and identify if: levels of burnout are similar to US medical residents; there is a change in the pattern of burnout during the first year of postgraduate clinical practice; and burnout is associated with self-reported error.MethodsThe Maslach Burnout Inventory-Human Services Survey was distributed to Irish junior doctors from five training networks in the last quarter of 2015 when they were approximately 4 months into their first year of clinical practice (time 1), and again 6 months later (time 2). The survey assessed burnout and whether they had made a medical error that had 'played on (their) mind'.ResultsA total of 172 respondents out of 601 (28.6%) completed the questionnaire on both occasions. Irish junior doctors at time 2 were more burned out than a sample of US medical residents (72.6% and 60.3% burned out, respectively; p=0.001). There was a significant increase in emotional exhaustion from time 1 to time 2 (p=0.007). The association between burnout and error was significant at time 2 only (p=0.03). At time 2, of those respondents who were burned out, 81/122 (66.4%) reported making an error. A total of 22/46 (47.8%) of the junior doctors who were not burned out at time 2 reported an error.ConclusionCurrent levels of burnout are unsustainable and place the health of both junior doctors and their patients at risk.© Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

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