Annang Giri Moelyo(1*), Bambang Tridjaja(2), Rina Triasih(3)

(1) Universitas Sebelas Maret
(2) Universitas Indonesia
(3) Universitas Gadjah Mada
(*) Corresponding Author


Background: The intense workload and complex learning environment in pediatric specialist training program may lead to trainees’ burnout. The study aimed to assess burnout and the associated factors among pediatric trainees in Indonesia.

Methods: We conducted a multicentre study involving all (15) pediatric training institutions in Indonesia from June to August 2019. A General Oldenburg Burnout Inventory (OLBI) was translated to Indonesian language. The OLBI comprised of 16 questions which assessed exhaustion (8 questions) and disengagement (8 questions). The online questionnaire was self-completed by pediatric trainees in the study sites. Ordinal regressions were performed to assess risk factors (age, marital, sex, resident stage of training, and university) for exhaustion and disengagement.

Results: A total of 841 trainees from 15 pediatric training institutions in Indonesia completed the survey (response rate 71.2%). The majority (72.1%) of the trainees was female with mean age of 31.2 ± 2.9 years. The Cronbach’s-alpha was 0.74. The mean exhaustion and disengagement scores were 2.58±0.23 and 2.51±0.23, respectively. The proportion of vigor, mild, moderate and severe exhaustion were 48.3%; 42.0%; 9.0%; and 0.7%, respectively. The proportion of dedicated, mild, moderate and severe disengagement were 36.9%; 46.5%; 14.5%; and 2.1%, respectively. The stage of training (junior-intermediate stage), after adjusted to age, sex and institution was significantly increase the risk for exhaustion [odd ratio 1.47 (95%CI; 1.22-1.76)]. Disengagement level was significantly different among pediatric training institutions (located in Java and outer Java) [odd ratio 0.68 (95%CI; 0.529-0.885)].

Conclusion: Burnout was common among pediatric trainees in Indonesia.


pediatric trainees, burnout, Indonesia, exhaustion, disengagement

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  1. Baer TE, Feraco AM, Sagalowsky ST, Williams D, Litman HJ, Vinci RJ. Pediatric resident burnout and attitudes toward patients. Pediatrics. 2017;139(3).
  2. Jan FM, Jan MM. Burnout Syndrome during Pediatric Residency Training. Open J Pediatr. 2015;05(03):218–22.
  3. Rodrigues H, Cobucci R, Oliveira A, Cabral JV, Medeiros L, Gurgel K, et al. Burnout syndrome among medical residents: A systematic review and meta-analysis. PLoS One. 2018;13(11):1–17.
  4. McKinley TF, Boland KA, Mahan JD. Burnout and interventions in pediatric residency: A literature review. Burn Res. 2017;6:9–17.
  5. Bari A, Kamran R, Haroon F, Bano I. Burnout among pediatric residents and junior consultants working at a tertiary care hospital. Pakistan J Med Sci. 2019;35(1):45–9.
  6. Jamjoom RS, Park YS. Assessment of pediatric residents burnout in a tertiary academic centre. Saudi Med J. 2018;39(3):296–300.
  7. Kemper KJ, Wilson P, Schwartz A, Mahan JD, Batra M, Staples B, et al. Burnout in pediatric residents: comparing brief screening questions to the Maslach Burnout Inventory. Acad Pediatr. 2018;19(3):251–5.
  8. Williams ES, Konrad TR. The relationship of organizational culture, stress, satisfaction, and burnout with physician-reported error and suboptimal patient care : Results from the MEMO study. Health Care Manage Rev. 2007;32(September):203–12.
  9. IsHak WW, Lederer S, Mandili C, Nikravesh R, Seligman L, Vasa M, et al. Burnout during residency training: a literature review. J Grad Med Educ. 2009;1(2):236–42.
  10. Firth-Cozens J, Greenhalgh J. Doctors’ perceptions of the links between stress and lowered clinical care. Soc Sci Med. 1997;44(7):1017–22.
  11. Demerouti E, Bakker AB. The Oldenburg burnout inventory: a good alternative to measure burnout and engagement. In: J. R. B. Halbesleben, editor. Handbook of Stress and Burnout in Health Care. Hauppauge, NY: Nova Science; 2008. p. 1–25.
  12. Low ZX, Yeo KA, Sharma VK, Leung GK, Mcintyre RS. Prevalence of burnout in medical and surgical residents: A meta-analysis. Int J Environ Res Public Heal. 2019;16(1479):1–22.
  13. Block RI, Bair HL, Carillo JF. Is exhaustion more sensitive than disengagement to burnout in Academic Anesthesia? A study using the Oldenburg Burnout Inventory. Psychol Rep. 2019;0(0):1–15.
  14. Bakker AB, Demerouti E, Verbeke W. Using the job demands-resources model to predict burnout and performance. Hum Resour Manage. 2004;43(1):83–104.
  15. Zis P, Anagnostopoulos F, Sykioti P. Burnout in medical residents: A study based on the job demands-resources model. Sci World J. 2014;2014.
  16. Tipa RO, Tudose C, Pucarea VL. Measuring Burnout Among Psychiatric Residents Using the Oldenburg Burnout Inventory (OLBI) Instrument. J Med Life. 2019;12(4):354–60.
  17. van Vendeloo SN, Godderis L, Brand PLP, Verheyen KCPM, Rowell SA. Resident burnout: evaluating the role of the learning environment. BMC Med Educ. 2018;18(54):1–8.
  18. van Vendeloo SN, Prins DJ, Verheyen CCPM, Prins JT, van den Heijkant F, van der Heijden FMMA, et al. The learning environment and resident burnout: a national study. Perspect Med Educ. 2018;120–5
  19. Puranitee P, Stevens FFCJ, Pakakasama S, Plitponkarnpim A, Arj-OngVallibhakara S, Busari JO, et al. Exploring burnout and the association with the educational climate in pediatric residents in Thailand. BMC Med Educ. 2019;19(1):245.

DOI: https://doi.org/10.22146/jpki.63683

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