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Ong J, Ong AML, Ong S, Xin X, Lee YY, Pausawasdi N, De Lusong MA, Makmun D, Chong VH, Ho SH, Lim W, Ong D, Dan YY, Khor C. The impact of the coronavirus disease 2019 pandemic on gastroenterologists in Southeast Asia: A mixed-methods study. J Gastroenterol Hepatol 2021; 36:3056-3068. [PMID: 34159640 DOI: 10.1111/jgh.15594] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/28/2021] [Revised: 05/24/2021] [Accepted: 06/20/2021] [Indexed: 02/05/2023]
Abstract
BACKGROUND AND AIM The coronavirus disease 2019 pandemic has impacted gastroenterology practices worldwide; however, its protracted effects within Southeast Asia were unknown. The primary aim of the study was to determine the impact of the pandemic on clinical demands including burnout among gastroenterologists within the region. The secondary aim was to identify risk factors for burnout and determine regional stressors. METHODS This was a mixed-methods study. Gastroenterologists were surveyed electronically between September 1 and December 7, 2020, via gastroenterology and endoscopy societies of Brunei, Indonesia, Malaysia, Philippines, Singapore, and Thailand. Quantitative and qualitative data were collected. The 22-item Maslach Burnout Inventory-Human Services Survey (MBI-HSS) was used to detect burnout. Quantitative data were non-parametric; non-parametric methods were used for statistical comparisons. Logistic regression was used to determine risk factors for burnout. Content analysis method was used to analyze qualitative data. Ethical approval was obtained. RESULTS A total of 73.0% reported that they were still significantly affected by the pandemic. Of these, 40.5% reported increased workload and 59.5% decreased workload. Statistically significant differences in weekly working hours, endoscopy, and inpatient volumes were present. No differences were observed in outpatient volumes, likely because of telemedicine. Burnout was common; however, 50.1% of gastroenterologists were unaware of or did not have access to mental health support. This, as well as depression, being a trainee, and public sector work, increased burnout risk significantly. CONCLUSION The effects of the pandemic are multifaceted, and burnout is common among Southeast Asian gastroenterologists. Safeguards for mental health are suboptimal, and improvements are urgently needed.
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Affiliation(s)
- John Ong
- Department of Medicine, National University of Singapore, Singapore.,Department of Engineering, University of Cambridge, Cambridge, UK
| | - Andrew Ming Liang Ong
- Department of Gastroenterology and Hepatology, Singapore General Hospital, Singapore.,Duke-NUS Medical School, Singapore
| | - Sharon Ong
- Department of Surgical Intensive Care, Singapore General Hospital, Singapore.,Department of Anaesthesiology, Sengkang General Hospital, Singapore
| | - Xiaohui Xin
- Health Services Research Unit, Singapore General Hospital, Singapore
| | - Yeong Yeh Lee
- School of Medical Sciences, Universiti Sains Malaysia, Kota Bharu, Malaysia.,GI Function and Motility Unit, Hospital Universiti Sains Malaysia, Kota Bharu, Malaysia
| | - Nonthalee Pausawasdi
- Division of Gastroenterology, Department of Medicine, Mahidol University Faculty of Medicine at Siriraj Hospital, Bangkok, Thailand
| | - Mark Anthony De Lusong
- Section of Advanced Endoscopy, Division of Gastroenterology, Department of Medicine, Philippine General Hospital, Manila, Philippines
| | - Dadang Makmun
- Faculty of Medicine, Division of Gastroenterology, Department of Internal Medicine, Cipto Mangunkusumo National General Hospital, Universitas Indonesia, Jakarta, Indonesia
| | - Vui Heng Chong
- Gastroenterology Unit, Department of Medicine, RIPAS Hospital, Bandar Seri Begawan, Brunei Darussalam.,Institute of Health Sciences, PAPRSB Universiti of Brunei Darussalam, Bandar Seri Begawan, Brunei Darussalam
| | - Shiaw Hooi Ho
- Department of Medicine, University of Malaya, Kuala Lumpur, Malaysia
| | - Wanyen Lim
- Department of Anaesthesiology, Sengkang General Hospital, Singapore.,Department of Anaesthesiology, Singapore General Hospital, Singapore
| | - David Ong
- Department of Medicine, Division of Gastroenterology and Hepatology, National University Hospital, Singapore
| | - Yock Young Dan
- Department of Medicine, National University of Singapore, Singapore.,Department of Medicine, Division of Gastroenterology and Hepatology, National University Hospital, Singapore
| | - Christopher Khor
- Department of Gastroenterology and Hepatology, Singapore General Hospital, Singapore.,Duke-NUS Medical School, Singapore
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Ong J, Swift C, Bath M, Ong S, Lim W, Al-Naeeb Y, Shankar A, Dan YY. The prevalence of burnout, risk factors, and job-related stressors in gastroenterologists: A systematic review. J Gastroenterol Hepatol 2021; 36:2338-2348. [PMID: 33704827 DOI: 10.1111/jgh.15488] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/28/2020] [Revised: 02/25/2021] [Accepted: 03/08/2021] [Indexed: 12/12/2022]
Abstract
BACKGROUND AND AIMS Burnout is an important occupational hazard, and the scale of the problem within gastroenterology remains poorly understood. The primary objective of this study was to understand the prevalence of burnout in gastroenterology and ascertain if there was a common prevalence within the field. The secondary objective was to identify factors and job-related stressors that commonly contribute to burnout in gastroenterologists. METHODS Systematic searches were conducted in PubMed, Scopus, Cochrane, and PsycINFO by two reviewers independently for articles published to 1 September 2020. The primary outcome measure was the reported prevalence of burnout in gastroenterologists. The secondary outcome measures were (i) the prevalence of non-somatic burnout symptoms (emotional exhaustion, depersonalization, and low personal accomplishment) and (ii) the frequency of risk factors and stressors reported in studies. Data were presented, and limited meta-analyses discussed. RESULTS Data were extracted from 11 studies. 54.5% (6/11) of these studies reported the prevalence of burnout in gastroenterologists; this ranged from 18.3% to 64.4%. Similar to burnout prevalence, burnout symptoms showed geographical variation and were common in gastroenterologists (up to 63.9%). Factors associated with work volume, age, and female gender were the three most frequently reported risk factors for increased levels of stress and burnout in 72.7% (8/11), 54.5% (6/11), and 45.5% (5/11) of studies, respectively. Significant methodological and clinical heterogeneity was observed. CONCLUSIONS Burnout and its non-somatic symptoms are common in gastroenterologists, but the syndrome is understudied within the field. Further research and good quality data are needed to help address the problem.
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Affiliation(s)
- John Ong
- Department of Engineering, University of Cambridge, Cambridge, UK.,Department of Medicine, National University of Singapore, Singapore, Singapore
| | - Carla Swift
- Department of Gastroenterology, Norfolk and Norwich University Hospital NHS Trust, Norwich, UK
| | - Michael Bath
- Department of Surgery, Whipps Cross University Hospital, Barts Health NHS Trust, London, UK
| | - Sharon Ong
- Division of Anaesthesiology and Perioperative Sciences, Singapore General Hospital, Singapore, Singapore.,Division of Anaesthesiology and Surgical Intensive Care, Sengkang General Hospital, Singapore, Singapore
| | - Wanyen Lim
- Division of Anaesthesiology and Perioperative Sciences, Singapore General Hospital, Singapore, Singapore
| | - Yasseen Al-Naeeb
- Department of Gastroenterology and Hepatology, Bedford Hospital NHS Trust, Bedford, UK
| | - Arun Shankar
- Department of Gastroenterology, Norfolk and Norwich University Hospital NHS Trust, Norwich, UK
| | - Yock Young Dan
- Department of Medicine, National University of Singapore, Singapore, Singapore
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Buscarini E, Gecse KB, Tiniakos D. Burnout in gastroenterology: raise awareness and identify drivers. United European Gastroenterol J 2021; 9:128. [PMID: 33259767 DOI: 10.1177/2050640620977151] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Affiliation(s)
| | - Krisztina B Gecse
- Department of Gastroenterology and Hepatology, Amsterdam University Medical Center, Amsterdam, The Netherlands
| | - Dina Tiniakos
- Department of Pathology, Aretaieion Hospital, National and Kapodistrian University of Athens, Athens, Greece.,Translational and Clinical Research Institute, Faculty of Medical Sciences,, Newcastle University, Newcastle Upon Tyne, UK
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