Residents Burnout Full data edited.xlsx

Burnout levels of residents in Middle-Eastern countries is further aggravated by sociopolitical instability. Around 70% of its population has experienced one or more of the following challenges: direct impact of war, a protracted economic crisis, an unstable sociopolitical situation and the catastrophic Beirut port explosion in August 2020. Medical residents in Lebanon have been at the forefront of these calamities. While burnout is an established threat to personal and professional wellbeing and performance, self-determination, measured by satisfaction of three psychological needs, has been suggested as a psychological state driving motivation and thus enhancing wellbeing at the workplace. Yet, the relationship between the satisfaction of the basic psychological needs specifically in medical residents, a population at particular risk for burnout, has not been studied. This study intends to explore prevalence of burnout and the relationship of its three determinants, depersonalization (DP), emotional exhaustion (EE) and lack of personal achievement (PA), and of BPN satisfaction or frustration, with the framework of the Self-Determination Theory (SDT) in healthcare. A cross sectional study among 110 medical residents served to measure basic psychological need satisfaction and frustration (BPNSFS), burnout (MBI), depression, and anxiety (PHQ-4). Residents were also asked about the subjective experience of the ongoing crises (COVID-19 pandemic, Beirut port explosion, and financial breakdown). Self-determination seems to be associated with more DP but with less EE and low PA, the latter being associated with more advanced mental distress. Further research should be done to understand this multifactorial phenomenon better and apply tools that enhance self-determination and improve residents’ resilience to buffer distress in future healthcare providers.