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Objectives: The Burnout Syndrome (BS), a highly prevalent entity among surgeons, holds negative impact on clinical and educational outcomes. Our aim was to measure the prevalence of BS in Colombian surgical residents, and their variation according to age, gender, type of program, level of residence and geographic region. Methods: The MBI-Human Services Survey (MBI-HSS) was administered to 202 surgical residents. The overall percentage of BS was calculated. Univariate analyses were performed for the global score of the MBI-HSS and its subscales according to the proposed variables, and multivariate analyses were conducted in order to assess their independence. Síndrome de desgaste en residentes 127 Rev Colomb Cir. 2017;32:121-27 1. Boor K, van Der Vleuten C, Teunissen P, Scherpbier A, Scheele F. Development and analysis of D-RECT, an instrument measuring residents’ learning climate. Med Teach. 2011;33:820-7. 2. Lases SS, Arah OA, Pierik EG, Heineman E, Lombarts MJ. Residents’ engagement and empathy associated with their perception of faculty’s teaching performance. World J Surg. 2014;38:2753-60. 3. Dyrbye L, Shanafelt T. A narrative review on burnout experienced by medical students and residents. Med Educ. 2016;50:13249. 4. Elmore LC, Jeffe DB, Jin L, Awad MM, Turnbull IR. National Survey of Burnout among US General Surgery Residents. J Am Coll Surg. 2016;223:440-51. 5. Pulcrano M, Evans SR, Sosin M. Quality of life and burnout rates across surgical specialties: A systematic review. JAMA Surg. 2016;151:970-8. 6. Dimou FM, Eckelbarger D, Riall TS. Surgeon burnout: A systematic review. J Am Coll Surg. 2016;222:1230-9. 7. Malik AA, Bhatti S, Shafiq A, Khan RS, Butt UI, Bilal SM, et al. Burnout among surgical residents in a lower-middle income country Are we any different? Ann Med Surg (Lond). 2016;9:28-32. 8. Kholdebarin R, Helewa RM, Hochman DJ. Evaluation of a regional acute care surgery service by residents in general surgery. J Surg Educ. 2011;68:290-3. 9. Everett CB, Helmer SD, Osland JS, Smith RS. General surgery resident attrition and the 80-hour workweek. Am J Surg. 2007;194:751-7. 10. West CP, Dyrbye LN, Erwin PJ, Shanafelt TD. Interventions to prevent and reduce physician burnout: A systematic review and meta-analysis. Lancet. 2016; 388:2272-2281. 11. Oerlemans WG, Bakker AB. Burnout and daily recovery: A day reconstruction study. J Occup Health Psychol. 2014;19:303-14. 12. Demerouti E, Mostert K, Bakker AB. Burnout and work engagement: A thorough investigation of the independency of both constructs. J Occup Health Psychol. 2010;15:209-22. 13. Maslach C, Schaufeli WB, Leiter MP. Job burnout. Annu Rev Psychol. 2001;52:397-422. 14. Olivares-Faúndez VE, Mena-Miranda L, Jélvez-Wilke C, MacíaSepúlveda F. Validez factorial del Maslach Burnout Inventory Human Services (MBI-HSS) en profesionales chilenos. Universitas Psychologica. 2014;13:145-59. 15. Shanafelt TD, Balch CM, Bechamps G, Russell T, Dyrbye L, Satele D, et al. Burnout and medical errors among American surgeons. Ann Surg. 2010;251:995-1000. 16. Vega V, Sanabria A, Domínguez L, Osorio C, Ojeda C, Bejarano M. Síndrome de desgaste profesional en cirujanos colombianos. Rev Colomb Cir. 2009;24:153-64. 17. Cortés-Flores AO, Fuentes-Orozco C, López-Ramírez MKL, Velásquez-Ramírez GA, Farías-Llamas OA, Olivares-Becerra JJ, et al. Academic medicine and gender: Women in surgical specialities. Gac Med Mex. 2005;141:341-4. 18. Bruce AN, Battista A, Plankey MW, Johnson LB, Marshall MB. Perceptions of gender-based discrimination during surgical training and practice. Med Educ Online. 2015;20:25923. 19. Díaz-Camacho P. El alma colombiana. Idiosincrasia e identidades culturales en Colombia. Hallazgos. 2012;10:119-41. Referencias Correspondencia: Luis Carlos Domínguez, MD Correo electrónico: carlos.dominguez@unisabana.edu.co Bogotá, D.C. Results: The prevalence of BS was 33.15%. No significant difference was found in the global and sub-scores of the MBI-HSS between residents with BS and no BS according the proposed variables. The prevalence of BS was higher in the central region of the country (OR 4.76 IC95% 2.0-11.2). Conclusions: BS in Colombian surgical residents is a prevalent entity, which is not related to age, gender, and type of program or level of residence. There are regional variations indicating a higher risk of BS among active residents in programs in the central region of the country, which requires further studies.

Desgaste profesional en residentes colombianos de cirugía: resultados de un estudio nacional