title: Burnout and quality of life among orthopaedic trainees in a modern educational programme: importance of the learning climate.
abstract: We aimed to determine quality of life and burnout among Dutch orthopaedic trainees following a modern orthopaedic curriculum, with strict compliance to a 48-hour working week. We also evaluated the effect of the clinical climate of learning on their emotional well-being. We assessed burnout, quality of life and the clinical climate of learning in 105 orthopaedic trainees using the Maslach Burnout Inventory, linear analogue scale self-assessments, and Dutch Residency Educational Climate Test (D-RECT), respectively. A total of 19 trainees (18%) had poor quality of life and 49 (47%) were dissatisfied with the balance between their personal and professional life. Some symptoms of burnout were found in 29 trainees (28%). Higher D-RECT scores (indicating a better climate of learning) were associated with a better quality of life (r = 0.31, p = 0.001), more work-life balance satisfaction (r = 0.31, p = 0.002), fewer symptoms of emotional exhaustion (r = -0.21, p = 0.028) and depersonalisation (r = -0,28, p = 0.04). A reduced quality of life with evidence of burnout were still seen in a significant proportion of orthopaedic trainees despite following a modern curriculum with strict compliance to a 48-hour working week. It is vital that further work is undertaken to improve the quality of life and reduce burnout in this cohort.
authors.affiliation: Isala Hospital, Department of Orthopaedic Surgery, Dokter van Heesweg 2, 8025 AB, Zwolle, the Netherlands.
authors.forename: S N
authors.initials: SN
authors.lastname: van Vendeloo
authors.affiliation: Isala Hospital, Department of Paediatrics, Dokter van Heesweg 2, 8025 AB, Zwolle, the Netherlands.
authors.forename: P L P
authors.initials: PL
authors.lastname: Brand
authors.affiliation: Isala Hospital, Department of Orthopaedic Surgery, Dokter van Heesweg 2, 8025 AB, Zwolle, the Netherlands.
authors.forename: C C P M
authors.initials: CC
authors.lastname: Verheyen
mesh_terms: D002055:Burnout, Professional / Q000209:etiology*; D003479:Curriculum; D004503:Education, Medical, Graduate; D005260:Female; D006801:Humans; D007858:Learning; D008297:Male; D009426:Netherlands; D009985:Orthopedics / Q000193:education*; D010549:Personal Satisfaction; D011788:Quality of Life; D013337:Students, Medical / Q000523:psychology*
keywords: Burnout; Clinical learning climate; Orthopaedic; Postgraduate education; Quality of life