title: Prevalence of Burnout in residents of obstetrics and gynecology: A systematic review and meta-analysis.
abstract: BACKGROUND
  Burnout is currently a major concern among physicians due to their high level of stress at work. There are several reports on various levels of burnout in residency programs due to several predisposing factors. The aim of this systematic review was to estimate a more precise prevalence of burnout among residents of obstetrics and gynecology.
  
  
  METHODS
  PubMed, Science Direct and Scopus were searched to identify peer-reviewed Englishlanguage studies published from January 1974 to 2005 reporting burnout among residents of obstetrics and gynecology. The key words used in the search were as follows: Residents, gynecology and obstetrics, professional burnout, depersonalization, distress, anxiety, or emotional exhaustion. Relevant additional articles were identified from the lists of the retrieved articles.
  
  
  RESULTS
  We identified 12 studies which met our criteria. A total of 2509 participants were included in this meta-analysis. The overall prevalence rate of burnout on all the three subscales was 44% (95% CI: 30 - 57) in this group of residents.
  
  
  CONCLUSIONS
  This meta-analysis revealed a high prevalence of burnout syndrome in residents during obstetrics and gynecology residency program. Therefore, it is recommended to consider and address this important issue to develop solutions and interventions which could improve the work condition of the medical residents.
authors.affiliation: MSc in Epidemiology, Saveh University of Medical Sciences, Saveh, Iran. Yousefmoradi211@yahoo.com.
authors.forename: Yousef
authors.initials: Y
authors.lastname: Moradi
authors.affiliation: MD, PhD, Clinical Epidemiologist, Center for Educational Research in Medical Sciences, Iran University of Medical Sciences, Tehran, Iran. baradaran.hr@iums.ac.ir.
authors.forename: Hamid Reza
authors.initials: HR
authors.lastname: Baradaran
authors.affiliation: MSc in Information and Library Studies, Center for Educational Research in Medical Sciences, Iran University of Medical Sciences, Tehran, Iran. myazdandoost@hotmail.com.
authors.forename: Maryam
authors.initials: M
authors.lastname: Yazdandoost
authors.affiliation: MD, Resident of Gynaecology and Obstetrics, Department of Obstetrics and Gynaecology, Faculty of Medicine, Zanjan University of Medical Sciences, Zanjan, Iran. shahlatrak@gmail.com.
authors.forename: Shahla
authors.initials: S
authors.lastname: Atrak
authors.affiliation: MD, Professor of Obstetrics and Gynaecology, Department of Gynaecology & Obstetrics, Iran University of Medical Sciences, Tehran, Iran. maryamkashanian@yahoo.com.
authors.forename: Maryam
authors.initials: M
authors.lastname: Kashanian
keywords: Burnout; Gynecology; Meta-Analysis; Obstetrics; Residency; Systematic Review