Background: Postgraduate medical trainees experience high rates of burnout, but evidence regarding psychiatric trainees is missing. We aim to determine burnout rates among psychiatric trainees, and identify individual, educational and work-related factors associated with severe burnout. Methods: In an online survey psychiatric trainees from 22 countries were asked to complete the Maslach Burnout Inventory (MBI-GS) and provide information on individual, educational and work-related parameters. Linear mixed models were used to predict the MBI-GS scores, and a generalized linear mixed model to predict severe burnout. Results: This is the largest study on burnout and training conditions among psychiatric trainees to date. Complete data were obtained from 1980 out of 7625 approached trainees (26%; range 17.8-65.6%). Participants were 31.9 (SD 5.3) years old with 2.8 (SD 1.9) years of training. Severe burnout was found in 726 (36.7%) trainees. The risk was higher for trainees who were younger (P < 0.001), without children (P = 0.010), and had not opted for psychiatry as a first career choice (P = 0.043). After adjustment for socio-demographic characteristics, years in training and country differences in burnout, severe burnout remained associated with long working hours (P < 0.001), lack of supervision (P < 0.001), and not having regular time to rest (P = 0.001). Main findings were replicated in a sensitivity analysis with countries with response rate above 50%. Conclusions: Besides previously described risk factors such as working hours and younger age, this is the first evidence of negative influence of lack of supervision and not opting for psychiatry as a first career choice on trainees' burnout.

Burnout syndrome among psychiatric trainees in 22 countries: Risk increased by long working hours, lack of supervision, and psychiatry not being first career choice / Jovanovic, N; Podlesek, A.; Volpe, U.; Barrett, E.; Ferrari, Silvia; Rojnic Kuzman, M.; Wuyts, P.; Papp, S.; Nawka, A.; Vaida, A.; Moscoso, A.; Andlauer, O.; Tateno, M.; Lydall, G.; Wong, V.; Rujevic, J.; Platz Clausen, N.; Psaras, R.; Delic, A.; Losevich, M. A.; Flegar, S.; Crã©pin, P.; Shmunk, E.; Kuvshinov, I.; Loibl Weiss, E.; Beezhold, J.. - In: EUROPEAN PSYCHIATRY. - ISSN 0924-9338. - 32(2016), pp. 34-41.

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