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All Journal Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education
Annang Giri Moelyo
Universitas Sebelas Maret
Health Professions Medicine & Pharmacology Public Health

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BURNOUT AMONG PEDIATRIC TRAINEES IN INDONESIA: A NATIONAL SURVEY Annang Giri Moelyo; Bambang Tridjaja; Rina Triasih
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 10, No 3 (2021): November
Publisher : Asosiasi Institusi Pendidikan Kedokteran Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jpki.63683

Abstract

Background: The intense workload and complex learning environment in pediatric specialist training program may lead to trainees’ burnout. The study aimed to assess burnout and the associated factors among pediatric trainees in Indonesia.Methods: We conducted a multicentre study involving all (15) pediatric training institutions in Indonesia from June to August 2019. A General Oldenburg Burnout Inventory (OLBI) was translated to Indonesian language. The OLBI comprised of 16 questions which assessed exhaustion (8 questions) and disengagement (8 questions). The online questionnaire was self-completed by pediatric trainees in the study sites. Ordinal regressions were performed to assess risk factors (age, marital, sex, resident stage of training, and university) for exhaustion and disengagement.Results: A total of 841 trainees from 15 pediatric training institutions in Indonesia completed the survey (response rate 71.2%). The majority (72.1%) of the trainees was female with mean age of 31.2 ± 2.9 years. The Cronbach’s-alpha was 0.74. The mean exhaustion and disengagement scores were 2.58±0.23 and 2.51±0.23, respectively. The proportion of vigor, mild, moderate and severe exhaustion were 48.3%; 42.0%; 9.0%; and 0.7%, respectively. The proportion of dedicated, mild, moderate and severe disengagement were 36.9%; 46.5%; 14.5%; and 2.1%, respectively. The stage of training (junior-intermediate stage), after adjusted to age, sex and institution was significantly increase the risk for exhaustion [odd ratio 1.47 (95%CI; 1.22-1.76)]. Disengagement level was significantly different among pediatric training institutions (located in Java and outer Java) [odd ratio 0.68 (95%CI; 0.529-0.885)].Conclusion: Burnout was common among pediatric trainees in Indonesia.
ADAPTING THE OLDENBURG BURNOUT INVENTORY INTO BAHASA INDONESIA FOR MEASURING BURNOUT IN MEDICAL RESIDENTS Annang Giri Moelyo; Muchtar Hanafi
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 11, No 2 (2022): JUNI
Publisher : Asosiasi Institusi Pendidikan Kedokteran Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jpki.56213

Abstract

 Background: Burnout is common among medical residents, and a non-commercial tool for assessing burnout for medical residents is needed. This study aimed to adapt the Oldenburg Burnout Inventory (OLBI) in Bahasa Indonesia for medical residents and to analyze its validity and reliability.Case Discussion: The English version of OLBI was forward and backward translated to and from Bahasa Indonesia by English-language translation experts, and was appropriately modified by the authors. The respondents of the questionnaire were taken from pediatric residents in the first trial (48 subjects), and from internal medicine, pediatric, dermatology, surgery, and neurology residents in the second trial (109 subjects). The item-test correlation to measured construct validity was good for both trials. A confirmatory factor analysis was then undertaken to evaluate the goodness of fit (GOF), the root mean squared error of approximation (RMSEA), comparative fit index (CFI), Tucker-Lewis index (TLI), standardized root mean squared residual (SRMR), and coefficient of determination (CD) in the second trial. The results of the one-factor model and multidimensional GOF of the 16 items were unsatisfactory (χ2<0.05 and RMSEA>0.08). The GOF of the two-factor analysis of burnout with 8 items (3 exhaustion items and 5 disengagement items) created the following results: χ2=0.378; RMSEA=0.025; CFI=0.995; TLI=0.993; SRMR=0.036; and CD=0.898. The Cronbach’s alphas, for internal consistency reliability, in the first trial, second trial, and final model were 0.73, 0.87, 0.83, and 0.79, respectively.Conclusion: An 8-items modified Bahasa Indonesia translation of the OLBI for medical residents to measure burnout has good reliability and validity. 
Co-Authors Bambang Tridjaja Muchtar Hanafi Rina Triasih