O-136 Working-Learning Conditions, Incidence of Burnout and Somatic Disorders in Pregraduate Medical Interns

Introduction The undergraduate internship is part of educational process of physicians. They must comply with schedules, activities, and responsibilities, almost like medical professional. We called this working-learning conditions. Because of this they are exposed to stressful factors that could be associated with burnout and somatic disorders. Objective To identify the association between working-learning conditions, frequency of burnout and somatic disorders in undergraduate medical interns. Methods A questionnaire was applied to 207 pre-graduated doctors. Sociodemographic characteristics, work-learning conditions, Maslach’s inventory and Kroenke’s PHQ15, to identify burnout and severity of somatic symptoms respectively were included. Results 55% reported having worked between 70-101 hours and 30% worked more than 102 hours by week. 52% worked until 45 hours continuously, 54% attended between 20-40 patients per day. 29% performed guards every third day. 47% reported feeling excessive workload. 65% perceived they did not receive clear indications and sufficient training for patient care, 43% expressed anguish for not knowing how to carry out the activities required for patient care, 45% for not having adequate medication and equipment, 46% having so tired that it hindered their activities. Emotional exhaustion was detected in 62%, depersonalization in 46%, and 39% had high personal fulfillment. The total syndrome occurred in 32%. We found significant differences for the three subscales and burnout syndrome according to date of they responded the questionnaire. 6% of medical interns were in the high severity level of somatic symptoms, 44% presented occasional discomfort. Discussion and conclusion A high level of stressful working-learning conditions, burnout and somatic symptoms were found in medical interns.