Burnout and endoscopy-specific workload among gastroenterologists and gastroenterology fellows in Türkiye: A national cross-sectional survey
World Journal of Gastroenterology, cilt.32, sa.40, 2026 (SCI-Expanded, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 32 Sayı: 40
- Basım Tarihi: 2026
- Doi Numarası: 10.3748/wjg.124864
- Dergi Adı: World Journal of Gastroenterology
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, EMBASE, MEDLINE
- Anahtar Kelimeler: Burnout, Copenhagen Burnout Inventory, Endoscopy workload, Gastroenterology, Occupational stress, Türkiye
- Açık Arşiv Koleksiyonu: AVESİS Açık Erişim Koleksiyonu
- Recep Tayyip Erdoğan Üniversitesi Adresli: Evet
Özet
BACKGROUND Gastroenterologists in high-volume, public-sector-dominant healthcare systems face occupational strain from endoscopic workload, out-of-hours duties, and administrative demands. Evidence linking validated burnout measures to endoscopy-specific workload indicators remains limited. AIM To determine burnout levels and workload-related and organisational correlates of high personal burnout among responding gastroenterologists and fellows in Türkiye. METHODS A national cross-sectional anonymous online survey was conducted in May 2026 using the Copenhagen Burnout Inventory (CBI) and a purpose-designed endoscopy workload module. Recruitment via professional networks and snowball sampling precluded calculation of a formal response rate. Of 352 submitted records, 278 eligible physicians were included. CBI scores were transformed to a 0-100 scale; a score of 50 or higher indicated high burnout. Multivariable logistic regression, Spearman correlations, and sensitivity analyses using continuous personal burnout scores were performed. RESULTS CBI scores of 50 or higher were observed in 79.5%, 78.1%, and 69.8% of respondents for personal, work-related, and patient-related burnout, respectively; median scores were 71, 70, and 64. These values describe a self-selected respondent sample, not national prevalence. Monthly on-call frequency showed a graded association with personal burnout (P for trend < 0.001). High personal burnout was independently associated with six or more monthly on-call shifts [adjusted odds ratio (OR) = 4.82], out-of-hours endoscopy duty (adjusted OR = 3.45), more than 60 procedures/week (adjusted OR = 2.91), inadequate staff support (adjusted OR = 2.68), and six or more outpatient sessions/week (adjusted OR = 2.40). Only 6/278 respondents (2.2%) reported institutional psychological support. CONCLUSION Responding gastroenterologists and fellows reported high burnout scores associated with modifiable workload and organisational factors, supporting system-level interventions; findings should not be interpreted as causal effects or national prevalence estimates.