Burnout among resident doctors at Pokhara Academy of Health Sciences

Rajan Sharma
Department of Psychiatry, Pokhara Academy of Health Sciences, Pokhara, Nepal
Leepa Vaidya
Department of Psychiatry, Pokhara Academy of Health Sciences, Pokhara, Nepal
Rajendra Ghimire
Department of Psychiatry, Pokhara Academy of Health Sciences, Pokhara, Nepal
Man Kaji Thapa
Department of Psychiatry, Pokhara Academy of Health Sciences, Pokhara, Nepal
Sundar Ranabhat
Department of Psychiatry, Pokhara Academy of Health Sciences, Pokhara, Nepal
Subash Bijay Mahat
Department of Psychiatry, Pokhara Academy of Health Sciences, Pokhara, Nepal
Bijay Basnet
Pokhara Academy of Health Sciences, Pokhara, Nepal
Keywords:
Burnout Mental Health Nepal Professional Workload Copenhagen Burnout Inventory Internship and Residency

Abstract

Introduction

Doctors experiencing burnout are reported to be at a higher risk of making poor decisions; display hostile attitude toward patients; make more medical errors; and have difficult relationships with co-workers. Burnout among doctors also increases risk of depression; anxiety; sleep disturbances; fatigue; alcohol and drug misuse; marital dysfunction; premature retirement and perhaps most seriously suicide. This study aimed to determine the prevalence and levels of burnout among resident doctors using the Copenhagen Burnout Inventory and to examine its distribution across selected demographic and work-related characteristics.


Methods

A cross-sectional study was conducted among 63 resident doctors at Pokhara Academy of Health Sciences using a self-structured proforma for demographic data and the Copenhagen Burnout Inventory (CBI) to assess burnout across three domains: Personal, Work-Related, and Client-Related Burnout. Data were analyzed using descriptive statistics.


Results

The mean scores indicated moderate to high levels of burnout across all domains. The Work-Related Burnout domain scored the highest (mean score ~66.9%), followed by Personal Burnout (~63.2%) and Client-Relat- ed Burnout (~49.4%). High weekly working hours (often exceeding 100 hours), numerous night duties, and unsatisfactory stipends were common among participants. Subgroup analysis suggested higher burnout levels in certain specialties like Obstetrics & Gynecology and Surgery, and among those who had faced workplace violence.


Conclusion

Burnout is a significant issue among resident doctors at PoAHS, with work-related factors being a primary contributor. The findings underscore the urgent need for systemic interventions, including workload management, improved stipends, and the establishment of robust mental health support systems within medical training institutions to safeguard the well-being of future physicians.


Author Biographies


Rajan Sharma, Department of Psychiatry, Pokhara Academy of Health Sciences, Pokhara, Nepal

Psychiatrist


Leepa Vaidya, Department of Psychiatry, Pokhara Academy of Health Sciences, Pokhara, Nepal

Professor


Rajendra Ghimire, Department of Psychiatry, Pokhara Academy of Health Sciences, Pokhara, Nepal

Assistant Professor


Man Kaji Thapa, Department of Psychiatry, Pokhara Academy of Health Sciences, Pokhara, Nepal

Assistant Professor


Sundar Ranabhat, Department of Psychiatry, Pokhara Academy of Health Sciences, Pokhara, Nepal

Psychiatrist


Subash Bijay Mahat, Department of Psychiatry, Pokhara Academy of Health Sciences, Pokhara, Nepal

Psychiatrist


Bijay Basnet, Pokhara Academy of Health Sciences, Pokhara, Nepal

Medical Officer


How to Cite

Sharma, R., Vaidya, L., Ghimire, R., Thapa, M. K., Ranabhat, S., Mahat, S. B., & Basnet, B. (2026). Burnout among resident doctors at Pokhara Academy of Health Sciences. Journal of Psychiatrists’ Association of Nepal, 15(1), 28-33. https://doi.org/10.3126/jpan.v15i1.93483


License

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