La Revue de medecine interne · 2026
[Workload, institutional recognition, and sleep: A survey of burnout among French internists].
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El Jammal Thomas, Sève Pascal, Jamilloux Yvan
Аннотация
OBJECTIVE: To estimate the prevalence of burnout among internists practicing in France, identify its determinants, and describe their professional experience based on free-text comments.
METHODS: A national cross-sectional online survey was conducted at the end of 2024 through the French National Society of Internal Medicine (SNFMI). The questionnaire included a modified burnout inventory (mMBI) and contextual items related to work organization, sleep, and mental health. Severe burnout was defined by a high emotional exhaustion (EE) score≥27 or a high depersonalization (DP) score≥10. "Triple impairment" was defined as the combination of high EE, high DP, and low personal accomplishment (PA≤33). Analyses included comparisons across professional profiles and multivariable logistic regressions. A thematic analysis of free-text comments complemented the quantitative findings.
RESULTS: Among 434 respondents (123 residents, 244 attending physicians, 67 academic staff), 58% met criteria for severe burnout and 19% for triple impairment. In the adjusted model, severe burnout was associated with≥55 working hours per week (aOR 1.82; P=0.018), insufficient recognition (aOR 3.24; P<0.001), altered sleep (aOR 4.37; P<0.001), and psychotropic medication use (aOR 2.56; P=0.014). Over 70% of participants provided at least one free-text comment, most often describing emotional fatigue, loss of meaning, bureaucratization, and lack of consideration, while also emphasizing a strong sense of vocation, teamwork, and commitment to patients.
CONCLUSION: Burnout among French internists is frequent and multifaceted, primarily driven by organizational factors. Simplifying medical work, enhancing institutional recognition, and strengthening professional autonomy appear to be the key levers.
METHODS: A national cross-sectional online survey was conducted at the end of 2024 through the French National Society of Internal Medicine (SNFMI). The questionnaire included a modified burnout inventory (mMBI) and contextual items related to work organization, sleep, and mental health. Severe burnout was defined by a high emotional exhaustion (EE) score≥27 or a high depersonalization (DP) score≥10. "Triple impairment" was defined as the combination of high EE, high DP, and low personal accomplishment (PA≤33). Analyses included comparisons across professional profiles and multivariable logistic regressions. A thematic analysis of free-text comments complemented the quantitative findings.
RESULTS: Among 434 respondents (123 residents, 244 attending physicians, 67 academic staff), 58% met criteria for severe burnout and 19% for triple impairment. In the adjusted model, severe burnout was associated with≥55 working hours per week (aOR 1.82; P=0.018), insufficient recognition (aOR 3.24; P<0.001), altered sleep (aOR 4.37; P<0.001), and psychotropic medication use (aOR 2.56; P=0.014). Over 70% of participants provided at least one free-text comment, most often describing emotional fatigue, loss of meaning, bureaucratization, and lack of consideration, while also emphasizing a strong sense of vocation, teamwork, and commitment to patients.
CONCLUSION: Burnout among French internists is frequent and multifaceted, primarily driven by organizational factors. Simplifying medical work, enhancing institutional recognition, and strengthening professional autonomy appear to be the key levers.