Cognitive basis of emotional burn-out syndrome in students on ordinature programs

Abstract

Introduction. Post-graduate education of residents is the basis of the professional activity of doctors. Therapeutic activities involve emotional load and a lot of stress factors. Emotional burnout syndrome (EBS) is the response of the organism to prolonged negative exposure to professional stresses. Psychological overwork is considered to be the main cause of EBS. This article is devoted to the study of resource possibilities of the individual and to the search for ways to prevent the development of EBS in residents at the postgraduate stage of education. Materials and methods. The EBS analysis (V.V. Boyko's method), conflict competence (method "Diagnostics of leading type of response" by M.M. Kashapov and T.G. Kiseleva), communicative competence (method "Professional communicative competence of the doctor" by N.V. Yakovleva and L.P. Urvantsev), creativity (test "Creativity" by N.F. Vishniakova) and creative characteristics of personality (Questionnaire of abilities of creative personality by O.A. Shliapnikova and M.M. Kashapov) were used to examine 130 persons (100 residents of surgical and therapeutic specialties and 30 doctors of general practice) in comparison groups with correlation analysis. Results. The obtained data support the hypothesis that 1) differences in the choice of conflict resolution strategy contribute to the development of EBS symptoms; 2) residents experience a shortage of professional communicative competence, which leads to the development of EBS; 3) there are relationships between the parameters of creativity and the expression of EBS; 4) the chosen medical specialty is related to the degree of expression of creative abilities of the individual. Discussion and conclusion. The reasons for the identified psychological disadvantage are analyzed. A comparative analysis of conflict and communication competencies, as well as creative characteristics of the person, which play a role in the development of the EBS has been carried out. It has been established that creativity and creative abilities manifest themselves as resource opportunities whose targeted development can serve as a means of preventing EBS in residents.