Abstract: SA-PO0989
Multidimensional Burnout and Workforce Vulnerability Among Nephrology Professionals in the Dominican Republic
Session Information
- Educational Research
October 24, 2026 | Location: Exhibit Hall A, Convention Center
Abstract Time: 10:00 AM - 12:00 PM
Category: Educational Research
- 1000 Educational Research
Authors
- Vargas Joaquin, Samanyi, Hospital Salvador B. Gautier, Santo Domingo, Distrito Nacional, Dominican Republic
- Cuevas Budhart, Miguel Angel, Unidad de Investigación Médica en Enfermedades Nefrológicas, Instituto Mexicano del Seguro Social, Ciudad de Mexico, Mexico
- Jimenez Ramirez, Rigoberto, Hospital Salvador B. Gautier, Santo Domingo, Distrito Nacional, Dominican Republic
- Campos, Erwin Iván, Hospital Salvador B. Gautier, Santo Domingo, Distrito Nacional, Dominican Republic
Group or Team Name
- Gautier
Background
Burnout among nephrology professionals has emerged as a major workforce concern associated with reduced career retention, migration intent, and occupational dissatisfaction. However, multidimensional burnout data from Latin America remain limited.
We aimed to evaluate burnout prevalence, multidimensional burnout domains, and occupational factors independently associated with burnout among nephrology professionals.
Methods
We conducted a cross-sectional study among 182 nephrology professionals in the Dominican Republic, including adult nephrologists, pediatric nephrologists, and nephrology fellows (NF).
Burnout was assessed using the Copenhagen Burnout Inventory across personal, work-related, and patient-related domains. Additional occupational well-being variables were assessed. Group comparisons used chi-square test, ANOVA, and Tukey post hoc analyses. Independent factors associated with burnout were identified using multivariable logistic regression.
Results
Overall burnout prevalence was 54.9% and differed significantly across professional groups (χ2=9.76, p=0.007), being highest among NF (75.0%) and pediatric nephrologists (73.7%) versus adult nephrologists (48.1%). NF demonstrated significantly higher personal (p=0.015), work-related (p=0.002), and total burnout scores (p=0.031) compared with adult nephrologists.
In multivariable analysis, higher personal satisfaction (OR 0.146, p=0.001), supervisor support (OR 0.337, p=0.023), and positive future perception (OR 0.396, p=0.029) were independently associated with lower burnout odds, whereas increasing age was associated with higher burnout odds (OR 1.052, p=0.030).
Conclusion
Burnout affected more than half of nephrology professionals and was particularly severe among fellows. Lower professional satisfaction, limited supervisor support, and negative perceptions regarding the future of nephrology emerged as key contributors to burnout, highlighting substantial workforce vulnerability within nephrology practice.
Acknowledgment
We sincerely thank all nephrologists and nephrology fellows in the Dominican Republic who participated in and contributed to this survey.
Figure 1. Factors Independently Associated With Higher Burnout Scores Among Nephrology Professionals: Multivariable Logistic Regression Analysis