3 (95% CI 1.5�C7.1) higher score in emotional burnout compared to those maintaining good resident-supervisor relationships (P = 0.003). Medical download catalog residents who felt underpaid had on the average 5.3 (95% CI 2.4�C8.1) higher score in emotional burnout compared to those being satisfied with their wages (P < 0.001). Medical residents who were satisfied with the reduction of work duration to 60�C72 hours and a ��two days off�� per week had on the average 6.5 (95% CI 2.4�C1.0) lower score in emotional burnout compared to those who were unsatisfied with such policy (P = 0.002). Those being in favor with the introduction of resident-supervisor feedback system had on the average 9.7 (95% CI 13.9�C5.4) lower scores in emotional burnout compared to residents' who disapproved such implementation (P < 0.

001) (Table 6). Analysis showed no intercorrelation between independent variables. The total model was significant (P < 0.001) and the adjusted R square was 0.35 which means that the variables in this model explained 35% of the variance on the emotional burnout among medical residents.Table 6Factors associated with emotional burnout by multiple linear regression (n = 191).4. DiscussionThis study considered the mounting evidence of medical residents emotional burnout that adversely affect residents' mental health well-being. The government of Malaysia had indeed embarked on an aggressive effort to improve medical residents' situation, for example, the implementation of Graduate Medical Officer Flexi Timetable Work System Policy.

This study has attempted to explore the level of burnout and its association with sources of job stress and professional engagement. Data on prevalence rates of emotional exhaustion among medical residents in Asian countries is scarce. This study is the first to estimate the prevalence and associated factors of emotional burnout among medical residents in Malaysia. This study found that 36.6% of residents had a high level of emotional burnout during residency training. Prevalence rates in western countries were found to be ranged between 13.0% and 56.6% [28, 29]. There is an increasing number of students graduating from medical schools in Malaysia as well as Malaysian students graduating from medical schools in other countries including India, Indonesia, Egypt, and Russia who are returning to Malaysia to practice.

Except for a new Graduate Entry Medicine (GEM) Doctor of Medicine Program in Malaysia, whose first batch of students are expected to graduate in 2015, all of these medical residents would have undergone a five- or six-year medical degree program from or outside Malaysia. Those graduating from Malaysian medical schools and from the Malaysian Medical Council’s list of Batimastat recognized medical schools outside Malaysia can directly undergo the two-year house officer (medical resident) training described.