European Psychiatry - Volume 41 - April 2017

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S298 25th European Congress of Psychiatry / European Psychiatry 41S (2017) S238–S302
trainees. This is significant when considering the association
between hours of work and burnout, and also adds to the percep-
tion that women have to work harder for the same recognition as
men. Forty-six percent of trainees breached WTD limits.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW0565
Pressure from superiors and older age
increase the risk of burnout syndrome
among psychiatric trainees:
A nation-wide survey in Turkey
N. Capraz ∗, D. Ceylan Tufan Ozalp , M. Yalcin ,
E. Tellioglu Can , T. Alkin
1 Dokuz Eylul University, Department of Neurosciences, Izmir, Turkey
2 Gumushane State Hospital, Psychiatry Unit, Gumushane, Turkey
3 University of Health Sciences, Erenkoy Mental Health Training and
Research Hospital, Istanbul, Turkey
4 Bahcelievler State Hospital, Psychiatry Unit, Istanbul, Turkey
5 Dokuz Eylul University, Department of Psychiatry, Izmir, Turkey
∗ Corresponding author.
Introduction Previous studies reported high burnout rates and
indicated significant factors associated with burnout syndrome
among psychiatric trainees, such as hard working conditions, lack
of supervision and not opting for psychiatry as a first career choice.
Objectives A substantial amount of variance was reported in psy-
chiatry training across countries. However, there is not sufficient
national data regarding the rates and risk factors of burnout syn-
drome among psychiatric trainees in Turkey.
Aims To determine the burnout syndrome rates and the risk fac-
tors associatedwith burnout syndrome among psychiatric trainees.
Methods A questionnaire of occupational, educational and per-
sonal factors and Maslach burnout inventory (MBI) were answered
by 180 of 450 psychiatric trainees in Turkey. The data was collected
from 167 (56% females) trainees who completed the survey mate-
rial. Converting the scores of three subscales by using MBI manual,
a dichotomous variable (severe/non-severe burnout) was obtained
for each participant and the data was analyzed using descriptive
statistics and regression models.
Results Mean age was 28.85 ± 2.99-year-old and mean duration
of residency was 2.61 ± 1.31 years. Severe burnout was found in
38.3% of the trainees. Logistic regression confirmed that older age
(P = 0.02) and pressure from superiors (P= 0.04) are predictive fac-
tors associated with severe burnout. The high number of patient
visits (P = 0.001), violation of employee personal rights (P = 0.04)
and pressure from superiors (P = 0.01) were significantly associated
with the “wish working in another institution”.
Conclusions Pressure from superiors and older age can be
described as risk factors associated with burnout syndrome among
psychiatric trainees in Turkey.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW0566
The psychiatric morbidity and
mortality teaching conference to
improve patient safety: Lessons
learned at the Massachusetts general
hospital
O. Freudenreich ∗, F. Smith , J. Wozniak , M. Fava , J. Rosenbaum
Massachusetts General Hospital, Department of Psychiatry, Boston,
Massachusetts, USA
∗ Corresponding author.
Introduction A morbidity and mortality (M&M) conference is
a time-honored educational format in surgery and medicine to
review bad patient outcomes and learn frommistakes made. How-
ever, despite the value of learning together as peers from difficult
cases with unexpected outcomes, most psychiatric departments in
the United States do not have an M&M conference. Several years
ago, the department of psychiatry at Massachusetts’s general hos-
pital in Boston began a monthly M&M conference.
Objectives Describe our department’s experience with the M&M
format as an educational vehicle to teach patient safety and
improve care in an increasingly complex care environment.
Aims Introduce the M&M format that we have developed at our
department and obstacles encountered.
Methods We reviewed the content of our four years of M&M
conferences; the feedback received from participants after each
conference; and changes introduced to improve the conference.
Results Our department has successfully implemented and sus-
tained amonthly psychiatric M&M conference that is well attended
and valued. A critical decision was mandatory involvement of res-
idents to prepare cases in conjunction with a dedicated faculty
member. A structured presentation using a root cause analysis
framework to guide the discussion in order to harness the wis-
dom of the group allows for a more comprehensive understanding
of factors leading to bad outcomes, including systems-based prob-
lems.
Conclusions A psychiatric M&M conference can teach individual
clinicians about patient safety. Developing a departmental mecha-
nism to apply lessons learned in the conference to improve hospital
systems is the next task.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW0567
How satisfied are patients with
interprofessional teams?
Meta-analysis of a pilot study
C. Lazzari ∗ asiello
1 North Essex NHS University Foundation Trust, General Adult
Psychiatry, Pescara, Italy
2 Department of Clinical Science and Education, Karolinska Institutet,
Södersjukhuset, Clinical Education Centre, Stockholm, Sweden
∗ Corresponding author.
Introduction A doctor–patient encounter is a dyadic interaction
between two people, one needing help and the other providing it.
However, the encounter between an interprofessional team and a
patient is changing this picture.
Objectives To measure how patient satisfaction changes when
patients are treated by an interprofessional team.
Aims Ecological momentary assessment (EMA) directly evalu-
ates patient satisfaction when patients interact with interpro-
fessional teams. This research is a before-and-after study of
undergraduate health care students undergoing interprofessional
education. Answers to questions on a 5-point Likert scale (from
“Totally satisfied” to “Totally unsatisfied”) were uploaded online
on a survey platform linked to a dedicated app.
Methods Twenty-nine undergraduate students before, and eight
after, interprofessional training reported their evaluation of patient
satisfactionwith interprofessional teams. Meta-analysis used Tau2 ,
Cochrane’s Q and I2.
Results Meta-analysis showed a homogeneity in the answers
before and after IPE training ( P= 0.4) and variability of only I2 = 39%,
with t2 = .006, and Q (4 df) = 4.0. To a certain degree, the study
showed a drop before and after in students who report their
patients being “moderately satisfied” (from 20.7% to 0%), with C.I.
95% = 4.702 (0.238–92.713)