We conducted a multicentre study from June to August 2019. Pediatric trainees from all (15) pediatric training institutions in Indonesia. The pediatric specialist training institutions have the same curricullum, which is developed by the Indonesian Child Health College. Nevertheless, there is a space for each institution to modify the curriculum based on the local condition and available resources. A final national exam is conducted four times in a year, organized by the national College as one of the strategies to ensure standardized curricula among institutions. All pediatric trainees who were registered as an active trainee during the study period, were invited to involve in this survey. The data was collected online and self administered by the trainees with guaranteed confidentiality of identity. Implied informed consent was obtained from participants by completing the online questionnaire. A General Oldenburg Burnout Inventory (OLBI) questionnaire, which was translated into Indonesian language by forward-backward translation by certified translator, was used to assess burnout. Demographic data (such as age, gender, marital status), the year of training and the training stages (junior, intermediate and senior) were also collected along with the OLBI questionnaire. Incomplete questionnaires were excluded from the analysis. The OLBI questionnaire comprises 16 questions (8 positive and 8 negative statements, 8 questions measuring exhaustion and another 8 questions measuring disengagement). Items for exhaustion were numbers 2(R), 4(R), 5, 8(R), 10, 12(R), 14, 16. Items for disengagement were 1, 3(R), 6(R), 7, 9(R), 11(R), 13, 15. (R) means reversed item for positive statements. The questionnaire uses a 4-point Likert scale (1 strongly agree, 2 agree, 3 disagree, 4 strongly disagree for positive statements; and 1 strongly disagree, 2 disagree, 3 agree, 4 strongly agree for negative statements)(Demerouti & Bakker, 2008). The interpretation of the result of the survey followed the standard interpretation of OLBI, which devided into two domains, exhaustion and disengagement. The mean score for exhaustion and disengagement (2.58 and 2.50, respectively) were used to define standard deviation. The degree of exhaustion and disengagement were classified using SD score as vigor/dedicated (<=0 SD); mild (>0 - +1 SD); moderate (>+1 - +2 SD); and severe (>+2 SD). The study obtained ethics approval from the Health Research Ethics Committee of the Dr. Moewardi General Hospital Faculty of Medicine Universitas Sebelas Maret, Indonesia (Number 909c/VII/HREC/2019).

We conducted a multicentre study from June to August 2019. Pediatric trainees from all (15) pediatric training institutions in Indonesia. The pediatric specialist training institutions have the same curricullum, which is developed by the Indonesian Child Health College. Nevertheless, there is a space for each institution to modify the curriculum based on the local condition and available resources. A final national exam is conducted four times in a year, organized by the national College as one of the strategies to ensure standardized curricula among institutions. All pediatric trainees who were registered as an active trainee during the study period, were invited to involve in this survey. The data was collected online and self administered by the trainees with guaranteed confidentiality of identity. Implied informed consent was obtained from participants by completing the online questionnaire. A General Oldenburg Burnout Inventory (OLBI) questionnaire, which was translated into Indonesian language by forward-backward translation by certified translator, was used to assess burnout. Demographic data (such as age, gender, marital status), the year of training and the training stages (junior, intermediate and senior) were also collected along with the OLBI questionnaire. Incomplete questionnaires were excluded from the analysis. The OLBI questionnaire comprises 16 questions (8 positive and 8 negative statements, 8 questions measuring exhaustion and another 8 questions measuring disengagement). Items for exhaustion were numbers 2(R), 4(R), 5, 8(R), 10, 12(R), 14, 16. Items for disengagement were 1, 3(R), 6(R), 7, 9(R), 11(R), 13, 15. (R) means reversed item for positive statements. The questionnaire uses a 4-point Likert scale (1 strongly agree, 2 agree, 3 disagree, 4 strongly disagree for positive statements; and 1 strongly disagree, 2 disagree, 3 agree, 4 strongly agree for negative statements)(Demerouti & Bakker, 2008). The interpretation of the result of the survey followed the standard interpretation of OLBI, which devided into two domains, exhaustion and disengagement. The mean score for exhaustion and disengagement (2.58 and 2.50, respectively) were used to define standard deviation. The degree of exhaustion and disengagement were classified using SD score as vigor/dedicated (<=0 SD); mild (>0 - +1 SD); moderate (>+1 - +2 SD); and severe (>+2 SD). The study obtained ethics approval from the Health Research Ethics Committee of the Dr. Moewardi General Hospital Faculty of Medicine Universitas Sebelas Maret, Indonesia (Number 909c/VII/HREC/2019).