This is also an interesting paper, so for discussion I write mainly from the point of view of house office, which I myself have to go through,
1) In Myanmar,
Lack of recognition: This is likely because house officers in Myanmar are the most junior doctors in the hospital, and they tend to receive less attention and recognition. This can lead to feelings of isolation and devaluation, which can contribute to burnout.
Work overload: Myanmar has a rapidly growing population, and the healthcare system is struggling to keep up. This means that house officers are often overworked, with long hours and heavy workloads. This can lead to feelings of stress and fatigue, which can contribute to burnout.
Lack of control: House officers in Myanmar often have little control over their work. They may be assigned to tasks that they are not qualified to do. This can lead to feelings of frustration and helplessness, which can contribute to burnout.
Conflicting values: The healthcare system in Myanmar is still developing, and there is often a conflict between traditional and modern approaches to medicine. This can lead to feelings of uncertainty and ambiguity.
Difficult working conditions: The working conditions in Myanmar’s hospitals can be difficult. There is often a shortage of resources, and the environment can be noisy and chaotic. This can lead to feelings of stress and anxiety.
2) If those factors are addressed
Improving recognition: The government could implement policies that recognize the contributions of house officers. This could include providing them with more opportunities for professional development, or giving them more responsibility in the workplace.
Reducing work overload: The government could also implement policies that reduce the workload of house officers. This could include reducing the number of hours they work, or providing them with more support staff.
Giving house officers more control: The government could also give house officers more control over their work. This could include allowing them to have a say in their assignments, or giving them more flexibility in their work hours.
Resolving conflicting values: The government could also work to resolve the conflict between traditional and modern approaches to medicine. This could involve providing more training for house officers on traditional medicine, or creating a more supportive environment for both traditional and modern approaches.
Improving working conditions: The government could also improve the working conditions in Myanmar’s hospitals. This could include providing more resources, or creating a more peaceful and orderly environment.