Conclusion
This narrative review delves into the intricate issue of burnout and hidden struggles experienced by overworked urology residents. The impact of excessive workload on physical and mental health, inadequate support and a lack of awareness and support around burnout within the workplace are identified as main themes. Furthermore, inadequate administrative and clinical leadership practices and the culture of the medical field are highlighted as contributing factors. Effective systemic and individual-level interventions are required to address this challenge. Organizations must prioritize employee well-being by offering support and resources for managing burnout. Promoting effective leadership practices that prioritize resident well-being over personal or institutional recognition or profits is also critical. By taking these steps, negative outcomes for residents can be minimized, and the quality of care enhanced. It is crucial to recognize the signs, create a supportive environment, and promote open communication to prevent burnout from being a hidden struggle. Burnout can go unnoticed due to shame, stigma, and fear, with masking, withdrawal, absenteeism, disengagement, and physical symptoms further hiding its signs. This can lead to negative consequences for both individuals and patient care.