Association of medical student burnout with residency specialty choice

Enoch, Lindsey; Chibnall, John T.; Schindler, Debra; Slavin, Stuart

doi:10.1111/medu.12083

Cited by 60 publications

(46 citation statements)

References 40 publications

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“…Therefore investing in early interventions is the key to minimizing or preventing burnout. Given that medical student burnout is frequent, the interventions should start being implemented in the medical schools, as burnout can even be present prior to the beginning of specialty training and even affect the specialty choice [48, 49]. In our study, we found that one of the important correlates of burnout was home-work demands' interface.…”

Section: Discussionmentioning

confidence: 67%

Burnout in Medical Residents: A Study Based on the Job Demands-Resources Model

Zis

Anagnostopoulos

Sykioti

2014

The Scientific World Journal

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Purpose. Burnout is a prolonged response to chronic emotional and interpersonal stressors on the job. The purpose of our cross-sectional study was to estimate the burnout rates among medical residents in the largest Greek hospital in 2012 and identify factors associated with it, based on the job demands-resources model (JD-R). Method. Job demands were examined via a 17-item questionnaire assessing 4 characteristics (emotional demands, intellectual demands, workload, and home-work demands' interface) and job resources were measured via a 14-item questionnaire assessing 4 characteristics (autonomy, opportunities for professional development, support from colleagues, and supervisor's support). The Maslach Burnout Inventory (MBI) was used to measure burnout. Results. Of the 290 eligible residents, 90.7% responded. In total 14.4% of the residents were found to experience burnout. Multiple logistic regression analysis revealed that each increased point in the JD-R questionnaire score regarding home-work interface was associated with an increase in the odds of burnout by 25.5%. Conversely, each increased point for autonomy, opportunities in professional development, and each extra resident per specialist were associated with a decrease in the odds of burnout by 37.1%, 39.4%, and 59.0%, respectively. Conclusions. Burnout among medical residents is associated with home-work interface, autonomy, professional development, and resident to specialist ratio.

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Section: Discussionmentioning

confidence: 67%

Burnout in Medical Residents: A Study Based on the Job Demands-Resources Model

Zis

Anagnostopoulos

Sykioti

2014

The Scientific World Journal

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“…The problem seems to start at medical school, probably associated with competitiveness, quests for perfection, responsibility and fear of showing vulnerability [18]. In fact, students with higher burnout scores tend to choose specialties with a more controllable lifestyle [36]. Consequences of perfectionism include only short-lived satisfaction with achievements, and a sense that awards are unmerited [20].…”

Section: Key Pointsmentioning

confidence: 99%

Stress and burnout in anaesthesia

Rama-Maceiras

Jokinen

Kranke

2015

Current Opinion in Anaesthesiology

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There is a lack of definitive evidence to guide the management of stress and burnout in medical professions in general and in anaesthesiology in particular. Longitudinal and interventional studies are needed to better determine ways of action. In the meantime, creating a positive work climate and institutional support as well as promoting control over one's job and the autonomy of employees are the most recommended strategies. Workers should also learn how to cope with stressors and practice personal strategies of wellness and resilience to fight against burnout.

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“…Recent studies in other countries identified several factors related to the choice and preference, such as gender, career opportunities, prestige, and income [9–11]. Enoch et al demonstrated that specialties that feature a controllable lifestyle (control of work hours) were defined as anesthesiology, dermatology, emergency medicine, neurology, ophthalmology, otolaryngology, pathology, psychiatry, and radiology, while non-controllable lifestyle specialties were surgery, internal medicine, family practice, pediatrics, orthopedic surgery, and obstetrics & gynecology [12]. In the USA, interest in surgery, pediatrics, and obstetrics & gynecology has declined, but the popularity of controllable lifestyle fields such as radiology, psychiatry, dermatology, and ophthalmology has been increasing [13].…”

Section: Introductionmentioning

confidence: 99%

Gender difference in preference of specialty as a career choice among Japanese medical students

et al. 2016

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BackgroundIn Japan, the absolute deficiency of doctors and maldistribution of doctors by specialty is a significant problem in the Japanese health care system. The purpose of this study was to investigate the factors contributing to specialty preference in career choice among Japanese medical students.MethodsA total of 368 medical students completed the survey giving an 88.2 % response rate. The subjects comprised 141 women aged 21 ± 3 (range, 18–34) years and 227 men aged 22 ± 4 (range, 18–44) years. Binary Logistic regression analysis was performed using specialty preferences as the criterion variable and the factors in brackets as six motivational variables (e.g., Factor 1: educational experience; Factor 2: job security; Factor 3: advice from others; Factor 4: work-life balance; Factor 5: technical and research specialty; and Factor 6: personal reasons).ResultsWomen significantly preferred pediatrics, obstetrics & gynecology, and psychology than the men. Men significantly preferred surgery and orthopedics than the women. For both genders, a high odds ratio (OR) of “technical & research specialty” and a low OR for “personal reasons” were associated with preference for surgery. “Technical & research specialty” was positively associated with preference for special internal medicine and negatively for pediatrics. “Work-life balance” was positively associated with preference for psychology and negatively for emergency medicine. Among the women only, “technical & research specialty” was negatively associated with preference for general medicine/family medicine and obstetrics & gynecology, and “job security” was positively associated for general medicine/family medicine and negatively for psychology. Among men only, “educational experience” and “personal reasons” were positively, and “job security” was negatively associated with preference for pediatrics. For both genders, “work-life balance” was positively associated with preference for controllable lifestyle specialties.ConclusionWe must acknowledge that Japanese medical students have dichotomized some motivations for their specialty preference based on gender. Systematic improvements in the working environment are necessary to solve these issues.

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Association of medical student burnout with residency specialty choice

Cited by 60 publications

References 40 publications

Burnout in Medical Residents: A Study Based on the Job Demands-Resources Model

Burnout in Medical Residents: A Study Based on the Job Demands-Resources Model

Stress and burnout in anaesthesia

Gender difference in preference of specialty as a career choice among Japanese medical students

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