Burnout and Alcohol Abuse/Dependence Among U.S. Medical Students

Jackson, Eric R.; Shanafelt, Tait D.; Hasan, Omar; Satele, Daniel; Dyrbye, Liselotte N.

doi:10.1097/acm.0000000000001138

Cited by 279 publications

(208 citation statements)

References 39 publications

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“…53% of men and 51% of women regularly exceeded the recommended amount of alcohol per week, while in a sample population in the 18–24 age group only 41% exceeded the safe limit indicated by the WHO. All in all, the risk of substance abuse correlates significantly with the psychosocial impairments experienced, including study stress and working pressure, and was used to reduce tension and cope with loneliness, stress, anxiety and depression [59,60]. …”

Section: Discussionmentioning

confidence: 99%

Behaviour-based functional and dysfunctional strategies of medical students to cope with burnout

Erschens¹,

Loda²,

Herrmann–Werner³

et al. 2018

Medical Education Online

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Background: High levels of burnout rates amongst medical students have been confirmed by numerous studies from diverse contexts. This study aims to explore the functional and dysfunctional coping strategies of medical students with regard to their respective burnout factors.Methods: About 845 medical students in the 3rd, 6th, and 9th semesters and students in their final year were invited to take part in the survey. The self-administered questionnaire included items on potential functional and dysfunctional behavioural-based coping strategies as well as the Maslach Burnout Inventory-Student Version (MBI-SS). In addition, a comparison of the local results with a German reference sample involving other students was calculated.Results: A total of 597 medical students (70.7%) participated in the cross-sectional study. The results showed high burnout rates, averaging 35%. Students in earlier stages of university education showed lower values for cynicism (a subdimension of burnout), but higher values for emotional exhaustion than students in higher stages. Concerning academic efficacy, there was a trend towards less efficient perception among students in higher education. The identified functional coping strategies were ‘seeking support from friends’, ‘seeking support from family’, ‘doing relaxing exercise’, ‘doing sports’ and ‘seeking support from fellow students’. The identified dysfunctional coping strategies were ‘taking tranquilizers’, ‘taking stimulants’, ‘drinking alcohol’, ‘withdrawal and ruminating’, and ‘playing games on the PC or mobile phone’. The medical students surveyed are more affected by burnout symptoms than the reference populations, but the overall result was difficult to interpret.Conclusions: The identified behavioural-based functional coping strategies suggest that social support and active relaxing exercises seem to be very important possibilities for medical students to reduce stress and exhaustion. The use of drugs and alcohol for stress reduction raises concerns. Programs are recommended to improve resilient behaviour and to impart the identified functional coping strategies to medical students.

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Section: Discussionmentioning

confidence: 99%

Behaviour-based functional and dysfunctional strategies of medical students to cope with burnout

Erschens¹,

Loda²,

Herrmann–Werner³

et al. 2018

Medical Education Online

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show abstract

“…Los estudiantes de medicina son considerados un grupo de riesgo para el abuso/dependencia de sustancias nocivas -como es el tabaco y el alcohol-, asociado a sus características propias, al agotamiento físico y mental, mayores demandas educativas, patologías mentales -como es el síndro-me de Burnout, depresión y presencia de ideación suicida- 14 . Tres de cada diez estudiantes presentó dependencia alcohólica, resultado similar a investigaciones realizadas en Estados Unidos y Francia, donde identificaron que un tercio de los estudiantes de medicina presentaban criterios de abuso/dependencia alcohólica, y que una proporción similar de los estudiantes eran bebedores de riesgo o considerados bebedores perjudiciales (11% para los bebedores de riesgo y 21% para los bebedores perjudiciales) 14,15 .…”

Section: Discussionunclassified

“…Tres de cada diez estudiantes presentó dependencia alcohólica, resultado similar a investigaciones realizadas en Estados Unidos y Francia, donde identificaron que un tercio de los estudiantes de medicina presentaban criterios de abuso/dependencia alcohólica, y que una proporción similar de los estudiantes eran bebedores de riesgo o considerados bebedores perjudiciales (11% para los bebedores de riesgo y 21% para los bebedores perjudiciales) 14,15 . En relación al consumo de tabaco, se encontró que uno de cada diez presentaba algún grado de dependencia al mismo; resultados más bajos en comparación con un estudio realizado en Francia, que identificó que del 16% de estudiantes que eran fumadores de tabaco y el 20% presentó señales de dependencia 16 ; otro estudio obtuvo que el 12% de los estudiantes presentaban scores positivos a dependencia al tabaco 15 , resultado que es más parecido al que se encontró.…”

Section: Discussionunclassified

Factores asociados a la dependencia de alcohol y tabaco en estudiantes de ocho facultades de medicina peruanas, 2015

Mejía

Vargas

Talledo-Ulfe

et al. 2016

Rev. chil. neuro-psiquiatr.

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“…This finding is important due to the high-stress nature of medical education and the attendant psychosocial and health risks that students face [27,28]. Additional data from the evaluation study are presented in table 3.…”

Section: Evaluation Of Bond University's Medical Humanities Curriculummentioning

confidence: 99%

The Use of Visual Arts as a Window to Diagnosing Medical Pathologies

Bramstedt

2016

AMA Journal of Ethics

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Observation is a key step preceding diagnosis, prognostication, and treatment. Careful patient observation is a skill that is learned but rarely explicitly taught. Furthermore, proper clinical observation requires more than a glance; it requires attention to detail. In medical school, the art of learning to look can be taught using the medical humanities and especially visual arts such as paintings and film. Research shows that such training improves not only observation skills but also teamwork, listening skills, and reflective and analytical thinking. Overall, the use of visual arts in medical school curricula can build visual literacy: the capacity to identify and analyze facial features, emotions, and general bodily presentations, including contextual features such as clothing, hair, and body art. With the ability to formulate and convey a detailed "picture" of the patient, clinicians can integrate aesthetic and clinical knowledge, helping facilitate the diagnosing of medical pathologies.The more one looks, the more one sees. Dr. Abigail Housen, art educator [1]Introduction Observation skills are required for the practice of medicine, yet they are rarely formally taught in medical school curricula [2]. Observation means careful looking and it is sometimes assumed to have happened when, perhaps, it has not [3]. Derived from the Latin word observare ("watch over, note, heed, look to, attend to, guard, regard, comply with" [4]), clinical observation requires more than a casual glance; it requires deft integration of visual information. "Visual literacy" [5] is a kind of aesthetic reasoning informed by careful observation that can help generate meaning, based on the images viewed. Notably, there is no accepted system to teach visual literacy to physicians-intraining. However, use of visual art forms, such as paintings and film, has been integrated into curricula at several medical schools [6][7] (also KAB, unpublished data).

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Burnout and Alcohol Abuse/Dependence Among U.S. Medical Students

Abstract: Burnout was strongly related to alcohol abuse/dependence among sampled medical students and increased educational debt predicted a higher risk. A multifaceted approach addressing burnout, medical education costs, and alcohol use is needed.

Cited by 279 publications

References 39 publications

Behaviour-based functional and dysfunctional strategies of medical students to cope with burnout

Behaviour-based functional and dysfunctional strategies of medical students to cope with burnout

Factores asociados a la dependencia de alcohol y tabaco en estudiantes de ocho facultades de medicina peruanas, 2015

The Use of Visual Arts as a Window to Diagnosing Medical Pathologies

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