Burnout in medical students: a systematic review of experiences in Chinese medical schools

Chunming, Wang Michael; Harrison, Reema; MacIntyre, C. Raina; Travaglia, Joanne; Balasooriya, Chinthaka

doi:10.1186/s12909-017-1064-3

Cited by 131 publications

(139 citation statements)

References 26 publications

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“…As compared with the average value in the general population (48), it was found that the score in the present medical student cohort was lower, but we were not able to make clear whether this comparison was statistically signi cant. For the life satisfaction scale, the total score of the participants ranged from 10 to 33 (the full score was 35), with an average score of 19 (SD=5.5) ( Table 2), which was very similar to the neutral point of the scale (20). For the subjective happiness scale, similar ndings were observed: the participants' sum score ranged from 13 to 24 (the full score was 28), with a mean of 18 (SD=2.8; Table 2), and was located in the average range of the general population score (18)(19)(20)(21)(22).…”

Section: Resultsmentioning

confidence: 92%

“…For the life satisfaction scale, the total score of the participants ranged from 10 to 33 (the full score was 35), with an average score of 19 (SD=5.5) ( Table 2), which was very similar to the neutral point of the scale (20). For the subjective happiness scale, similar ndings were observed: the participants' sum score ranged from 13 to 24 (the full score was 28), with a mean of 18 (SD=2.8; Table 2), and was located in the average range of the general population score (18)(19)(20)(21)(22). These ndings indicate that the life satisfaction and subjective happiness scales of the participants were in the average range of the general population.…”

Section: Resultsmentioning

confidence: 92%

“…It has been reported that over 60% of Chinese medical students suffer different degrees of depressive symptoms and suicide attempts [18,19]. Compared with the general population, they are more susceptible to stress, burning out and anxiety, and have less career satisfaction and self-esteem as compared with their counterparts [18][19][20][21].The psychological well-being of Chinese medical students has become a matter of national concern and needs urgent intervention.…”

Section: Introductionmentioning

confidence: 99%

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Application of a Classroom-Based Positive Psychology Education Course for Chinese Medical Students to Increase Their Psychological Well-Being: A Pilot Study

Zhang

Wang

2020

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Background Anxiety and depression have been increasing among Chinese medical students. The psychological well-being of Chinese medical students has become a critical focus of attention for the medical education community. Increasing evidence shows that positive psychology interventions can be effective in the enhancement of psychological well-being, and may help to prevent depressive symptoms in university students. In the present study, we aimed to explore the potential effect of positive psychology education on improving the mental health of Chinese medical students. Methods An 8-week classroom-based positive psychology intervention workshop, which was established as an elective course embedded in the regular school curriculum, was conducted at the School of Medicine, South China University of Technology (SCUT), China. Undergraduate medical students of the institute in year-2 or year-3 of academic study participated in this training course voluntarily. The participants’ self-reported data on the hope scale, life satisfaction scale, subjective happiness scale, and depression and anxiety scale were collected and analyzed at pre-course (n=61) and post-course (n=49) times. The investigation was also validated with an independent cohort of students who enrolled in the course in the year following the preliminary study. Results The analyses showed that the psychological well-being of the participants were improved after the intervention. Their mean scores on the hope scale, life satisfaction scale and subjective happiness scale were significantly improved (P<0.05), while their symptom levels of depression and anxiety were significantly reduced (P<0.01). A similar trend was observed in the validation cohort. Conclusions These preliminary findings suggest that positive psychology education holds promise for improving psychological well-being among Chinese medical students. Further investigations with larger and well-controlled sample cohorts may yield more convincing and reliable results.

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Section: Resultsmentioning

confidence: 92%

Section: Resultsmentioning

confidence: 92%

Section: Introductionmentioning

confidence: 99%

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Application of a Classroom-Based Positive Psychology Education Course for Chinese Medical Students to Increase Their Psychological Well-Being: A Pilot Study

Zhang

Wang

2020

Preprint

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“…In our study, 71.0 percent of students were included in the group characterized by moderate or high levels of burnout, that is by the results of the latest meta-analyses (60,79).…”

Section: Discussionmentioning

confidence: 99%

Burn-out and mental health of minority medical students in Hungarian medical education.

Szél¹,

Győrffy²

2020

Preprint

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Background Previous researches suggested that minority students are more exposed to discrimination and mistreatment at university, therefore may have higher risk of mental and physical health problems. Methods An online questionnaire was conducted among medical students of the 4 Hungarian medical universities (N=530). The survey contained questions about general demographic data, health behavior, burnout, mental and physical health issues and discrimination. Results 29.6% of students self-identified as minority. High level burnout was indicated by 48.1% of respondents, while another 27.0% showed moderate level. High level burn-out was associated with minority status (84.6% vs. 71.0%; p<0.001), discrimination (83.0% vs. 68.5%, p< 0.001), lower level of social support (89.0% vs 69.0%, p<0.001) and higher levels of perceived stress (57.1% vs. 95.4%) in the chi-squared test. Higher scores on trait (B = 0.123; p<0.001) and state anxiety (B = 0.082; p<0.001) subscales of STAI and lower score of resilience (B= -0.168; p<0.001) were significantly associated with higher level of burnout in the univariate model. In our final analysis, perceived stress, resilience, minority identity and experienced discrimination remained significant. Conclusions Belonging to a minority community might need to be considered an essential factor leading to burnout in Hungarian medical students. Our research suggests that minority medical students have poorer mental health and higher risk for burnout.

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“…Unlike patient experience, measurement of clinician experience of providing care generally occurs in relation to a specific change project, with particular focus given to clinician engagement, for example in promoting the use of evidence in clinical practice 15 . A further body of research has provided evidence of psychological experiences associated with clinical work such as burnout, depression, stress, fatigue and experiences of stressful events such as clinical error (7)(8)(9). These data provide important information about the impacts of clinical work but are not comparable to the information sought from patients(10) holistically about their experiences.…”

Section: Introductionmentioning

confidence: 99%

Clinicians’ Experience of Providing Care: A Rapid Review

Iqbal¹,

Manias

Mimmo

et al. 2020

Preprint

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Background Health care services internationally are refocussing care delivery towards patient centred, integrated care that utilises effective, efficient and innovative models of care to optimise patient outcomes and system sustainability. Whilst significant efforts have been made to examine and enhance patient experience, to date little has progressed in relation to provider experience. This review aims to explore this knowledge gap by capturing evidence of clinician experience, and how this experience is defined and measured in the context of health system change and innovation. Methods: A rapid review of published and grey literature review was conducted utilising a rapid evidence assessment methodology. 79 studies retrieved from the literature were included in the review. 14 articles were identified from the grey literature search and one article obtained via hand searching. In total, 94 articles were included in the review. This study was commissioned by and co-designed with the New South Wales, Ministry of Health. Results: Clinician experience of delivering health care is inconsistently defined in the literature, with identified articles lacking clarity regarding distinctions between experience, engagement and work-related outcomes such as job satisfaction. Clinician experience was commonly explored using qualitative research that focused on experiences of discrete health care activities or events in which a change was occurring. Such research enabled exploration of complex experiences. In these contexts, clinician experience was captured in terms of self-reported information that clinicians provided about the health care activity or event, their perceptions of its value, the lived impacts they experienced, and the specific behaviours they displayed in relation to the activity or event. Moreover, clinician’s experience has been identified to have a paucity of measurement tools. Conclusion: Literature to date has not examined clinician experience in a holistic sense. In order to achieve the goals identified in relation to value-based care, further work is needed to conceptualise clinician experience and understand the nature of measurement tools required to assess this. In health system application, a broader ‘clinician pulse’ style assessment may be valuable to understand the experience of clinical work on a continuum rather than in the context of episodes of change/care.

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Burnout in medical students: a systematic review of experiences in Chinese medical schools

Cited by 131 publications

References 26 publications

Application of a Classroom-Based Positive Psychology Education Course for Chinese Medical Students to Increase Their Psychological Well-Being: A Pilot Study

Application of a Classroom-Based Positive Psychology Education Course for Chinese Medical Students to Increase Their Psychological Well-Being: A Pilot Study

Burn-out and mental health of minority medical students in Hungarian medical education.

Clinicians’ Experience of Providing Care: A Rapid Review

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