Burnout in medical students before residency: A systematic review and meta-analysis

Abstract

Background:Applying the concept of burnout to medical students before residency is relatively recent. Its estimated prevalence varies significantly between studies. Our objective was to estimate the prevalence of burnout in medical students worldwide.Methods:We systematically searched Medline for English-language articles published between January 1, 2010 and December 31, 2017. We selected all the original studies about the prevalence of burnout in medical students before residency, using validated questionnaires for burnout. Statistical analyses were conducted using the OpenMetaAnalyst software.Results:Prevalence of current burnout was extracted from 24 studies encompassing 17,431 medical students. Among them, 8060 suffered from burnout and we estimated the prevalence to be 44.2% [33.4%–55.0%]. The information about the prevalence of each subset of burnout dimensions was given in nine studies including 7588 students. Current prevalence was estimated to be 40.8% for ‘emotional exhaustion’ [32.8%–48.9%], 35.1% [27.2%–43.0%] for ‘depersonalization’ and 27.4% [20.5%–34.3%] for ‘personal accomplishment’. There is no significant gender difference in burnout. The prevalence of burnout is slightly different across countries with a higher prevalence in Oceania and the Middle East than in other continents.Conclusions:The results of this meta-analysis suggest that one student out of two is suffering from burnout, even before residency. Again, our findings highlight the high level of distress in the medical population. These results should encourage the development of preventive strategies.

Efectos de la meditación activa en indicadores físicos y psicoemocionales de estrés en estudiantes universitarios en Chile. Un estudio piloto

“…En particular los estudiantes de las carreras de la salud presentan niveles de baja salud mental, ansiedad y estrés, mayores que estudiantes de otras profesiones universitarias. Datos de revisiones sistemáticas demuestran que estudiantes de medicina y de enfermería, presentan mayores niveles de ansiedad que sujetos de la misma edad, y que este trastorno se presenta con más frecuencia en mujeres (13,14).…”

Santé Psychique, Mal-Être, Dépression Et Anxiété Des Étudiants : Des Chiffres Et Des Humains?

“…Nous souhaitons, en préambule de cet exemple, préciser que cette problématique constitue un enjeu important qu'il convient de prendre en compte. Certains des auteurs ont, par ailleurs, déjà publié sur ce sujet (Chaumette & Morvan, 2017;Frajerman, Morvan, Krebs, Gorwood, & Chaumette, 2019).…”

Academic Flow And Burnout In College Students: An Eight-Month Longitudinal Study

“…Burnout among college students refers to tiredness resulting from academic demands (emotional exhaustion), having a pessimistic sense and lack of interest toward academic tasks (cynicism toward meaning of studying), and feeling of incompetency as a student (inefficacy) (Schaufeli et al, 2002;Salmela-Aro, Kiuru, Leskinen & Nurmi, 2009). Studies show that college students experience substantial levels of burnout (Frajerman et al, 2019;Jacobs & Dodd, 2003;Leupold et al, 2019;Pisarik, 2009). As it occurs with professionals, it is observed that students, who began their studies with enthusiasm, subsequently came to express a sense of disappointment, lack of energy, fatigue, feeling of emptiness or failure, low self-esteem, lack of concentration, and desire to leave their studies (Caballero-Domínguez, Gutiérrez, & Palacio Sañudo, 2015).…”

“…Academic demands are generally high and are usually accompanied with a variety of other life stressors (Lin & Huang, 2014). If they persist over time without sufficient resources and coping mechanisms to resolve them, they may result in the development of burnout syndrome (Cecil, McHale, Hart, & Laidlaw, 2014;Frajerman, Morvan, Krebs, Gorwood, & Chaumette, 2019;Leupold, Lopina, & Erickson, 2019;May, Seibert, Sanchez-Gonzalez, & Fincham, 2019;Schaufeli, Martínez, Pinto, Salanova, & Bakker, 2002;Skodova, Lajciakova, & Banovcina, 2016;Zabuska, Ginsborg, & Wasley, 2018).…”