Temporal Trends in Medical Student Burnout

Hansell, Maggie W; Ungerleider, Ross M.; Brooks, Courtney A; Knudson, Mark; Kirk, Julienne K.; Ungerleider, Jamie Dickey

doi:10.22454/fammed.2019.270753

Cited by 60 publications

(50 citation statements)

References 8 publications

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“…Additionally, the rate of burnout increased until the M3 year and then sharply decreasing during the M4 year. These ndings are similar to previous studies looking at the association between year in medical school and perceived burnout (13,31). We hypothesize that this association for second-year medical students is related to their preparation for the USMLE Step 1 Board Exam.…”

Section: Factors To Predict Burnout In Medical Studentssupporting

confidence: 90%

Assessment of burnout in medical students using the Maslach Burnout Inventory-Student Survey: A cross-sectional data analysis

Obregon

Luo

Shelton

et al. 2020

Preprint

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Background: Medical student burnout can cause emotional and physical exhaustion and detachment. The objectives of this study were to evaluate burnout using the Maslach Burnout Inventory-Student Survey (MBI-SS), identify factors that may predict burnout, and assess wellness initiatives effectiveness at reducing burnout. Methods: The MBI-SS was administered to all medical students (Classes 2019 to 2022) at the University of Illinois College of Medicine (UICOM) from February to May 2019. Factor analysis and internal consistency of the MBI-SS were assessed. Mean MSBI-SS subscale scores for burnout were calculated for cynicism (CY), emotional exhaustion (EE), and academic efficacy (AE). Multiple regression analysis was used to identify student factors that may predict burnout.Results: A total of 273 (21.6%) UICOM students completed the survey and 110 (40.3%) respondents reported self-perceived burnout. MBI-SS subscale scores were significantly higher for CY and EE, and significantly lower for AE in students who reported suffering from burnout versus students who did not report burnout. Mean ± SD subscale scores for CY, EE, and AE in burnout students were 14.44 ± 5.59, 23.23 ± 4.74, and 24.81 ± 5.35, respectively. In comparison, mean ± SD subscale scores for CY, EE, and AE in non-burnout students were 7.59 ± 5.16, 14.96 ± 5.71, and 28.74 ± 3.21, respectively. Regression analysis denoted significant associations between burnout and being out-of-phase in the curriculum, the effectiveness of wellness initiatives, and strength of motivation for medical school (SMMS) in both the two- and three-dimensional MBI-SS models. Gender was significantly associated with burnout in only the two-dimensional model.Conclusions: Self-reported burnout in medical students at UICOM was validated using the MBI-SS. Being out-of-phase in the curriculum, being female, rating wellness initiatives as less effective, and demonstrating lower motivation for continued medical school education may be used as predictors of medical student burnout. This investigation may act as a guide for measuring burnout in medical student populations and how the implementation of wellness initiatives may ameliorate burnout.

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Section: Factors To Predict Burnout In Medical Studentssupporting

confidence: 90%

Assessment of burnout in medical students using the Maslach Burnout Inventory-Student Survey: A cross-sectional data analysis

Obregon

Luo

Shelton

et al. 2020

Preprint

View full text Add to dashboard Cite

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“…Burnout is more common amongst medical professionals than other workers and college graduates [2,3]. Burnout has been shown to increase during medical school and can persist in residents through training [4,5]. Multiple studies have demonstrated that patient care [1,6] and self-reported medical errors [7] can be negatively impacted by burnout.…”

Section: Introductionmentioning

confidence: 99%

Natural history of burnout, stress, and fatigue in a pediatric resident cohort over three years

Koressel

Groothuis

Tanz

et al. 2020

Medical Education Online

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Background: Burnout is known to be high amongst physician trainees. Factors such as stress, fatigue, social environment, and resilience could affect burnout. Cross-sectional data describe burnout in pediatric residents, but the trajectory of burnout in a cohort of residents followed longitudinally through the full course of residency training has not been reported. We prospectively examined the prevalence and trajectory of burnout, stress, fatigue, social connectedness, and resilience in a pediatric resident cohort from orientation through three years of residency. The cohort (N = 33) was surveyed six times between 2015-2018 using the Abbreviated Maslach Burnout Inventory (AMBI), Perceived Stress Scale (PSS), Epworth Sleepiness Scale (ESS), Social Connectedness Scale-Revised (SCS-R), and Connor-Davidson Resilience Scale (CD-RISC10). Data were analyzed using repeated measures mixed effects models. Significant change from baseline was considered to be adjusted p < 0.05. Response rate was >50% at each timepoint; 69% of trainees completed surveys ≥4 times. Scores were significantly worse than baseline in all surveys, at every timepoint, with the exception of AMBI-PA (personal accomplishment) at the PGY1/PGY2 transition and SCS-R and CD-RISC10 at the end of training. The most significant changes from baseline occurred mid-PGY1 to mid-PGY2. At least 65% of residents demonstrated worse scores than baseline on 36/ 40 (90%) follow-up surveys. Furthermore, ≥65% met criteria for emotional exhaustion and moderate stress at every timepoint. SCS-R was the only survey measure to improve at residency completion compared to baseline. Conclusion: Within 6 months of starting residency this pediatric resident cohort became burned out, stressed, fatigued, less socially connected, and less resilient. Burnout is only one factor that indicates impaired resident well-being. To fully address this, a comprehensive examination of how residents are trained is needed to identify effective interventions.

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“…Also health professions students are at high risk of burnout. Indeed, a study conducted on a large sample of American medical students showed an increase of distress from 2% to 12% and burnout from 17% to 38% from matriculation through after the residency match, demonstrating the high risk of developing burnout during medical school [15].…”

Section: Introductionmentioning

confidence: 99%

A Cross-Sectional Study on Prevalence and Predictors of Burnout among a Sample of Pharmacists Employed in Pharmacies in Central Italy

Protano

Sio

Cammalleri

et al. 2019

BioMed Research International

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Burnout is defined as an occupational phenomenon linked to chronic workplace stress that has not been successfully managed and included among the factors influencing health status or contact with health services. Although several studies were performed for assessing this phenomenon, there is a lack of data on the prevalence of burnout and associated predictors, due to different definitions of the syndrome and heterogeneity of assessment methods. One of the well-known evidences on burnout is related to the highest risk professions, which include policemen, firemen, teachers, psychologists, medical students, nurses, physicians, and other health professionals, such as pharmacists. Objective. The aims of the present study were to (1) assess the occurrence of burnout syndrome among a sample of pharmacists employed in public and private pharmacies located in Rome province (Latium Region; central Italy); (2) evaluate the role of some potential predictors for the development of the syndrome. Materials and Methods. A questionnaire elaborated ad hoc was administered online to 2,000 members of the Association of Professional Pharmacists of Rome and its province and employed in public or private pharmacies. The questionnaire included the 14-item Shirom–Melamed Burnout Measure (SMBM) tool and questions on demographic characteristics and working conditions. Results. Physical exhaustion was the burnout dimension with the highest score; besides, approximately 11% of the studied pharmacists were categorized as having clinically relevant burnout levels (≥4.40). Several of the investigated variables significantly influenced the single burnout dimensions at the univariate analyses; multivariate analyses demonstrated that alcohol consumption and workplace location have a significant independent role on the overall SMBM index, while working time significantly influences clinically relevant burnout level. Conclusions. The results revealed that pharmacists are at risk of burnout, and thus, it is necessary to perform specific preventive intervention for managing this occupational threat.

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Temporal Trends in Medical Student Burnout

Cited by 60 publications

References 8 publications

Assessment of burnout in medical students using the Maslach Burnout Inventory-Student Survey: A cross-sectional data analysis

Assessment of burnout in medical students using the Maslach Burnout Inventory-Student Survey: A cross-sectional data analysis

Natural history of burnout, stress, and fatigue in a pediatric resident cohort over three years

A Cross-Sectional Study on Prevalence and Predictors of Burnout among a Sample of Pharmacists Employed in Pharmacies in Central Italy

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