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Medical student burnout

Akhil D Goel, Sulbha V Akarte, Sumita P Agrawal, Vikas Yadav
BACKGROUND: Medical students can and do suffer from mental disorders is a concept yet to get wide acceptance. There are few studies comprehensively evaluating depression, stress, and burnout in medical students, especially in a longitudinal way in India. The current study aims to assess the impact of medical education on the development of psychological morbidities and the role of personality. MATERIALS AND METHODS: First-year medical students of a leading medical college of India were enrolled on admission and given anonymized, validated, self-administered questionnaires assessing depression, stress, burnout, and personality...
October 2016: Journal of Neurosciences in Rural Practice
Colin P West, Liselotte N Dyrbye, Patricia J Erwin, Tait D Shanafelt
BACKGROUND: Physician burnout has reached epidemic levels, as documented in national studies of both physicians in training and practising physicians. The consequences are negative effects on patient care, professionalism, physicians' own care and safety, and the viability of health-care systems. A more complete understanding than at present of the quality and outcomes of the literature on approaches to prevent and reduce burnout is necessary. METHODS: In this systematic review and meta-analysis, we searched MEDLINE, Embase, PsycINFO, Scopus, Web of Science, and the Education Resources Information Center from inception to Jan 15, 2016, for studies of interventions to prevent and reduce physician burnout, including single-arm pre-post comparison studies...
September 28, 2016: Lancet
Tami Hendriksz
CONTEXT: At the author's institution, patient perspective sessions were added to the preclinical curricula, in which actual patients present their medical stories and experiences to large groups of first- and second-year medical students. This curricular approach was designed to help address concerns about limited patient interaction during these years, which could lead to empathy erosion, academic burnout, and poor memory retention. OBJECTIVE: To determine whether patient perspective sessions conducted in the first and second years of medical school had an effect on students' empathy toward patients and perceived retention of material...
October 1, 2016: Journal of the American Osteopathic Association
Chia-Der Lin, Blossom Yen-Ju Lin
BACKGROUND: In the education field, learning experiences are considered learners' properties and are viewed as a key determinant in explaining learners' learning processes, especially for training novices such as clerks with varying levels of commitment to the medical profession. This study explored whether clerks' achievement goal motivation orientations might buffer the negative well-being to a certain extent, considering their training demands during clinical training. METHODS: Ninety-four clerks at a tertiary medical center were longitudinally traced during their 2-year clerkship spanning from September 2013 to April 2015...
2016: BMC Medical Education
G Michael Leffel, Ross A Oakes Mueller, Sandra A Ham, Farr A Curlin, John D Yoon
THEORY: In the Project on the Good Physician, the authors endeavor to advance medical character education by proposing and testing a moral intuitionist model of virtuous caring that may be applicable to physician training. This model proposes that the moral intuition to care/harm motivates students to extend care to those in need. HYPOTHESES: Hypothesis 1: Medical students will report stronger preferences for the intuition to Care/harm over other moral intuitions in clinical decision making...
July 28, 2016: Teaching and Learning in Medicine
Małgorzata Tartas, Maciej Walkiewicz, Waldemar Budziński, Mikołaj Majkowicz, Krzysztof Wójcikiewicz, Agata Zdun-Ryżewska
BACKGROUND: The stress associated with the physician's work is generally acknowledged and is related to well-being and life satisfaction. The presented study was designed to extract the role of coping strategies in identifying differentiated styles of success in a medical career during medical education. METHODS: The participants were examined when they applied to medical school and each subsequent academic year. The final study took place four years after graduation...
2016: BMC Medical Education
Zsuzsa Győrffy, Emma Birkás, Imola Sándor
BACKGROUND: Burnout is a major issue among medical students. Its general characteristics are loss of interest in study and lack of motivation. A study of the phenomenon must extend beyond the university environment and personality factors to consider whether career choice has a role in the occurrence of burnout. METHODS: Quantitative, national survey (n = 733) among medical students, using a 12-item career motivation list compiled from published research results and a pilot study...
2016: BMC Medical Education
Ida Solhaug, Thor E Eriksen, Michael de Vibe, Hanne Haavind, Oddgeir Friborg, Tore Sørlie, Jan H Rosenvinge
Mindfulness has attracted increased interest in the field of health professionals' education due to its proposed double benefit of providing self-help strategies to counter stress and burnout symptoms and cultivating attitudes central to the role of professional helpers. The current study explored the experiential aspects of learning mindfulness. Specifically, we explored how first-year medical and psychology students experienced and conceptualized mindfulness upon completion of a 7-week mindfulness-based stress reduction program...
2016: Mindfulness
Marisa Pulcrano, Stephen R T Evans, Michael Sosin
Importance: Establishing strategies to minimize the burden of burnout and poor quality of life (QOL) on surgeons relies on a thorough understanding of QOL and burnout among the various surgical specialties. Objectives: To systematically review the literature across multiple surgical specialties and provide a comprehensive understanding of QOL and burnout among all surgeons, to delineate variation in rates of burnout and poor QOL, and to elucidate factors that are commonly implicated in these outcomes...
July 13, 2016: JAMA Surgery
P M Lashley, M H Campbell, M K Emmanuel
Objectives: This study aims to determine the prevalence of burnout in medical students across all five years, and to investigate factors that might contribute to and protect from its effects. Method: The design uses a cross-sectional, self-administered survey of medical students at The University of the West Indies-Cave Hill, and consisted of a modified Maslach Burnout Inventory-Human Services Survey with additional items developed by the authors. Results: One hundred and nineteen students representing all years participated in the survey: 28...
September 28, 2015: West Indian Medical Journal
P H M Burger, C Neumann, A Ropohl, F Paulsen, M Scholz
PURPOSE: Early intervention to counter mental disorders during the course of studies in dentistry is indicated in view of the pronounced prevalence of burnout in this student collective. To assess the proportion of students in whom these risk states can be quantified in measurable parameters for concrete mental disorders, we conducted surveys among students of dental medicine during the first 2.5 years of their studies. METHODS: We surveyed a total of 163 students of dental medicine in their first 5 semesters of study...
July 2, 2016: Annals of Anatomy, Anatomischer Anzeiger: Official Organ of the Anatomische Gesellschaft
Allen K Chen, Anagha Kumar, Aviad Haramati
INTRODUCTION: Empathy among medical practitioners has been shown to affect patient care and outcomes. Factors such as stress and depression are known to have a negative impact on medical student empathy. Approaches such as mindfulness, meditation, and other mind-body techniques can enhance empathy and reverse burnout symptoms. In the present study, we evaluated impact of Mind Body Medicine (MBM) course on perceived stress and empathy on first-year medical students. METHODS: Thirteen first-year medical students in total self-selected into MBM (experimental) and seven non-MBM (control) groups completed a prospective, pre- and post-test analysis, using the Jefferson Scale of Physician Empathy - Students (JSPE-S), Perceived Stress Scale (PSS), and Personal Health Questionnaire (PHQ) to evaluate empathy, stress, and depression, respectively...
2016: Medical Education Online
Bérangère Thirioux, François Birault, Nematollah Jaafari
Burnout is a multidimensional work-related syndrome that is characterized by emotional exhaustion, depersonalization-or cynicism-and diminution of personal accomplishment. Burnout particularly affects physicians. In medicine as well as other professions, burnout occurrence depends on personal, developmental-psychodynamic, professional, and environmental factors. Recently, it has been proposed to specifically define burnout in physicians as "pathology of care relationship." That is, burnout would arise, among the above-mentioned factors, from the specificity of the care relationship as it develops between the physician and the patient...
2016: Frontiers in Psychology
Joan Cangiarella, Colleen Gillespie, Judy A Shea, Gail Morrison, Steven B Abramson
BACKGROUND: A handful of medical schools in the U.S. are awarding medical degrees after three years. While the number of three-year pathway programs is slowly increasing there is little data on the opinions of medical education leaders on the need for shortening training. PURPOSE: To survey deans and program directors (PDs) to understand the current status of 3-year medical degree programs and to elicit perceptions of the need for shortening medical school and the benefits and liabilities of 3-year pathway programs (3YPP)...
2016: Medical Education Online
Laura Asencio-López, Guillermo Daniel Almaraz-Celis, Vicente Carrillo Maciel, Paola Huerta Valenzuela, Luis Silva Goytia, Marcos Muñoz Torres, Fernando Monroy Caballero, Joel Regalado Tapia, Kerigma Dipp Martin, Dinorah López Miranda, Clyvia Medina Lavenant, Karen Pizarro Rodríguez, Cesar Santiago Martínez, Alma Geovanna Saucedo Aparicio, Rodolfo Flores Lepe
INTRODUCTION: Burnout syndrome is a three-dimensional clinical syndrome caused by stress at work. It is frequent in professions which require direct contact with people. In Mexico, the presence of Burnout Syndrome in doctors and medical students, is characterized as a threat to their health, quality of life and professional performance. OBJECTIVES: To evaluate the prevalence of burnout syndrome in students of years 1 through 6 of medical school at a private university in northern Mexico...
2016: Medwave
Dawn DeWitt, Benedict J Canny, Michael Nitzberg, Jennifer Choudri, Sarah Porter
CONTEXT: There is ongoing debate regarding the optimal length of medical training, with concern about the cost of prolonged training. Two simultaneous tracks currently exist in Australia: direct entry from high school and graduate entry for students with a bachelor degree. Medical schools are switching to graduate entry based on maturity, academic preparedness and career-choice surety. We tested the assumption that graduate entry is better by exploring student preferences, coping, burnout, empathy and alcohol use...
June 2016: Medical Education
Stuart J Slavin, John T Chibnall
The poor mental health of residents, characterized by high rates of burnout, depression, and suicidal ideation, is a growing concern in graduate medical education. Research is needed to gain a deeper understanding of the sources of distress as well as the sources of sustenance in residency training. The study by Mata and colleagues contributes significantly to this understanding. In addition to this line of research, however, studies are needed that assess the impact of interventions to help residents deal more effectively with the stress of training and find meaning in their work...
September 2016: Academic Medicine: Journal of the Association of American Medical Colleges
Milena Ilic, Zeljko Todorovic, Milena Jovanovic, Irena Ilic
The Maslach Burnout Inventory-Student Survey (MBI-SS) contains 15 items that evaluate the following burnout dimensions: Emotional Exhaustion, Cynicism, and Academic Efficacy. The purpose of this study was to evaluate the dimensionality of the MBI-SS on a sample of Serbian medical students (N = 760). The overall Cronbach's α coefficient of the MBI-SS questionnaire was 0.757, while the Cronbach's α coefficients for Emotional Exhaustion, Cynicism, and Academic Efficacy were 0.869, 0.856, and 0.852, respectively...
April 29, 2016: Behavioral Medicine
Charlene Luchterhand, David Rakel, Cynthia Haq, Lisa Grant, Angela Byars-Winston, Steve Tyska, Kathleen Engles
BACKGROUND: Well-documented challenges faced by primary care clinicians have brought growing awareness to the issues of physician wellness and burnout and the potential subsequent impact on patients. Research has identified mindfulness as a tool to increase clinician well-being and enhance clinician characteristics associated with a more patient-centered orientation to clinical care. OBJECTIVE: The overall goal of our intervention was to promote the cultivation of mindful awareness throughout our health system, creating a culture of mindfulness in medicine...
June 2015: WMJ: Official Publication of the State Medical Society of Wisconsin
Gwen Thompson, Rosanne B McBride, Charles C Hosford, Gwen Halaas
THEORY: Although medical students begin medical school with better mental health than their peers, during medical school students have a higher prevalence of psychological distress. Medical students often do not seek help for mental health concerns. The use of approach coping strategies and social support has been shown in other populations to be related to mental health resiliency. HYPOTHESES: The rates of depression and burnout in this medical student population are expected to be high, with the majority not seeking help for their psychological distress in accordance with studies of medical students across the nation...
2016: Teaching and Learning in Medicine
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