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Medical student burnout

Akhilesh S Pathipati, Christine K Cassel
Although they enter school with enthusiasm for a career in medicine, medical students in the United States subsequently report high levels of burnout and disillusionment. As medical school leaders consider how to address this problem, they can look to business schools as one source of inspiration. In this Commentary, the authors argue-based on their collective experience in both medical and business education-that medical schools can draw three lessons from business schools that can help reinvigorate students...
March 13, 2018: Academic Medicine: Journal of the Association of American Medical Colleges
Elizabeth K Berryman, Daniel J Leonard, Andrew R Gray, Ralph Pinnock, Barry Taylor
BACKGROUND: Well-being in medical students has become an area of concern, with a number of studies reporting high rates of clinical depression, anxiety, burnout, and suicidal ideation in this population. OBJECTIVE: The aim of this study was to increase awareness of well-being in medical students by using a smartphone app. The primary objective of this study was to determine the validity and feasibility of the Particip8 app for student self-reflected well-being data collection...
March 7, 2018: JMIR Medical Education
Robson Aparecido Dos Santos Boni, Carlos Eduardo Paiva, Marco Antonio de Oliveira, Giancarlo Lucchetti, José Humberto Tavares Guerreiro Fregnani, Bianca Sakamoto Ribeiro Paiva
OBJECTIVE: To evaluate the prevalence and possible factors associated with the development of burnout among medical students in the first years of undergraduate school. METHOD: A cross-sectional study was conducted at the Barretos School of Health Sciences, Dr. Paulo Prata. A total of 330 students in the first four years of medical undergraduate school were invited to participate in responding to the sociodemographic and Maslach Burnout Inventory-Student Survey (MBI-SS) questionnaires...
2018: PloS One
Demetrios Moris, Georgia-Sofia Karachaliou, Timothy M Pawlik, Benedict Nwomeh
General surgery is one of the more popular career choices among medical students worldwide. An alarming one in five general surgery residents, however, abandon residency training-a rate that is much higher than most other medical and surgical specialities. We believe that additional measures are needed to decrease attrition and increase "grit" among house staff. Specifically, the diversification of the surgery training experience to include global and rural surgery may help mitigate burnout among surgical house staff...
April 2018: Journal of Surgical Research
Neal E Winblad, Michael Changaris, Phyllis K Stein
Background: Individuals who treat trauma are at significant risk of vicarious traumatization and burnout. Somatic Experiencing® (SE®) is a resiliency-focused trauma treatment modality designed to address autonomic nervous system (ANS) dysregulation and its impacted physical health and mental health symptoms e.g., anxiety, depression, post-traumatic stress disorder, migraines, fibromyalgia, and chronic fatigue, etc. The SE® training supports the development of clinical skills to reduce physical health/mental health symptoms as well as increase clinician resilience...
2018: Frontiers in Neuroscience
Jane C Johnson, Brian F Degenhardt, Carol K Smith, Thomas M Wolf, D Fred Peterson
Context: Acute stress during medical school affects the health of students and is associated with burnout. The Medical Education Hassles Scale-R (MEHS-R) is designed to measure acute stress among medical students. Researchers using the MEHS-R primarily report overall hassles scores, which are unable to discriminate between different categories of hassles encountered. Objective: The present study examined the factor structure of the MEHS-R to identify subscales that would be useful to categorize hassles for research and assessment purposes...
March 1, 2018: Journal of the American Osteopathic Association
Elaine Yang, Elizabeth Schamber, Rika M L Meyer, Jeffrey I Gold
PURPOSE: Medical students have higher rates of depression and psychologic distress than the general population, which may negatively impact academic performance and professional conduct. This study assessed whether 10-20 min of daily mindfulness meditation for 30 days, using a mobile phone application, could decrease perceived stress and improve well-being for medical students. METHODS: Eighty-eight medical students were stratified by class year and randomized to either intervention or control groups to use the mobile application Headspace, an audio-guided mindfulness meditation program, for 30 days...
February 8, 2018: Journal of Alternative and Complementary Medicine: Research on Paradigm, Practice, and Policy
Farid Talih, Michel Daher, Dayane Daou, Jean Ajaltouni
OBJECTIVES: This study aims to evaluate the prevalence of burnout, depressive symptoms, and anxiety symptoms and attitudes toward substance use in medical students as well as their evolution during the 4 years of medical school. METHODS: A cross-sectional study was carried out at the American University of Beirut Medical Center (AUBMC) between September and December 2016. In total, 176 out of 412 eligible medical students responded. The survey was anonymous and administered via e-mail link to an electronic form...
February 2, 2018: Academic Psychiatry
Salvatore Mangione, Chayan Chakraborti, Giuseppe Staltari, Rebecca Harrison, Allan R Tunkel, Kevin T Liou, Elizabeth Cerceo, Megan Voeller, Wendy L Bedwell, Keaton Fletcher, Marc J Kahn
BACKGROUND: Literature, music, theater, and visual arts play an uncertain and limited role in medical education. One of the arguments often advanced in favor of teaching the humanities refers to their capacity to foster traits that not only improve practice, but might also reduce physician burnout-an increasing scourge in today's medicine. Yet, research remains limited. OBJECTIVE: To test the hypothesis that medical students with higher exposure to the humanities would report higher levels of positive physician qualities (e...
January 29, 2018: Journal of General Internal Medicine
G Michael Leffel, Ross A Oakes Mueller, Sandra A Ham, Kyle E Karches, Farr A Curlin, John D Yoon
THEORY: In the Project on the Good Physician, the authors propose a moral intuitionist model of virtuous caring that places the virtues of Mindfulness, Empathic Compassion, and Generosity at the heart of medical character education. HYPOTHESES: Hypothesis 1a: The virtues of Mindfulness, Empathic Compassion, and Generosity will be positively associated with one another (convergent validity). Hypothesis 1b: The virtues of Mindfulness and Empathic Compassion will explain variance in the action-related virtue of Generosity beyond that predicted by Big Five personality traits alone (discriminant validity)...
January 19, 2018: Teaching and Learning in Medicine
Moisés Rodríguez-Socarrás, Juan Luis Vasquez, Pieter Uvin, Pernille Skjold-Kingo, Juan Gómez Rivas
OBJECTIVE: To determine the factors related to stress, Burnout and depression in urology, as well as consequences in residents and urologists, in addition to the possible applicable strategies to diminish and treat them. ACQUISITION OF THE EVIDENCE: Depression, stress and Burnout syndrome has become a problem in urology specialty. These topics have gained interest in international congresses and urological associations. Efforts are being made to find related factors as well as possible strategies and applicable support programs...
January 2018: Archivos Españoles de Urología
Julia Farquhar, Robert Kamei, Arpana Vidyarthi
Objectives: To improve programs aimed to enhance medical student resiliency, we examined both medical student and faculty advisor perspectives on resiliency-building in an Asian medical school. Methods: In two separate focus groups, a convenience sample of 8 MD-PhD students and 8 faculty advisors were asked to identify strategies for enhancing resilience. Using thematic analysis, two researchers independently examined discussion transcripts and field notes and determined themes through a consensus process...
January 12, 2018: International Journal of Medical Education
Emma M Bye, Brody W Brisk, Suzanne D Reuter, Keith A Hansen, Mary D Nettleman
PURPOSE: The stress of pregnancy and parenthood during the intense educational experience of medical school could increase the risk of student burnout. Because 9.2 percent of U.S. medical students are parents by graduation, it would seem prudent to include this topic in wellness programs and policies. The purpose of this study was to determine the effects of pregnancy and parenthood on medical students. METHOD: This was a cross-sectional, internet survey distributed to all four classes of medical students at the University of South Dakota Sanford School of Medicine during the 2016-2017 academic year...
December 2017: South Dakota Medicine: the Journal of the South Dakota State Medical Association
Oksana Babenko, Amber Mosewich, Joseph Abraham, Hollis Lai
PURPOSE: To investigate the contributions of psychological needs (autonomy, competence, and relatedness) and coping strategies (self-compassion, leisure-time exercise, and achievement goals) to engagement and exhaustion in Canadian medical students. METHODS: This was an observational study. Two hundred undergraduate medical students participated in the study: 60.4% were female, 95.4% were 20-29 years old, and 23.0% were in year 1, 30.0% in year 2, 21.0% in year 3, and 26...
2018: Journal of Educational Evaluation for Health Professions
Lynn V Monrouxe, Alison Bullock, Hsu-Min Tseng, Stephanie E Wells
OBJECTIVES: To examine how burnout across medical student to junior doctor transition relates to: measures of professional identity, team understanding, anxiety, gender, age and workplace learning (assistantship) alignment to first post. DESIGN: A longitudinal 1-year cohort design. Two groups of final-year medical students: (1) those undertaking end-of-year assistantships aligned in location and specialty with their first post and (2) those undertaking assistantships non-aligned...
December 27, 2017: BMJ Open
Roy C Ziegelstein
Increasing attention is being paid to medical student and resident well-being, as well as to enhancing resilience and avoiding burnout in medical trainees. Medical schools and residency programs are implementing wellness initiatives that often include meditation and other mindfulness activities, self-reflection, journaling, and lectures or workshops on resilience tools such as metacognition and cognitive restructuring. These interventions have in common the creation of opportunities for trainees to become more aware of their experiences, to better recognize stressors, and to regulate their thoughts and feelings so that stressors are less likely to have harmful effects...
December 26, 2017: Academic Medicine: Journal of the Association of American Medical Colleges
Hetty Cunningham, Delphine Taylor, Urmi A Desai, Samuel C Quiah, Benjamin Kaplan, Lorraine Fei, Marina Catallozzi, Boyd Richards, Dorene F Balmer, Rita Charon
The day-to-day rigors of medical education often preclude learners from gaining a longitudinal perspective on who they are becoming. Furthermore, the current focus on competencies, coupled with concerning rates of trainee burnout and a decline in empathy, have fueled the search for pedagogic tools to foster students' reflective capacity. In response, many scholars have looked to the tradition of narrative medicine to foster "reflective spaces" wherein holistic professional identity construction can be supported...
December 19, 2017: Academic Medicine: Journal of the Association of American Medical Colleges
Yung Kai Lin, Der-Yuan Chen, Blossom Yen-Ju Lin
Core self-evaluation (CSE) is a personality trait that involves a person's evaluation of his or her own worth, competence, and capability. The objective of this study was to determine whether medical students' CSEs exert beneficial effects on their adaptation to their clerkship in terms of their clinical competence and workplace well-being and whether their preclinical academic performance can be a trait-relevant situation that enhances their CSE expression. In total, 127 medical students from 2 cohorts were included as participants in this study...
2017: PloS One
Vivian Irizarry Gatell, Thu Nguyen, Emily E Anderson, Michael P McCarthy, John J Hardt
We explored medical students' desire to practice medicine in a medically under-served area (MUS). We surveyed M1-M4 students at Loyola University Stritch School of Medicine (66% overall response rate). Primary outcome was intent to locate future practice in a MUS. Predictor variables included gender, race/ethnicity, and measures of religiosity, spirituality, sense of calling, burnout, and interest in primary care. In bivariate analysis, we found statistically significant associations between our primary outcome variable and gender, spirituality, growing up in MUS, sense of calling, primary care interest, and burnout...
2017: Journal of Health Care for the Poor and Underserved
Wang Michael Chunming, Reema Harrison, Raina MacIntyre, Joanna Travaglia, Chinthaka Balasooriya
BACKGROUND: To identify the: extent to which medical students in China experience burnout; factors contributing to this; potential solutions to reduce and prevent burnout in this group; and the extent to which the experiences of Chinese students reflect the international literature. METHODS: Systematic review and narrative synthesis. Key words, synonyms and subject headings were used to search five electronic databases in addition to manual searching of relevant journals...
November 16, 2017: BMC Medical Education
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