OBJECTIVES: Little is known about specific personal and professional factors influencing student distress. The authors conducted a comprehensive assessment of how learning environment, clinical rotation factors, workload, demographics and personal life events relate to student burnout. METHODS: All medical students (n = 3080) at five medical schools were surveyed in the spring of 2006 using a validated instrument to assess burnout. Students were also asked about the aforementioned factors. RESULTS: A total of 1701 medical students (response rate 55%) completed the survey. Learning climate factors were associated with student burnout on univariate analysis (odds ratio [OR] 1.36-2.07; all P < or = 0.02). Being on a hospital ward rotation or a rotation requiring overnight call was also associated with burnout (ORs 1.69 and 1.48, respectively; both P < or = 0.02). Other workload characteristics (e.g. number of admissions) had no relation to student burnout. Students who experienced a positive personal life event had a lower frequency of burnout (OR 0.70; P < or = 0.02), whereas those who experienced negative personal life events did not have a higher frequency of burnout than students who did not experience a negative personal life event. On multivariate analysis personal characteristics, learning environment and personal life events were all independently related to student burnout. CONCLUSIONS: Although a complex array of personal and professional factors influence student well-being, student satisfaction with specific characteristics of the learning environment appears to be a critical factor. Studies determining how to create a learning environment that cultivates student well-being are needed.
OBJECTIVES: Little is known about specific personal and professional factors influencing student distress. The authors conducted a comprehensive assessment of how learning environment, clinical rotation factors, workload, demographics and personal life events relate to student burnout. METHODS: All medical students (n = 3080) at five medical schools were surveyed in the spring of 2006 using a validated instrument to assess burnout. Students were also asked about the aforementioned factors. RESULTS: A total of 1701 medical students (response rate 55%) completed the survey. Learning climate factors were associated with student burnout on univariate analysis (odds ratio [OR] 1.36-2.07; all P < or = 0.02). Being on a hospital ward rotation or a rotation requiring overnight call was also associated with burnout (ORs 1.69 and 1.48, respectively; both P < or = 0.02). Other workload characteristics (e.g. number of admissions) had no relation to student burnout. Students who experienced a positive personal life event had a lower frequency of burnout (OR 0.70; P < or = 0.02), whereas those who experienced negative personal life events did not have a higher frequency of burnout than students who did not experience a negative personal life event. On multivariate analysis personal characteristics, learning environment and personal life events were all independently related to student burnout. CONCLUSIONS: Although a complex array of personal and professional factors influence student well-being, student satisfaction with specific characteristics of the learning environment appears to be a critical factor. Studies determining how to create a learning environment that cultivates student well-being are needed.
Authors: Michelle van Ryn; Rachel R Hardeman; Sean M Phelan; Sara E Burke; Julia Przedworski; Michele L Allen; Diana J Burgess; Jennifer Ridgeway; Richard O White; John F Dovidio Journal: Patient Educ Couns Date: 2014-07-10
Authors: Rachel R Hardeman; Sylvia P Perry; Sean M Phelan; Julia M Przedworski; Diana J Burgess; Michelle van Ryn Journal: J Racial Ethn Health Disparities Date: 2015-06-20
Authors: Sara E Burke; John F Dovidio; Julia M Przedworski; Rachel R Hardeman; Sylvia P Perry; Sean M Phelan; David B Nelson; Diana J Burgess; Mark W Yeazel; Michelle van Ryn Journal: Acad Med Date: 2015-05 Impact factor: 6.893
Authors: R S Doshi; K A Gudzune; L N Dyrbye; J F Dovidio; S E Burke; R O White; S Perry; M Yeazel; M van Ryn; S M Phelan Journal: Clin Obes Date: 2018-10-24