| Relationship between burnout and professional conduct and attitudes among US medical students. | |
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MedLine Citation:
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PMID: 20841530 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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CONTEXT: The relationship between professionalism and distress among medical students is unknown. OBJECTIVE: To determine the relationship between measures of professionalism and burnout among US medical students. DESIGN, SETTING, AND PARTICIPANTS: Cross-sectional survey of all medical students attending 7 US medical schools (overall response rate, 2682/4400 [61%]) in the spring of 2009. The survey included the Maslach Burnout Inventory (MBI), the PRIME-MD depression screening instrument, and the SF-8 quality of life (QOL) assessment tool, as well as items exploring students' personal engagement in unprofessional conduct, understanding of appropriate relationships with industry, and attitudes regarding physicians' responsibility to society. MAIN OUTCOME MEASURES: Frequency of self-reported cheating/dishonest behaviors, understanding of appropriate relationships with industry as defined by American Medical Association policy, attitudes about physicians' responsibility to society, and the relationship of these dimensions of professionalism to burnout, symptoms of depression, and QOL. RESULTS: Of the students who responded to all the MBI items, 1354 of 2566 (52.8%) had burnout. Cheating/dishonest academic behaviors were rare (endorsed by <10%) in comparison to unprofessional conduct related to patient care (endorsed by up to 43%). Only 14% (362/2531) of students had opinions on relationships with industry consistent with guidelines for 6 scenarios. Students with burnout were more likely to report engaging in 1 or more unprofessional behaviors than those without burnout (35.0% vs 21.9%; odds ratio [OR], 1.89; 95% confidence interval [CI], 1.59-2.24). Students with burnout were also less likely to report holding altruistic views regarding physicians' responsibility to society. For example, students with burnout were less likely to want to provide care for the medically underserved than those without burnout (79.3% vs 85.0%; OR, 0.68; 95% CI, 0.55-0.83). After multivariable analysis adjusting for personal and professional characteristics, burnout was the only aspect of distress independently associated with reporting 1 or more unprofessional behaviors (OR, 1.76; 95% CI, 1.45-2.13) or holding at least 1 less altruistic view regarding physicians' responsibility to society (OR, 1.65; 95% CI, 1.35-2.01). CONCLUSION: Burnout was associated with self-reported unprofessional conduct and less altruistic professional values among medical students at 7 US schools. |
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Authors:
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Liselotte N Dyrbye; F Stanford Massie; Anne Eacker; William Harper; David Power; Steven J Durning; Matthew R Thomas; Christine Moutier; Daniel Satele; Jeff Sloan; Tait D Shanafelt |
Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: JAMA : the journal of the American Medical Association Volume: 304 ISSN: 1538-3598 ISO Abbreviation: JAMA Publication Date: 2010 Sep |
Date Detail:
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Created Date: 2010-09-15 Completed Date: 2010-09-16 Revised Date: 2011-01-05 |
Medline Journal Info:
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Nlm Unique ID: 7501160 Medline TA: JAMA Country: United States |
Other Details:
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Languages: eng Pagination: 1173-80 Citation Subset: AIM; IM |
Affiliation:
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Mayo Clinic College of Medicine, Rochester, Minnesota, USA. dyrbye.liselotte@mayo.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Altruism Attitude of Health Personnel* Burnout, Professional* Cross-Sectional Studies Data Collection Depression / psychology* Female Humans Male Physicians / ethics* Professional Misconduct / psychology* Quality of Life Schools, Medical Social Responsibility Stress, Psychological Students, Medical / psychology* United States Young Adult |
| Comments/Corrections | |
Comment In:
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JAMA. 2011 Jan 5;305(1):37; author reply 38
[PMID:
21205961
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JAMA. 2011 Jan 5;305(1):37-8; author reply 38 [PMID: 21205960 ] JAMA. 2010 Sep 15;304(11):1231-3 [PMID: 20841539 ] |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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