Academic Psychiatry

, Volume 40, Issue 1, pp 55–62 | Cite as

Factors Modifying Burnout in Osteopathic Medical Students

  • Jessica LapinskiEmail author
  • Morgan Yost
  • Patricia Sexton
  • Richard J. LaBaereII
Empirical Report



The purposes of the current study are to examine factors modifying burnout and identify which of these factors place osteopathic medical students at risk for developing burnout.


The current study used a cross-sectional study design and an anonymous, web-based survey to assess burnout and depression in osteopathic medical students. The survey included Maslach Burnout Inventory, the Patient Health Questionnaire, the Stressors and their impact scale, students’ sleeping and studying habits, and students’ extracurricular involvement.


In total, 1294 osteopathic medical students completed the survey. Burnout was present in 516 (39.9 %) osteopathic medical students, and 1006 (77.0 %) met criteria for depression. Females were 1.5 times more likely to be burned out in comparison to males. For the burnout subscales, males had lower emotional exhaustion, slightly higher depersonalization, and lower personal accomplishment. Lesbian/gay/bisexual/asexual students were 2.62 times more likely to be burned out compared with heterosexual students. Depression and academic, personal, and family stressors were all strongly linked to overall burnout. Finally, for modifiable factors, average hours of sleep, average hours spent studying, and club involvement appeared to be linked to burnout.


The current study suggested that a variety of factors, including non-modifiable, situational, and modifiable, impact burnout in osteopathic medical students. Future research is necessary since burnout in physicians affects the quality of care provided to patients.


Medical students Emotional problems Support Depression Burnout 



On behalf of all authors, the corresponding author states that there is no conflict of interest.


  1. 1.
    Sevensma S. COMLEX-USA and in-service examination scores: tools for evaluating medical knowledge among residents. JAOA J. 2008;108(12):713–6.Google Scholar
  2. 2.
    Cantor JC. Preparedness for practice. JAMA. 1993;270(9):1035.CrossRefPubMedGoogle Scholar
  3. 3.
    Saxon D, Tunnicliff G. Status of complementary and alternative medicine in the osteopathic medical school curriculum. J Am Osteopath Assoc. 2004;104(3):121–6.PubMedGoogle Scholar
  4. 4.
    Afzal KI, Khan FM, Mulla Z, Akins R, Ledger E, Giordano FL. Primary language and cultural background as factors in resident burnout in medical specialties: a study in a bilingual US city. South Med J. 2010;103(7):607–15.CrossRefPubMedGoogle Scholar
  5. 5.
    Dyrbye LN, Thomas MR, Harper W, Massie FS, Power DV, Eacker A, et al. The learning environment and medical student burnout: a multicentre study. Med Educ. 2009;43(3):274–82.CrossRefPubMedGoogle Scholar
  6. 6.
    Dyrbye LN, Massie FS, Eacker A, Harper W, Power D, Durning SJ, et al. Relationship between burnout and professional conduct and attitudes among US medical students. JAMA. 2010;304(11):1173–80.CrossRefPubMedGoogle Scholar
  7. 7.
    Dyrbye L, Thomas M, Shanafelt T. Systematic review of depression, anxiety, and other indicators of psychological distress among US and Canadian medical students. Acad Med. 2006;81(4):354–73.CrossRefPubMedGoogle Scholar
  8. 8.
    Dyrbye L, Thomas M. Personal life events and medical student burnout: a multicenter study. Acad Med. 2006;81(4):374–84.CrossRefPubMedGoogle Scholar
  9. 9.
    Dyrbye L, Thomas M. Race, ethnicity, and medical student well-being in the United States. Intern Med. 2007;167(19):2103–9.Google Scholar
  10. 10.
    Chang E, Eddins-Folensbee F, Coverdale J. Survey of the prevalence of burnout, stress, depression, and the use of supports by medical students at one school. Acad Psychiatry. 2012;36(3):177–82.CrossRefPubMedGoogle Scholar
  11. 11.
    Maslach C, SE J, Leither M. Maslach Burnout Inventory. In: Evaluating stress: a book of resources. 3rd ed. Lanham: Rowman & Littlefield Publishers Inc; 1997. p. 191–218.Google Scholar
  12. 12.
    Parker P, Kulik J. Burnout, self-and supervisor-rated job performance, and absenteeism among nurses. J Behav Med. 1995;18(6):581–99.CrossRefPubMedGoogle Scholar
  13. 13.
    Maslach C. Job burnout. Annu Rev. 2001;52:397–422.Google Scholar
  14. 14.
    Väänänen A, Koskinen A. Lack of predictability at work and risk of acute myocardial infarction: an 18-year prospective study of industrial employees. Am J Public Health. 2008;98(12):2264–71.PubMedCentralCrossRefPubMedGoogle Scholar
  15. 15.
    Shanafelt T, Bradley K. Burnout and self-reported patient care in an internal medicine residency program. Intern Med. 2002;136(5):358–67.Google Scholar
  16. 16.
    Yost MG, Johnson JC, Johns MM, Burchett KD. Burnout among osteopathic otolaryngology residents: identification during formative training years. J Am Osteopath Assoc. 2014;114(8):632–41.CrossRefPubMedGoogle Scholar
  17. 17.
    Kroenke K, Spitzer RL. The PHQ-9: a new depression diagnostic and severity measure. Psychiatr Ann. 2002;32:509–21.CrossRefGoogle Scholar
  18. 18.
    Dyrbye LN, West CP, Satele D, Boone S, Tan L, Sloan J, et al. Burnout among U.S. medical students, residents, and early career physicians relative to the general U.S. population. Acad Med. 2014;89(3):1–9.CrossRefGoogle Scholar
  19. 19.
    Shanafelt TD, Boone S, Tan L, Dyrbye LN, Sotile W, Satele D, et al. Burnout and satisfaction with work-life balance among US physicians relative to the general US population. Arch Intern Med. 2012;172(18):1377–85.CrossRefPubMedGoogle Scholar
  20. 20.
    Ishak W, Nikravesh R, Lederer S, Perry R, Ogunyemi D, Bernstein C. Burnout in medical students: a systematic review. Clin Teach. 2013;10(4):242–5.CrossRefPubMedGoogle Scholar
  21. 21.
    Purvanova RK, Muros JP. Gender differences in burnout: a meta-analysis. J Vocat Behav. 2010;77(2):168–85.CrossRefGoogle Scholar
  22. 22.
    Kjeldstadli K, Tyssen R, Finset A, Hem E, Gude T, Gronvold NT, et al. Life satisfaction and resilience in medical school—a six-year longitudinal, nationwide and comparative study. BMC Med Educ. 2006;6:48.PubMedCentralCrossRefPubMedGoogle Scholar
  23. 23.
    Adams J. Straining to describe and tackle stress in medical students. Med Educ. 2004;38(5):463–4.CrossRefPubMedGoogle Scholar
  24. 24.
    Golub JS, Weiss PS, Ramesh AK, Ossoff RH, Johns MM. Burnout in residents of otolaryngology-head and neck surgery: a national inquiry into the health of residency training. Acad Med. 2007;82(6):596–601.CrossRefPubMedGoogle Scholar
  25. 25.
    Singh T, Williams K. Atypical depression. Psychiatry (Edgmont). 2006;3(4):33–9.Google Scholar

Copyright information

© Academic Psychiatry 2015

Authors and Affiliations

  • Jessica Lapinski
    • 1
  • Morgan Yost
    • 1
  • Patricia Sexton
    • 1
  • Richard J. LaBaereII
    • 1
  1. 1.A.T. Still UniversityKirksvilleUSA

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