Burnout in Premedical Undergraduate Students
- 474 Downloads
There has been growing recognition that medical students, interns, residents and practicing physicians across many specialties are prone to burnout, with recent studies linking high rates of burnout to adverse mental health issues. Little is known about the trajectory and origins of burnout or whether its roots may be traced to earlier in medical training, specifically, during undergraduate studies. Here, the authors surveyed undergraduates at UC San Diego (UCSD) to assess the relationship of burnout to premedical status while controlling for depression severity.
Undergraduate students at UCSD were invited to participate in a web-based survey, consisting of demographic questions; the Maslach Burnout Inventory Student Survey (MBI-SS), which gauged the three dimensions of burnout; and the nine-item Patient Health Questionnaire (PHQ-9), to assess depression severity.
A total of 618 premedical students and 1,441 non-premedical students completed the questionnaire. Premedical students had greater depression severity and emotional exhaustion than non-premedical students, but they also exhibited a greater sense of personal efficacy. The burnout differences were persistent even after adjusting for depression. Also, premedical women and Hispanic students had especially high levels of burnout, although differences between groups became nonsignificant after accounting for depression.
Despite the limitations of using a burnout questionnaire not specifically normed for undergraduates, the unique ethnic characteristics of the sample, and the uncertain response rate, the findings highlight the importance of recognizing the unique strains and mental health disturbances that may be more common among premedical students than non-premedical students. Results also underscore the close relationship between depression and burnout, and point the way for subsequent longitudinal, multi-institutional studies that could help identify opportunities for prevention and intervention.
KeywordsMedical Student Academic Psychiatry Emotional Exhaustion Hispanic Student Premedical Status
Unable to display preview. Download preview PDF.
- 10.Fang DZ, Young CB, Golshan S, et al: Depression in premedical undergraduates. The Primary Care Companion (in press)Google Scholar
- 14.Cordes CL, Dougherty TW: A review and an integration of research on job burnout. Acad Manage Rev 1993; 18:621–656Google Scholar
- 20.Bakker AB, et al: Using equity theory to examine the difference between burnout and depression. Anxiety, Stress & Coping: An Int J 2000; 13:247–268Google Scholar
- 22.Leiter MP, Durup J: The discriminant validity of burnout and depression: a confirmatory factor-analytic study. Anxiety, Stress Coping: An Int J 1994; 7:357–373Google Scholar
- 23.Schaufeli WED: The Burnout Companion to Study and Practice: A Critical Analysis. London, UK, Taylor & Francis,1998Google Scholar
- 24.Kirk RE: Experimental Design: Procedures for Behavioral Sciences, 2nd Edition. Belmont, CA, Brooks/Cole, 1982Google Scholar
- 26.Edmonson S: Women and Special-Educator Burnout: A Research Synthesis. Rep. ERIC Document Reproduction Service No. 470 519, 2000Google Scholar