Burnout in medical students before residency: A systematic review and meta-analysis
Open accessAbstract
Background: Applying the concept of burnout to medical students before residency is relatively recent. Its estimated prevalence varies significantly between studies. Our objective was to estimate the prevalence of burnout in medical students worldwide. Methods: We systematically searched Medline for English-language articles published between January 1, 2010 and December 31, 2017. We selected all the original studies about the prevalence of burnout in medical students before residency, using validated questionnaires for burnout. Statistical analyses were conducted using the OpenMetaAnalyst software. Results: Prevalence of current burnout was extracted from 24 studies encompassing 17,431 medical students. Among them, 8060 suffered from burnout and we estimated the prevalence to be 44.2% [33.4%–55.0%]. The information about the prevalence of each subset of burnout dimensions was given in nine studies including 7588 students. Current prevalence was estimated to be 40.8% for ‘emotional exhaustion’ [32.8%–48.9%], 35.1% [27.2%–43.0%] for ‘depersonalization’ and 27.4% [20.5%–34.3%] for ‘personal accomplishment’. There is no significant gender difference in burnout. The prevalence of burnout is slightly different across countries with a higher prevalence in Oceania and the Middle East than in other continents. Conclusions: The results of this meta-analysis suggest that one student out of two is suffering from burnout, even before residency. Again, our findings highlight the high level of distress in the medical population. These results should encourage the development of preventive strategies.
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A high global prevalence of burnout among medical students (44.2%) indicates earlier onset of burnout.
“a high global prevalence among medical students (44.2% [9]) is indicative of earlier onset.”
Exhaustion is the most prevalent factor among medical students and physicians.
“Exhaustion was selected as the primary outcome for this study as it is the most prevalent factor among medical students [9] and physicians [2]”
Exhaustion has a high reported prevalence among medical students.
“its high reported prevalence among medical students [9]”
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- Authors
- Frajerman, A., Morvan, Y., Krebs, M.-O., Gorwood, P., & Chaumette, B.
- Affiliations
- Inserm (FR)
- Centre National de la Recherche Scientifique (FR)
- Montreal Neurological Institute and Hospital (CA)
- Corresponding author
- Chaumette, Boris
- Venue
- European Psychiatry
- Publisher
- Cambridge University Press (CUP)
- Published
- 2019-01
- Volume
- 55
- Pages
- 36-42
- ISSN
- 0924-9338 (ISSN-L)
- 1778-3585
- OpenAlex
- W2899346938
- Semantic Scholar
- 458d8e6bc24d6f86ea99cc9035e53b8a3d990019
- Cited by
- 568
- References
- 83
- Citations by year
- 2026: 64 · 2025: 76 · 2024: 87 · 2023: 100 · 2022: 111 · 2021: 77 · 2020: 37 · 2019: 14 · 2018: 2
- FWCI
- 5.88
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- European Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- HAL (submittedVersion)
- Funders
- Healthy Brains for Healthy Lives project (Talent program)
- Topics
- Health Sciences › Health Professions › General Health Professions › Healthcare professionals’ stress and burnout
- Social Sciences › Psychology › Social Psychology › Stress and Burnout Research
- Health Sciences › Health Professions › Occupational Therapy › Occupational Health and Burnout
- Keywords
- burnout, medical students, prevalence, emotional exhaustion, depersonalization, personal accomplishment, gender differences, cross-national comparison, preventive strategies
- MeSH terms
- Burnout, Psychological, Emotions, Humans, Internship and Residency, Sex Factors, Students, Medical, Prevalence
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