A Multi-institutional Study Exploring the Impact of Positive Mental Health on Medical Students’ Professionalism in an Era of High Burnout
Abstract
PURPOSE: Although burnout is associated with erosion of professionalism and serious personal consequences, whether positive mental health can enhance professionalism and how it shapes personal experience remain poorly understood. The study simultaneously explores the relationship between positive mental health and burnout with professionalism and personal experience. METHOD: The authors surveyed 4,400 medical students at seven U.S. medical schools in 2009 to assess mental health (categorized as languishing, moderate, and flourishing) and burnout. Additional items explored professional behaviors, beliefs, suicidal ideation, and serious thoughts of dropping out. RESULTS: A total of 2,682/4,400 (61%) responded. Prevalence of suicidal ideation (55/114 [48.2%], 281/1,128 [24.9%], and 127/1,409 [9.1%]) and serious thoughts of dropping out (15/114 [13.2%], 30/1,128 [2.7%], and 14/1,409 [1.0%]) decreased as mental health improved from languishing, moderate, and flourishing, respectively (all P < .0001); this relationship between personal experience and mental health persisted independent of burnout (all P < .001). As mental health improved, the prevalence of unprofessional behaviors (i.e., cheating and dishonest behaviors) also declined, whereas students' altruistic beliefs regarding physicians' responsibility toward society improved. For example, 33/113 (29.2%), 426/1,120 (38.0%), and 718/1,391 (51.6%) of students with languishing, moderate, and flourishing mental health endorsed all five altruistic professional beliefs (P < .0001). The relationship between professional beliefs and mental health persisted among students with burnout, whereas fewer relationships were found among students without burnout. CONCLUSIONS: Findings suggest that positive mental health attenuates some adverse consequences of burnout. Medical student wellness programs should aspire to prevent burnout and promote mental health.
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Total well-being scores (mean 43.03, SD 13.31) were significantly lower than those of a large multi-institutional sample of medical students in the United States (mean 47.0, SD 12.67; t2796=3.12; P=.002).
“Total well-being scores (mean 43.03, SD 13.31) were significantly lower than those of a large multi-institutional sample of medical students in the United States (mean 47.0, SD 12.67; t2796=3.12; P=.002)”
From Evaluation of an App-Delivered Psychological Flexibility Skill Training Intervention for Medical Student Burnout and Well-being: Randomized Controlled Trial (2023) · cites this paper as [95]
Improvements in well-being can offset adverse consequences of burnout (eg, unprofessional behaviors and suicidal ideation).
“previous research has shown that improvements in well-being can offset adverse consequences of burnout (eg, unprofessional behaviors and suicidal ideation) [95,98].”
From Evaluation of an App-Delivered Psychological Flexibility Skill Training Intervention for Medical Student Burnout and Well-being: Randomized Controlled Trial (2023) · cites this paper as [95]
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- Authors
- Dyrbye, L. N., Harper, W., Moutier, C., Durning, S. J., Power, D. V., Massie, F. S., Eacker, A., Thomas, M. R., Satele, D., Sloan, J. A., & Shanafelt, T. D.
- Affiliations
- Mayo Clinic (US)
- Corresponding author
- Dyrbye, Liselotte N.
- ORCID
- Venue
- Academic Medicine
- Publisher
- Oxford University Press (OUP)
- Published
- 2012-08
- Volume
- 87
- Issue
- 8
- Pages
- 1024-1031
- ISSN
- 1040-2446 (ISSN-L)
- OpenAlex
- W2060799864
- Cited by
- 169
- References
- 30
- Citations by year
- 2026: 9 · 2025: 7 · 2024: 15 · 2023: 12 · 2022: 14 · 2021: 20 · 2020: 17 · 2019: 11 · 2018: 15 · 2017: 17 · 2016: 10 · 2015: 8 · 2014: 8 · 2013: 5 · 2012: 1
- FWCI
- 12.51
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Academic Medicine (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Health Professions › General Health Professions › Healthcare professionals’ stress and burnout
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Innovations in Medical Education
- Social Sciences › Psychology › Social Psychology › Stress and Burnout Research
- Keywords
- positive mental health, medical student burnout, professionalism, eudaimonia, languishing, suicidal ideation, unprofessional behavior, cheating, medical education
- MeSH terms
- Adaptation, Psychological, Adult, Altruism, Mental Disorders, Burnout, Professional, Female, Humans, Interpersonal Relations, Male, Mental Health, Surveys and Questionnaires, Risk Factors, Schools, Medical, Student Dropouts, Students, Medical, United States, Prevalence, Statistics, Nonparametric, Suicidal Ideation
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