Assessment of burnout in medical students using the Maslach Burnout Inventory-Student Survey: a cross-sectional data analysis
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Abstract
Background: Medical student burnout can cause emotional and physical exhaustion and detachment. The objectives of this study were to evaluate burnout using the Maslach Burnout Inventory-Student Survey (MBI-SS), identify factors that may predict burnout, and assess wellness initiatives effectiveness at reducing burnout. Methods: The MBI-SS was administered to all medical students (Classes 2019 to 2022) at the University of Illinois College of Medicine (UICOM) from February to May 2019. Factor analysis and internal consistency of the MBI-SS were assessed. Mean MSBI-SS subscale scores for burnout were calculated for cynicism (CY), emotional exhaustion (EE), and academic efficacy (AE). Multiple regression analysis was used to identify student factors that may predict burnout. Results: A total of 273 (21.6%) UICOM students completed the survey and 110 (40.3%) respondents reported self-perceived burnout. MBI-SS subscale scores were significantly higher for CY and EE, and significantly lower for AE in students who reported suffering from burnout versus students who did not report burnout. Mean ± SD subscale scores for CY, EE, and AE in burnout students were 14.44 ± 5.59, 23.23 ± 4.74, and 24.81 ± 5.35, respectively. In comparison, mean ± SD subscale scores for CY, EE, and AE in non-burnout students were 7.59 ± 5.16, 14.96 ± 5.71, and 28.74 ± 3.21, respectively. Regression analysis denoted significant associations between burnout and being out-of-phase in the curriculum, the effectiveness of wellness initiatives, and strength of motivation for medical school (SMMS) in both the two- and three-dimensional MBI-SS models. Gender was significantly associated with burnout in only the two-dimensional model. Conclusions: Self-reported burnout in medical students at UICOM was validated using the MBI-SS. Being out-of-phase in the curriculum, being female, rating wellness initiatives as less effective, and demonstrating lower motivation for continued medical school education may be used as predictors of medical student burnout. This investigation may act as a guide for measuring burnout in medical student populations and how the implementation of wellness initiatives may ameliorate burnout.
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Medical students' cynicism scores (mean 10.87, SD 6.92) were significantly lower than those of the burnout sample (mean 14.44, SD 5.59; t216=4.19; P<.001) but higher than those of the nonburnout sample (mean 7.59, SD 5.16; t269=4.46; P<.001).
“cynicism scores (mean 10.87, SD 6.92) significantly lower than those of the burnout sample (mean 14.44, SD 5.59; t216=4.19; P<.001) but higher than those of the nonburnout sample (mean 7.59, SD 5.16; t269=4.46; P<.001)”
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 [66]
Table 2 in the Results reports cynicism scores of 14.44 ± 5.59 for the burnout group and 7.59 ± 5.16 for the nonburnout group. It does not report the 10.87 ± 6.92 score or the stated t-tests comparing that score with its groups; its P-value concerns the comparison between its own burnout and nonburnout groups. (LLM, conf=0.90)
Experimental — accuracy not yet measuredMedical students' exhaustion levels (mean 16.29, SD 7.20) were comparable with those of a sample of medical students not experiencing burnout (mean 14.96, SD 5.71; t269=1.69; P=.09).
“exhaustion levels (mean 16.29, SD 7.20) comparable with those of a sample of medical students not experiencing burnout (mean 14.96, SD 5.71; t269=1.69; P=.09)”
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 [66]
Table 2 in the Results reports emotional exhaustion of 14.96 ± 5.71 for medical students who did not report burnout, matching the comparison group. It does not report the claimed 16.29 ± 7.20 group or the t(269)=1.69, P=.09 comparison; its burnout group instead scored 23.23 ± 4.74, with P=.001 versus the non-burnout group. (LLM, conf=0.88)
Experimental — accuracy not yet measuredMedical students' academic efficacy scores (mean 24.69, SD 6.47) were comparable with those of medical students who perceived themselves to be high in burnout (mean 24.81, SD 5.35; t216=0.15; P=.88).
“academic efficacy scores (mean 24.69, SD 6.47) comparable with those of medical students who perceived themselves to be high in burnout (mean 24.81, SD 5.35; t216=0.15; P=.88)”
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 [66]
Table 2 in the Results reports an academic efficacy mean of 24.81 (SD 5.35) for students reporting burnout, matching the cited comparator. It does not report the other mean of 24.69 (SD 6.47) or the stated t-test and P value; its own comparison is with students not reporting burnout, whose mean was 28.74 (SD 3.21; P=.001). (LLM, conf=0.88)
Experimental — accuracy not yet measuredThe reliability of the MBI-GS (S) has been demonstrated among medical students.
“The reliability of the MBI-GS (S) has been demonstrated among medical students [66,83].”
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 [66]
The Results (Table 2; page not provided) report acceptable internal consistency for the MBI-SS among 273 medical students, with subscale Cronbach’s alpha values of 0.769–0.858. The Discussion calls the MBI-SS an adaptation of the General Survey, but the paper does not identify it as the MBI-GS (S) or establish that the two labels refer to the same instrument. (LLM, conf=0.84)
Experimental — accuracy not yet measuredBaseline exhaustion and cynicism scores for this sample were suggestive of low levels of burnout compared with reference medical student samples.
“baseline exhaustion and cynicism scores for this sample were suggestive of low levels of burnout compared with reference medical student samples [66]”
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 [66]
Research suggests that female medical students may be at greater risk of burnout.
“research suggests that female medical students may be at greater risk of burnout [34,66]”
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 [66]
Stand-alone apps offer accessibility when face-to-face delivery is not an option and can deliver brief training components at convenient times.
“Stand-alone apps offer accessibility in times when face-to-face delivery is not an option, such as during pandemic-related lockdowns [65], and can deliver brief training components at convenient times for those with busy schedules [64,66].”
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 [66]
The Discussion’s ‘Wellness initiatives’ section discusses campus services and their association with burnout, while Methods describes a web-based survey used to collect data. Neither addresses stand-alone apps delivering brief training at convenient times. Searches for apps, remote delivery, lockdowns, and flexible training found no supporting passage in our copy. (LLM, conf=0.78)
Experimental — accuracy not yet measured
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I Encuentro Internacional de Grupos de Investigación Científica : libro de revisiones
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Review: Burnout in medical students: A longitudinal study in a Portuguese medical school — R1/PR7
(2023) · Cambridge Prisms Global Mental Health · doi:10.1017/gmh.2023.61.pr7
Decision: Burnout in medical students: A longitudinal study in a Portuguese medical school — R1/PR9
(2023) · Cambridge Prisms Global Mental Health · doi:10.1017/gmh.2023.61.pr9
(2023) · Cambridge Prisms Global Mental Health · doi:10.1017/gmh.2023.61.pr8
Martins, M. (2023) · Cambridge Prisms Global Mental Health · doi:10.1017/gmh.2023.61.pr6
Decision: Burnout in medical students: A longitudinal study in a Portuguese medical school — R0/PR5
(2023) · Cambridge Prisms Global Mental Health · doi:10.1017/gmh.2023.61.pr5
(2023) · Cambridge Prisms Global Mental Health · doi:10.1017/gmh.2023.61.pr4
Review: Burnout in medical students: A longitudinal study in a Portuguese medical school — R0/PR3
(2023) · Cambridge Prisms Global Mental Health · doi:10.1017/gmh.2023.61.pr3
Review: Burnout in medical students: A longitudinal study in a Portuguese medical school — R0/PR2
(2023) · Cambridge Prisms Global Mental Health · doi:10.1017/gmh.2023.61.pr2
Martins, M. (2023) · Cambridge Prisms Global Mental Health · doi:10.1017/gmh.2023.61.pr1
Fatores associados à Síndrome de Burnout e a procrastinação em graduandos de medicina
Alves, A. M. C., de Moura, M. E. P. P. L., & Moura, H. D. S. (2023) · Brazilian Journal of Health Review · doi:10.34119/bjhrv6n6-225
Syahrin, S. A., & Kusdiyati, S. (2024) · Bandung Conference Series Psychology Science · doi:10.29313/bcsps.v4i1.10031
Luna, M. A. C., Badaró, R. J. D. S., Pinho, C. S., Caria, A. C. I., Lins-Kusterer, L., & Aras, R. (2024) · International Journal of Nursing and Health Care Research · doi:10.29011/2688-9501.101544
- Authors
- Obregon, M., Luo, J., Shelton, J., Blevins, T., & MacDowell, M.
- Affiliations
- University of Illinois Chicago, Rockford campus (US)
- Corresponding author
- Shelton, Jarod
- Venue
- BMC Medical Education
- Published
- 2020-10-21
- Volume
- 20
- Issue
- 1
- Pages
- 376-376
- ISSN
- 1472-6920 (ISSN-L)
- PMC
- PMC7579892
- OpenAlex
- W3094330568
- Cited by
- 130
- References
- 55
- Citations by year
- 2026: 19 · 2025: 25 · 2024: 25 · 2023: 31 · 2022: 21 · 2021: 9
- FWCI
- 15.87
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- BMC Medical Education (publishedVersion, cc-by)
- Research Square (acceptedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- 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
- medical student burnout, Maslach Burnout Inventory-Student Survey, emotional exhaustion, cynicism, academic efficacy, wellness programs, gender differences, predictors of burnout, medical education, student well-being, scale validation, burnout prevalence, gender differences in burnout
- MeSH terms
- Burnout, Psychological, Data Analysis, Burnout, Professional, Cross-Sectional Studies, Female, Humans, Psychometrics, Surveys and Questionnaires, Students, Medical
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