The Burden of Burnout and Importance of Mentorship for Preclinical Medical Students: Perspectives From a Public University Medical School.

Angela Kristo, Elizabeth M Petty
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Abstract

Background: Physician burnout often stems from burnout in medical students that began during the first year of medical education. Individual factors contributing to burnout must be considered within the demands of rigorous curricula and personal ambitions. This study focused on understanding how burnout is perceived by students and the impact mentorship had on its incidence and onset.

Methods: A literature review guided the development of a facilitator guide that outlined factors causing burnout. Preclinical medical students from the University of Wisconsin School of Medicine and Public Health were recruited for online focus groups. Responses were analyzed using hierarchical inductive coding, and identified themes were utilized to create a 2-part electronic Qualtrics survey focused on key aspects and timepoints of burnout. Part A of the survey was sent the summer after the first year of medical school (M1), and Part B was sent after the final course of the second year (M2).

Results: Nineteen percent of students agreed they entered medical school burnt out. The percentage of survey respondents who were not burnt out at each consecutive block in their first year decreased from 80% during the first block to 20% at the beginning of the last block. Focus group and survey results found that mentorship had positive effects on burnout, and students noted increased needs for mental health services.

Conclusions: Understanding key pressure points and essential resources for addressing student burnout allows for improved education and personal outcomes. Alleviating factors were strong mentorship, mental health resources, and streamlined faculty communication. Increasing burnout highlights the importance of interventions to reduce long-lasting effects on student performance and well-being.

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临床前医学生的职业倦怠负担和导师制的重要性:来自公立大学医学院的视角。
背景:医生的职业倦怠往往源于医学生在医学教育第一年开始的职业倦怠。必须在严格的课程要求和个人抱负的范围内考虑导致职业倦怠的个人因素。本研究的重点是了解学生是如何看待职业倦怠的,以及导师对职业倦怠发生率和发病率的影响:方法:在文献综述的指导下,编写了一份促进者指南,概述了导致职业倦怠的因素。招募威斯康星大学医学与公共卫生学院的临床前医学生参加在线焦点小组。我们采用分层归纳编码法对回复进行了分析,并利用确定的主题创建了一份由两部分组成的电子 Qualtrics 调查表,重点关注职业倦怠的关键方面和时间点。调查的 A 部分在医学院第一年(M1)结束后的暑假发送,B 部分在第二年(M2)最后一门课程结束后发送:结果:19%的学生认为他们在进入医学院时感到倦怠。在第一年的每个连续学段中,没有倦怠感的调查对象比例从第一学段的 80% 下降到最后一个学段开始时的 20%。焦点小组和调查结果显示,导师制对职业倦怠有积极影响,学生对心理健康服务的需求有所增加:结论:了解解决学生职业倦怠问题的关键压力点和必要资源,有助于改善教育和个人成果。缓解因素包括强有力的导师制、心理健康资源和简化的教师沟通。职业倦怠的增加凸显了干预措施的重要性,以减少对学生成绩和福祉的长期影响。
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