scholarly journals Relationship between medical students’ negative perceptions of colleagues’ work–life and burn-out during clerkships: a longitudinal observational cohort study

BMJ Open ◽  
2021 ◽  
Vol 11 (10) ◽  
pp. e049672
Author(s):  
Yung Kai Lin ◽  
Blossom Yen-Ju Lin ◽  
Chia-Der Lin ◽  
Der-Yuan Chen
Keyword(s):  
Cohort Study ◽  
Medical Students ◽  
Work Life ◽  
Work Life Balance ◽  
Undergraduate Medical Students ◽  
Life Balance ◽  
Contagion Effects ◽  
Quality Of Life Scale ◽  
Burn Out ◽  
Negative Perceptions

ObjectiveBecause work and educational environments are closely related and can affect each other, this study examined whether medical students’ negative perceptions of their colleagues’ work–life balance (NWLB) during their clinical rotations would be related to burn-out in clerkships and investigated the effect of students’ gender on this relationship.DesignA longitudinal, prospective 2-year cohort study conducted between September 2013 and April 2015.SettingMedical students from a university school of medicine in Taiwan.ParticipantsOne voluntary cohort of undergraduate medical students in clerkships was invited to participate. Among 190 medical students recruited in September 2013, a total of 124 students provided written informed consent. Participants were free to decide whether to complete each survey; therefore, varying numbers of responses were obtained during the study period. Those who responded to our survey for more than 6 months were included in our analyses. Overall, 2128 responses from 94 medical students were analysed, with each student providing an average of 23 responses for 2 years.Primary outcome measureBurn-out was measured using the Professional Quality of Life Scale.ResultsOur study found that a strong NWLB was related to high burn-out levels among medical students during their clerkships (p<0.001). However, the gender of the student had no effect on this relationship (p>0.05). In addition, our study indicated that medical students living with a companion had decreased burn-out levels than did those living alone during their clerkships.ConclusionsThe significance of policies promoting employee work–life balance should be emphasised because of the potential for social contagion effects on medical students. Clerkship trainees might be vulnerable to such negative contagion effects during the transition to their early clinical workplace training and may, therefore, require advanced socialisation and mentoring.

scholarly journals Gender, Flexibility Stigma and the Perceived Negative Consequences of Flexible Working in the UK

2018 ◽  
Vol 151 (2) ◽  
pp. 521-545 ◽  
Author(s):  
Heejung Chung
Keyword(s):  
Gender Differences ◽  
Work Life ◽  
Working Time ◽  
Work Life Balance ◽  
Negative Consequences ◽  
Life Balance ◽  
Flexible Working ◽  
Part Time ◽  
Negative Perceptions ◽  
The Uk

AbstractThis study examines the prevalence and the gender differences in the perceptions and experiences of flexibility stigma—i.e., the belief that workers who use flexible working arrangements for care purposes are less productive and less committed to the workplace. This is done by using the 4th wave of the Work-Life Balance Survey conducted in 2011 in the UK. The results show that 35% of all workers agree to the statement that those who work flexibly generate more work for others, and 32% believe that those who work flexibly have lower chances for promotion. Although at first glance, men are more likely to agree to both, once other factors are controlled for, women especially mothers are more likely to agree to the latter statement. Similarly, men are more likely to say they experienced negative outcomes due to co-workers working flexibly, while again mothers are more likely to say they experienced negative career consequences due to their own flexible working. The use of working time reducing arrangements, such as part-time, is a major reason why people experience negative career outcomes, and can partially explain why mothers are more likely to suffer from such outcomes when working flexibly. However, this relationship could be reverse, namely, the stigma towards part-time workers may be due to negative perceptions society hold towards mothers’ commitment to work and their productivity. In sum, this paper shows that flexibility stigma is gendered, in that men are more likely to discriminate against flexible workers, while women, especially mothers, are more likely to suffer from such discrimination.

Burn-on statt Burn-out: Selbstfürsorge und funktionale Bewältigungsstrategien schützen PsychotherapeutInnen vor psychischen Belastungen während der Corona-Pandemie

2021 ◽  
Author(s):  
Laura Schwartzkopff ◽  
Johanna Schüller ◽  
Meike Müller-Engelmann
Keyword(s):  
Work Life ◽  
Psychische Belastung ◽  
Work Life Balance ◽  
Life Balance ◽  
Präventive Maßnahmen ◽  
Burn Out

Zusammenfassung Ziel der Studie Durch die Corona-Pandemie sind PsychotherapeutInnen mit neuen beruflichen Herausforderungen konfrontiert. Im Hinblick auf die zu gewährleistende PatientInnenversorgung, erscheint die Frage nach Risiko- und Schutzfaktoren zum Erhalt des Wohlbefindens während der Pandemie relevant, um Folgeerscheinungen wie Burnout vorzubeugen. Dies ist die erste Studie, die den Einfluss von Bewältigungs- und Selbstfürsorgestrategien auf die psychische Belastung ambulant arbeitender PsychotherapeutInnen in Deutschland während der Corona-Pandemie untersuchte. Methodik Von April bis Juni 2020 nahmen 155 PsychotherapeutInnen an der Online-Fragebogenstudie teil. Untersucht wurden neben beruflichen Veränderungen, die Stressbelastung, Burnout-Symptome und das Wohlbefinden. Darüber hinaus wurde der Einfluss aktiver und vermeidender Bewältigungsstrategien sowie verschiedener Arten der Selbstfürsorge (z. B. berufliche Unterstützung, Achtsamkeit für arbeitsbezogenen Stress und die Balance zwischen Berufs- und Privatleben) auf die psychische Belastung untersucht. Ergebnisse PsychotherapeutInnen waren während der Pandemie im Schnitt 1,22 Stunden pro Woche weniger therapeutisch tätig als vor der Pandemie. 38% der Behandlungen erfolgten per Videotherapie. Vermeidende Bewältigungsstrategien waren mit einem erhöhten Stresserleben assoziiert, was wiederum höhere Burnout-Werte und ein geringeres Wohlbefinden vorhersagte. Eine gute Work-Life-Balance, eine gute tägliche Balance im Arbeitsalltag und aktive Bewältigungsstrategien wirkten sich hingegen positiv aus. Entgegen der Erwartung hing Achtsamkeit für berufsbezogenen Stress mit einem geringeren Wohlbefinden zusammen. Diskussion Die Balance zwischen Berufs- und Privatleben kann als eine präventive Maßnahme dienen, um Stress während der Corona-Pandemie zu reduzieren und dadurch das Burnoutrisiko zu senken und das Wohlbefinden zu verbessern. Vermeidende Bewältigungsstrategien stellen hingegen einen Risikofaktor für ein erhöhtes Stresserleben während der Pandemie dar und begünstigen Burnout sowie ein geringeres Wohlbefinden. Schlussfolgerung Diese Studie lieferte Hinweise darauf, wo präventive Maßnahmen zur Stressprophylaxe und zum Erhalt des Wohlbefindens von PsychotherapeutInnen perspektivisch ansetzen könnten, um dazu beizutragen, dass diese Ihre PatientInnen während der Pandemie weiterhin gut versorgen können.

Work–life balance: Break or burn out

Nature ◽  
2017 ◽  
Vol 545 (7654) ◽  
pp. 375-377 ◽  
Author(s):  
Kendall Powell
Keyword(s):  
Work Life ◽  
Work Life Balance ◽  
Life Balance ◽  
Burn Out

scholarly journals Views of Japanese medical students on the work-life balance of female physicians

2017 ◽  
Vol 8 ◽  
pp. 165-169 ◽  
Author(s):  
Keiko Takahashi ◽  
Tomoni Nin ◽  
Megumi Akano ◽  
Yukiko Hasuike ◽  
Hiroko Iijima ◽  
...  
Keyword(s):  
Medical Students ◽  
Work Life ◽  
Work Life Balance ◽  
Female Physicians ◽  
Life Balance

Characteristics of graduating US allopathic medical students pursuing a career in neurology

Neurology ◽  
2019 ◽  
Vol 92 (17) ◽  
pp. e2051-e2063 ◽  
Author(s):  
Laurie Gutmann ◽  
Carolyn Cahill ◽  
Justin T. Jordan ◽  
Charlene E. Gamaldo ◽  
Veronica Santini ◽  
...  
Keyword(s):  
Medical Students ◽  
Medical School ◽  
Selection Response ◽  
Specialty Choice ◽  
Work Life ◽  
Work Life Balance ◽  
Mentoring Programs ◽  
Life Balance ◽  
Factors Associated ◽  
Student Questionnaire

ObjectivesTo identify factors associated with medical students becoming neurologists because, despite the increasing burden of neurologic disorders, there is a growing neurologist shortage.MethodsDeidentified data from the Association of American Medical Colleges Matriculating Student Questionnaire (MSQ) and Graduation Questionnaire (GQ) were obtained for the graduation years 2013 to 2014 through 2016 to 2017. Logistic regression was used to assess demographic characteristics and responses to training and career-related questions in association with specialty choice (intent to enter neurology).ResultsOf the 51,816 students with complete data, 1,456 (2.8%) indicated an intent to enter a neurology residency. Factors associated with an increased likelihood of entering neurology were a student's rating of excellent for their basic neuroscience course and neurology clerkship, participation in an MD/PhD program, majoring in neuroscience or psychology as an undergraduate, a selection response of “content of the specialty was a strong influence on career choice,” and indicating interest in neurology on the MSQ. Factors associated with a decreased likelihood of entering neurology were a higher-priority response on the GQ for salary, work/life balance, and personal fit of the specialty.ConclusionData from surveys at the entry into and graduation from medical school suggest several approaches to increase the number of medical students entering neurology, including a focus on the student-reported quality of the basic neuroscience course and neurology clerkships, targeted engagement with MD/PhD students, and mentoring programs for students interested in neurology. Efforts to improve salaries for neurologists, to reduce medical school debt, and to improve work/life balance may also help to attract more students.

scholarly journals Work-life balance in medical students: self-care in a culture of self-sacrifice

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Aled Picton
Keyword(s):  
Medical Students ◽  
Time Management ◽  
Study Skills ◽  
Self Care ◽  
Work Life ◽  
Work Life Balance ◽  
Free Text ◽  
Significant Shift ◽  
Medical Council ◽  
Life Balance

Abstract Background Work-life balance is a key contributor to doctors’ wellbeing and consequently is a central factor in their career decisions. General Medical Council guidance outlines the importance of work-life balance as part of compassionate self-care. Learning self-care should begin as an undergraduate, when academic and clinical workload can contribute to stress, anxiety and burnout. Methods Sequential mixed methods study of medical students in Years 3–5 at the University of Birmingham, UK. Students (n = 145) defined work-life balance in free-text answers and self-assessed their current work-life balance via questionnaires. Following this, a sub-sample of students (n = 44) participated in exploratory individual mini-interviews. Results Work-life balance emerged as a broad and multifactorial concept. Questionnaire respondents most frequently referenced enjoyment, meeting work requirements and time management in their definitions. Interview participants highlighted additional influencing factors such as peer groups, study skills, family and professional culture. Students expect a significant shift towards work after graduating and expressed concerns about the stresses of delivering patient care. 42% (n = 60) of students felt they had received support with their work-life balance during their training, mostly from family and friends. Most students had not received support or advice on their work-life balance from University or hospital staff. Conclusion Self-care and work-life balance are essential for medical students and doctors to cope with lifelong learning and deliver effective care. Medical school staff should be pro-active in supporting students to develop these skills, particularly during critical transition periods. Early interventions targeting study skills and time management may be beneficial. Further research should include students in Years 1–2 and compare different institutions.

scholarly journals When burn-out reaches a pandemic level in gastroenterology: a call for a more sustainable work–life balance

2021 ◽  
pp. flgastro-2020-101725
Author(s):  
Nikki Duong ◽  
Steven Bollipo ◽  
Aparna Repaka ◽  
Shaji Sebastian ◽  
Christina Tennyson ◽  
...  
Keyword(s):  
Work Life ◽  
Work Life Balance ◽  
Life Balance ◽  
Burn Out

scholarly journals Forty-five good things: a prospective pilot study of the Three Good Things well-being intervention in the USA for healthcare worker emotional exhaustion, depression, work–life balance and happiness

BMJ Open ◽  
2019 ◽  
Vol 9 (3) ◽  
pp. e022695 ◽  
Author(s):  
J Bryan Sexton ◽  
Kathryn C Adair
Keyword(s):  
Pilot Study ◽  
Emotional Exhaustion ◽  
Well Being ◽  
Work Life ◽  
Effect Sizes ◽  
Work Life Balance ◽  
Depression Symptoms ◽  
Life Balance ◽  
Prospective Pilot Study ◽  
Burn Out

ObjectivesHigh rates of healthcare worker (HCW) burn-out have led many to label it an ‘epidemic’ urgently requiring interventions. This prospective pilot study examined the efficacy, feasibility and evaluation of the ‘Three Good Things’ (3GT) intervention for HCWs, and added burn-out and work–life balance to the set of well-being metrics.Methods228 HCWs participated in a prospective, repeated measures study of a web-based 15-day long 3GT intervention. Assessments were collected at baseline and 1, 6 and 12-month post-intervention. The primary measure of efficacy was a derivative of the emotional exhaustion subscale of the Maslach Burnout Inventory. The secondary measures were validated instruments assessing depression symptoms, subjective happiness, and work–life balance. Paired samples t-tests and Cohen’s d effect sizes for correlated samples were used to examine the efficacy of the intervention.Results3GT participants exhibited significant improvements from baseline in emotional exhaustion, depression symptoms and happiness at 1 month, 6 months and 12 months, and in work–life balance at 1 month and 6 months (effect sizes 0.16–0.52). Exploratory subgroup analyses of participants meeting ‘concerning’ criteria at baseline revealed even larger effects at all assessment points (0.55–1.57). Attrition rates were similar to prior 3GT interventions.Conclusion3GT appears a promising low-cost and brief intervention for improving HCW well-being.Ethics and disseminationThis study is approved by the Institutional Review Board of Duke University Health System (Pro00063703). All participants are required to give their informed consent prior to any study procedure.

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