scholarly journals Medical Studies during the COVID-19 Pandemic: The Impact of Digital Learning on Medical Students’ Burnout and Mental Health

2021 ◽  
Vol 18 (1) ◽  
pp. 349
Author(s):  
Panagiotis Zis ◽  
Artemios Artemiadis ◽  
Panagiotis Bargiotas ◽  
Antonios Nteveros ◽  
Georgios M. Hadjigeorgiou
Keyword(s):  
Mental Health ◽  
Medical Students ◽  
Emotional Exhaustion ◽  
Short Form ◽  
Maslach Burnout Inventory ◽  
Junior Doctors ◽  
Digital Learning ◽  
Student Survey ◽  
Medical Studies ◽  
The Impact

Objectives: The aim of this ecological study was to investigate what the impact of digital learning due to the COVID-19 pandemic was on the burnout and overall mental health (MH) of medical students. Background: During the unprecedented era of the COVID-19 pandemic, the majority of countries worldwide adopted very strong measures. Universities closed their doors, and education continued through digital learning lectures. Methods: An anonymous questionnaire was administered to all 189 eligible candidates before and during the COVID-19 pandemic. Mental health was assessed via the MH domain of the 36-item Short Form Health Survey (SF-36) and burnout with the Maslach Burnout Inventory—Student Survey (MBI-SS). Results: The overall response rate was 81.5%. The overall burnout prevalence did not differ significantly between the two periods (pre-COVID-19 18.1% vs. COVID-19 18.2%). However, the burnout prevalence dropped significantly in year 4 (pre-COVID-19 40.7% vs. COVID-19 16.7%, p = 0.011), whereas it increased significantly in year 6 (pre-COVID-19 27.6% vs. COVID-19 50%, p = 0.01). When looking at each MBI-SS dimension separately, we found that emotional exhaustion decreased significantly in year 4 but increased in year 6, and cynicism increased in all years. The overall MH deteriorated significantly between the two periods (pre-COVID-19 58.8 ± 21.6 vs. COVID-19 48.3 ± 23, p < 0.001). Conclusions: Digital learning in medical studies carries significant risks. Not only does the MH deteriorate, but cynicism levels also increase. Emotional exhaustion was found to increase particularly in final year students, who struggle with the lack of clinical experience just before they start working as qualified junior doctors.

scholarly journals Medical studies during the COVID-19 pandemic: the impact of digital learning on burnout and mental health

2020 ◽  
Author(s):  
Panagiotis Zis ◽  
Artemios Artemiadis ◽  
Panagiotis Bargiotas ◽  
Antonios Nteveros ◽  
Georgios M. Hadjigeorgiou
Keyword(s):  
Mental Health ◽  
Emotional Exhaustion ◽  
Short Form ◽  
Maslach Burnout Inventory ◽  
Junior Doctors ◽  
Digital Learning ◽  
Student Survey ◽  
Medical Studies ◽  
Sf 36 ◽  
The Impact

Abstract Objectives: The aim of this ecological study was to investigate what the impact of digital learning due to the COVID-19 pandemic was on the burnout and the overall mental health (MH) of medical students.Background: During the unprecedent era of COVID-19 pandemic, the majority of countries worldwide adopted very strong measurements. The universities closed their doors and the education continued through digital learning lectures.Methods: An anonymous questionnaire was administered to all 189 eligible candidates before and during the COVID-19 pandemic. Mental health was assessed via the MH domain of the 36-item Short Form Health Survey (SF-36) and burnout with the Maslach Burnout Inventory – Student Survey (MBI-SS).Results: Overall response rate was 81.5%. The overall burnout prevalence did not differ significantly between the two periods (pre COVID-19 18.1% vs COVID-19 18.2%). However, the burnout prevalence dropped significantly in year 4 (pre COVID-19 40.7% vs COVID-19 16.7%, p=0.011) whereas it increased significantly in year 6 (pre COVID-19 27.6% vs COVID-19 50%, p=0.01). When looking each MBI-SS dimension separately, we found that emotional exhaustion decreased significantly in year 4 but increased in year 6 and cynicism increased in all years. The overall MH deteriorated significantly between the two periods (pre COVID-19 58.8±21.6 vs COVID-19 48.3±23, p<0.001). Conclusions: Digital learning in medical studies carries significant risks. Not only the MH deteriorates the cynicism levels increase. Emotional exhaustion increases particularly in final year students, who struggle with the lack of clinical experience just before they start working as qualified junior doctors.

Burnout and neurotic symptoms among medical students

2016 ◽  
Vol 33 (S1) ◽  
pp. S327-S328 ◽  
Author(s):  
A. Tereszko ◽  
K. Drozdowicz ◽  
M. Szymura ◽  
A. Tuleja ◽  
W. Korzeniowski ◽  
...  
Keyword(s):  
Mental Health ◽  
Medical Students ◽  
Medical Profession ◽  
Maslach Burnout Inventory ◽  
Symptom Checklist ◽  
Student Survey ◽  
Medical Studies ◽  
Significant Difference ◽  
Competing Interest ◽  
The Impact

IntroductionMedical studies are considered one of the most stressful majors and the medical profession is one of the most at risk of burnout. Some studies indicate the presence of symptoms of burnout already in the early stages of career, or even before it started, i.e. during studies preparing for the profession. Medical studies may be such a case and it can affect the mental health deterioration and cause the occurrence of both burnout and neurotic symptoms.ObjectivesAssessment of the impact of the course of studies on mental health of students and the risk of rapid burnout.AimEstimation of the prevalence and severity of burnout and neurotic symptoms among medical student depending on the year of study.MethodsSeven hundred and eighty-one medical students participated in the study. We used translated version of Maslach Burnout Inventory-Student Survey and Polish questionnaire – Symptom checklist S-III – for neurotic symptoms assessment.ResultsThere was no significant difference in MBI-SS subscales and symptoms checklist between first and last year of studies. Difference turned out to be significant when 1st and 6th year students with 3rd year – in Symptom checklist (P < 0.01 and P < 0.05, respectively), MBI-SS emotional exhaustion subscale (P < 0.01 for both) and depersonalization subscale (P < 0.01, significant only when compared with 1st year students).ConclusionsStudy revealed interesting pattern of burnout and neurotic symptoms, with theirs greatest severity at the beginning and the end of studies.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals Burnout among medical students in Cyprus: A cross-sectional study

PLoS ONE ◽  
2020 ◽  
Vol 15 (11) ◽  
pp. e0241335 ◽  
Author(s):  
Antonios Nteveros ◽  
Marios Kyprianou ◽  
Artemios Artemiadis ◽  
Antrianthi Charalampous ◽  
Kallistheni Christoforaki ◽  
...  
Keyword(s):  
Mental Health ◽  
Medical Students ◽  
Sleep Quality ◽  
Short Form ◽  
Maslach Burnout Inventory ◽  
Healthcare Sector ◽  
Poor Sleep ◽  
Student Survey ◽  
Cross Sectional ◽  
Linear Effect

Objectives The primary aim was to estimate the burnout prevalence among all medical students at the Medical School of the University of Cyprus. Secondary aims were to ascertain the predictors of burnout and its relationship with lifestyle habits, sleep quality and mental health. Background Burnout in the healthcare sector has drawn significant scientific attention over the last few years. Recent research underscored the large burden of profession-related burnout among medical students. Materials and methods An anonymous questionnaire was administered to all 189 eligible candidates. This included demographic and lifestyle characteristics. Sleep quality was assessed via the Pittsburg Sleep Quality Index, mental health was assessed via the mental health (MH) domain of the 36-item Short Form Health Survey (SF-36) and burnout with the Maslach Burnout Inventory–Student Survey (MBI-SS). Results Overall response rate was 96.3%. The burnout prevalence was 18.1%. There was a significant linear effect of between the year of studies and the burnout frequency [F(1) = 5.09, p = 0.024], implying that with increasing academic year there were more students with burnout, especially after the 4th year of education which signifies the beginning of clinical education. Students with burnout were more likely to have poor sleep quality (90.9% vs. 60.8%, odds ratio 4.33, p = 0.023) and worse mental health (MH score 40.2 ± 17.7 vs 62.9 ± 20.3, p<0.001). Alcohol consumers had more symptoms of cynicism and less feelings of efficacy than non-alcohol consumers. Moreover, less feelings of efficacy were significantly associated with more alcohol consumption among alcohol consumers. Conclusions Burnout is prevalent in medical students and increases significantly during the clinical years. Students with burnout have worse sleep and mental health and might use alcohol as a coping mechanism. Implementing prevention strategies of burnout may be beneficial.

scholarly journals Experiences of renal healthcare practitioners during the COVID-19 pandemic: a multi-methods approach

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Clare Mc Keaveney ◽  
Joanne Reid ◽  
Claire Carswell ◽  
Ann Bonner ◽  
Ilaria de Barbieri ◽  
...  
Keyword(s):  
Mental Health ◽  
Emotional Exhaustion ◽  
Online Survey ◽  
General Health Questionnaire ◽  
Maslach Burnout Inventory ◽  
Future Research ◽  
Structured Interviews ◽  
Health Distress ◽  
Mental Health Distress ◽  
The Impact

Abstract Background Globally, renal healthcare practitioners provide intensive and protracted support to a highly complex multi-morbid patient population however knowledge about the impact of COVID-19 on these practitioners is extremely limited. Objective This study aimed to explore the experiences of COVID-19 with renal healthcare practitioners during the first global lockdown between June 2020 and September 2020. Methods A multi-methods approach was carried out including a quantitative survey and qualitative interviews. This was a multinational study of renal healthcare practitioners from 29 countries. Quantitative: A self-designed survey on COVID-19 experiences and standardised questionnaires (General Health Questionnaire-12; Maslach Burnout Inventory). Descriptive statistics were generated for numerical data. Qualitative: Online semi-structured interviews were conducted. Data was subjected to thematic analysis. Renal healthcare practitioners (n = 251) completed an online survey. Thirteen renal healthcare practitioners took part in semi-structured interviews (12 nurses and 1 dietician). Results The majority of participants surveyed were female (86.9 %; n = 218), nurses (86.9 %; n = 218) with an average 21.5 (SD = 11.1) years’ experience since professional qualification, and 16.3 years (SD = 9.3) working in renal healthcare. Survey responses indicated a level of preparedness, training and satisfactory personal protective equipment during the pandemic however approximately 40.3 % experienced fear about attending work, and 49.8 % experienced mental health distress. The highest prevalence of burnout was emotional exhaustion (35.9 %). Three themes emerged from the qualitative analysis highlighting the holistic complexities in managing renal healthcare, a neglected specialist workforce, and the need for appropriate support at work during a pandemic. Conclusions Results have highlighted the psychological impact, in terms of emotional exhaustion and mental health distress in our sample of renal healthcare practitioners. As the pandemic has continued, it is important to consider the long-term impact on an already stretched workforce including the risk of developing mental health disorders. Future research and interventions are required to understand and improve the provision of psychological support for specialist medical and nursing personnel.

scholarly journals Epidemiology of Burnout and Its Association with Academic Performance Among Medical Students at Hail University, Saudi Arabia

2021 ◽  
Vol 21 (2) ◽  
pp. e231-236
Author(s):  
Ahmed H Aljadani ◽  
Ahmed Alsolami ◽  
Samiah Almehmadi ◽  
Ahmed Alhuwaydi ◽  
Anas Fathuldeen
Keyword(s):  
Saudi Arabia ◽  
Academic Performance ◽  
Medical Students ◽  
Emotional Exhaustion ◽  
Multivariate Logistic Regression Analysis ◽  
Maslach Burnout Inventory ◽  
Burnout Syndrome ◽  
Student Survey ◽  
Grade Point ◽  
Professional Efficacy

Objectives: Burnout syndrome is a condition that is well-documented globally among medical students and affects their academic performance due to high levels of associated stress and psychiatric morbidities. This study aimed to assess burnout prevalence and predictors along with its association with academic performance among medical students at Hail University, Saudi Arabia. Methods: A questionnaire-based cross-sectional survey of medical students was conducted between May and June 2019 at the Medical College at Hail University. The English version of the Maslach Burnout Inventory (MBI)-Student Survey was used to assess the three components of burnout syndrome— cynicism, emotional exhaustion and professional efficacy. A fixed-model multivariate logistic regression analysis was conducted for each of the three MBI components’ levels and for total burnout to identify factors significantly associated with burnout syndrome. Results: A total of 218 students were included in this study (response rate: 53.8%). The majority of participants were female (n = 121; 55.5%) medical students ranging between 21–24 years of age. High emotional exhaustion, high cynicism and low professional efficacy was found among 79.4%, 61.0%, and 37.6%, respectively, of respondents. The overall prevalence of high burnout was 27.1% (n = 59). Female students were at almost double the risk for high emotional exhaustion compared to male students (adjusted odds ratio [AOR] = 2.14, 95% confidence interval [CI]: 1.06–4.34; P = 0.034). Students with grade point averages (GPA; on a four-point scale) ranging between 3.51–4.0 were considerably less prone (83% less risk) to experience burnout as compared to students with a GPA ≤2.0 (AOR = 0.17, 95% CI = 0.03–0.91, P = 0.039). Conclusion: High levels of overall burnout were reported among Hail University medical students. Students with a higher GPA, however, were found to be less prone to burnout. Keywords: Burnout Syndrome; Medical Students; Fatigue; Stress; Saudi Arabia.

scholarly journals Burnout Prevalence and Associated Factors Among Brazilian Medical Students

2018 ◽  
Vol 14 (1) ◽  
pp. 188-195 ◽  
Author(s):  
Mariana Linhares Barbosa ◽  
Bárbara Lopes Rodrigues Ferreira ◽  
Thaís Nunes Vargas ◽  
George Martins Ney da Silva ◽  
Antonio Egidio Nardi ◽  
...  
Keyword(s):  
Medical Students ◽  
Emotional Exhaustion ◽  
Associated Factors ◽  
Maslach Burnout Inventory ◽  
Female Gender ◽  
Cross Sectional Study ◽  
Three Dimensions ◽  
Burnout Syndrome ◽  
Student Survey ◽  
Cross Sectional

Objectives: This study aims to identify the prevalence of burnout and associated factors in Brazilian medical students. Methods: In the largest medical school from Central Brazil, the Maslach Burnout Inventory-Student Survey and a socio-demographic questionnaire were adopted in this cross-sectional study. Correlations among the three dimensions of burnout were verified. Results: The evaluation of 399 students revealed a frequency of 12.0% of burnout. Women had a higher rate of burnout (8.0%) than men (4.0%). The fifth period had the higher frequency of burnout (27.1%), while the seventh grade had the lower frequency (2.1%). The students showed high scores only in emotional exhaustion (63.2%). Between the dimensions “emotional exhaustion” and “disbelief” found a significant correlation. Conclusion: The fifth period of the Medicine course and the female gender are the most affected by burnout syndrome and therefore, the preventive actions to reduce stress among medical students should be directed mainly at these higher risk categories. The low burnout rate found in our study can attest that the PBL methodology and medical schools strategically located to meet regional demand may represent strategies for the prevention of burnout among medical students.

scholarly journals Burnout among medical students of the University of Kerbala and its correlates

2021 ◽  
Vol 28 (1) ◽  
Author(s):  
Marwa Saad Yahya ◽  
Ali Abdulridha Abutiheen ◽  
Amer Fadhil Al- Haidary
Keyword(s):  
Medical Students ◽  
Emotional Exhaustion ◽  
Maslach Burnout Inventory ◽  
Female Gender ◽  
Burnout Syndrome ◽  
Student Survey ◽  
Online Questionnaire ◽  
Cross Sectional ◽  
Professional Efficacy ◽  
The University

Abstract Background Burnout is prevalent among medical students. Throughout their training, medical students face many psychosocial stresses that, if not managed, might cause burnout syndrome. Burnout could negatively impact students’ life and their academic performance. This study aims to estimate the prevalence of burnout among medical students at the College of Medicine, University of Kerbala, and assess factors associated with it. An analytic cross-sectional study. A sample of 424 students from all academic years from the College of Medicine, University of Kerbala, was approached. Data collection was conducted from June 11 to July 3, 2020, through a self-administered online questionnaire based on the Maslach Burnout Inventory Student Survey (MBI-SS). The MBI-SS included 15 questions with a 7-point rating ranging from 0 (never) to 6 (always). The tool measures three subscales: emotional exhaustion (5 questions), Cynicism (4 questions), and professional efficacy (6 questions). Statistical Package for the Social Sciences (SPSS) program version 24 was used for data analysis. Binary logistic regression was used to assess the association between burnout and students̓ variables, P value of a level < 0.05 considered statistically significant. Results The prevalence of burnout syndrome among medical students was 38.2%. About 85.6% of students had high emotional exhaustion, 77.8% had high cynicism, and 32.5% exhibited low professional efficacy. Female gender, regular use of legal substances, and family history of mental diseases were associated with significantly high rates of burnout. Conclusions Burnout is prevalent among medical students of the University of Kerbala with quite high levels of emotional exhaustion and cynicism and lower professional efficacy levels. Faculties of medicine need to consider burnout among their students and works to reduce unnecessary stresses by modifying and upgrading the educational and clinical environments.

scholarly journals Attitude of Gratitude: Evaluation of a Wellness Program to Improve Dispositional Gratitude Among Medical Students

2020 ◽  
Vol 2 (2) ◽  
pp. 1-5
Author(s):  
Amelia Phillips ◽  
◽  
Farina Klocksieben ◽  
Keyword(s):  
Mental Health ◽  
Medical Students ◽  
Medical Training ◽  
Short Form ◽  
Well Being ◽  
South Florida ◽  
Wellness Program ◽  
Intervention Participant ◽  
Dispositional Gratitude ◽  
The Impact

Introduction: Medical students face significant mental health challenges as they matriculate through medical training. Research has emphasized the need for more interventions that promote physician trainee well-being and resilience during the early stages of training. Recent interventions have shown to be effective in promoting mental health and well-being; however, no interventions have examined the impact that daily gratitude practice, which is linked to increased well-being, may have on dispositional gratitude levels among medical students. Methods: In Spring 2019, medical students at the University of South Florida were invited to participate in a gratitude program. Participants logged three good things that happened to them each day, for a period of 30 days. Their dispositional gratitude levels were assessed using the short-form Gratitude Resentment and Application Test (GRAT) before and after the 30-day intervention. Participant demographics and changes in GRAT scores from baseline to follow-up were examined. Results: Forty-six medical students volunteered to participate in a short-term, gratitude-focused wellness program. Overall levels of dispositional gratitude increased significantly among medical students (p<.001). While a significant increase in GRAT score was found among the thirty-five female participants (p<.001), no significant change was found among the eleven male participants (p=.154). GRAT scores increased significantly among both first- and second-year medical students (p=.001). However, no significant increases were reported among third- and fourth-year students (p=.109). GRAT scores increased significantly regardless of whether students used a tool to practice gratitude at baseline. Conclusion: Our results demonstrate that a 30-day gratitude practice program can improve dispositional gratitude among medical students, particularly among female students and pre-clinical students in years one and two.

scholarly journals Tired, Worried and Burned Out, but Still Resilient: A Cross-Sectional Study of Mental Health Workers in the UK during the COVID-19 Pandemic

2021 ◽  
Vol 18 (9) ◽  
pp. 4457
Author(s):  
Sofia Pappa ◽  
Joshua Barnett ◽  
Ines Berges ◽  
Nikolaos Sakkas
Keyword(s):  
Mental Health ◽  
Emotional Exhaustion ◽  
Organizational Support ◽  
Sleep Problems ◽  
Health Workers ◽  
Maslach Burnout Inventory ◽  
Cross Sectional Study ◽  
Mental Health Workers ◽  
Sectional Study ◽  
Cross Sectional

The burden of the COVID-19 pandemic on health systems and the physical and mental health of healthcare workers (HCWs) has been substantial. This cross-sectional study aims to assess the effects of COVID-19 on the psychological wellbeing of mental health workers who provide care to a vulnerable patient population that have been particularly affected during this crisis. A total of 387 HCWs from across a large urban mental health service completed a self-administered questionnaire consisting of socio-demographic, lifestyle and work-based information and validated psychometric scales. Depression and anxiety were measured using the Patient Health Questionnaire (PHQ-9) and the Generalized Anxiety Disorder Scale (GAD-7), respectively; sleep problems with the Athens Insomnia Scale (AIS); burnout with the Maslach Burnout Inventory (MBI); and resilience with the Resilience Scale-14 (RS-14). Multivariable logistic regression analysis was performed to determine potential mediating factors. Prevalence of burnout was notable, with 52% recording moderate/severe in Emotional Exhaustion, 19.5% moderate/severe in Depersonalisation, and 55.5% low/moderate Personal Accomplishment. Over half of all respondents (52%) experienced sleep problems; the presence of depressive symptoms was a significant predictor of insomnia. An increase in potentially harmful lifestyle changes, such as smoking, alcohol consumption and overeating was also observed. However, high Resilience was reported by 70% of the samples and the importance of this is highlighted. Female gender was associated with increased levels of depression and emotional exhaustion while those with a history of mental health conditions were most at risk of affective symptoms, insomnia, and burnout. Overall, our study revealed considerable levels of psychological distress and maladaptive coping strategies but also resilience and satisfaction with organizational support provided. Findings can inform tailored interventions in order to mitigate vulnerability and prevent long-term psychological sequelae.

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