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Screening for burn-out in Australian medical students undertaking a rural clinical placement

OBJECTIVE: To investigate Australian medical student burn-out during rural clinical placement. Second, to examine the association between perceived burn-out and rural career intent at the time of finishing their rural placement. DESIGN, SETTINGS AND PARTICIPANTS: The 2016 Federation of Rural Austral...

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Autores principales: Isaac, Vivian, McLachlan, Craig S, Walters, Lucie, Greenhill, Jennene
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6615879/
https://www.ncbi.nlm.nih.gov/pubmed/31289089
http://dx.doi.org/10.1136/bmjopen-2019-029029
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author Isaac, Vivian
McLachlan, Craig S
Walters, Lucie
Greenhill, Jennene
author_facet Isaac, Vivian
McLachlan, Craig S
Walters, Lucie
Greenhill, Jennene
author_sort Isaac, Vivian
collection PubMed
description OBJECTIVE: To investigate Australian medical student burn-out during rural clinical placement. Second, to examine the association between perceived burn-out and rural career intent at the time of finishing their rural placement. DESIGN, SETTINGS AND PARTICIPANTS: The 2016 Federation of Rural Australian Medical Educators evaluation survey is a cross-sectional study of medical students from 17 Australian universities. Specifically, those medical students who completed a full academic year or more at a Rural Clinical School (RCS). Responses from 638 medical students from regional Australia were analysed in the study of all eligible 756 medical students (response rate 84.3%). PRIMARY AND SECONDARY OUTCOME MEASURES: The primary objective was to determine self-reported burn-out (emotional exhaustion) in rural placements for medical students. Secondary outcome measures were designed to explore interactions with rural practice self-efficacy and rural intentions. Logistic regression models explored factors associated with burn-out. RESULTS: 26.5% of students reported experiencing burn-out during a rural placement. Factors associated with burn-out were female gender, rural origin, low preference for RCS, stress in the year prior to a rural clinical placement, perceived social isolation during rural placement and lower rural practice self-efficacy. Burn-out was not associated with rural career intentions. Social isolation and low rural self-efficacy were independently associated with burn-out during rural placement and together explained 10% of variance in burn-out (Model Nagelkerke R(2)=0.23). CONCLUSION: Burn-out during rural placement may be a consequence of stress prior to a medical school placement. Social isolation and rural self-efficacy are amendable factors to mitigate medical student burn-out during rural placements.
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spelling pubmed-66158792019-07-28 Screening for burn-out in Australian medical students undertaking a rural clinical placement Isaac, Vivian McLachlan, Craig S Walters, Lucie Greenhill, Jennene BMJ Open Mental Health OBJECTIVE: To investigate Australian medical student burn-out during rural clinical placement. Second, to examine the association between perceived burn-out and rural career intent at the time of finishing their rural placement. DESIGN, SETTINGS AND PARTICIPANTS: The 2016 Federation of Rural Australian Medical Educators evaluation survey is a cross-sectional study of medical students from 17 Australian universities. Specifically, those medical students who completed a full academic year or more at a Rural Clinical School (RCS). Responses from 638 medical students from regional Australia were analysed in the study of all eligible 756 medical students (response rate 84.3%). PRIMARY AND SECONDARY OUTCOME MEASURES: The primary objective was to determine self-reported burn-out (emotional exhaustion) in rural placements for medical students. Secondary outcome measures were designed to explore interactions with rural practice self-efficacy and rural intentions. Logistic regression models explored factors associated with burn-out. RESULTS: 26.5% of students reported experiencing burn-out during a rural placement. Factors associated with burn-out were female gender, rural origin, low preference for RCS, stress in the year prior to a rural clinical placement, perceived social isolation during rural placement and lower rural practice self-efficacy. Burn-out was not associated with rural career intentions. Social isolation and low rural self-efficacy were independently associated with burn-out during rural placement and together explained 10% of variance in burn-out (Model Nagelkerke R(2)=0.23). CONCLUSION: Burn-out during rural placement may be a consequence of stress prior to a medical school placement. Social isolation and rural self-efficacy are amendable factors to mitigate medical student burn-out during rural placements. BMJ Publishing Group 2019-07-09 /pmc/articles/PMC6615879/ /pubmed/31289089 http://dx.doi.org/10.1136/bmjopen-2019-029029 Text en © Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.
spellingShingle Mental Health
Isaac, Vivian
McLachlan, Craig S
Walters, Lucie
Greenhill, Jennene
Screening for burn-out in Australian medical students undertaking a rural clinical placement
title Screening for burn-out in Australian medical students undertaking a rural clinical placement
title_full Screening for burn-out in Australian medical students undertaking a rural clinical placement
title_fullStr Screening for burn-out in Australian medical students undertaking a rural clinical placement
title_full_unstemmed Screening for burn-out in Australian medical students undertaking a rural clinical placement
title_short Screening for burn-out in Australian medical students undertaking a rural clinical placement
title_sort screening for burn-out in australian medical students undertaking a rural clinical placement
topic Mental Health
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6615879/
https://www.ncbi.nlm.nih.gov/pubmed/31289089
http://dx.doi.org/10.1136/bmjopen-2019-029029
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