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Burnout in International Medical Students: Characterization of Professionalism and Loneliness as Predictive Factors of Burnout

Background: Burnout is a common mental problem in medical students. For those who are following medical studies abroad there is a higher risk of suffering this syndrome, due to the combination of academic stress and the stress derived from their new living situation. This study was performed with th...

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Autores principales: Gradiski, Ivan P., Borovecki, Ana, Ćurković, Marko, San-Martín, Montserrat, Delgado Bolton, Roberto C., Vivanco, Luis
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8835401/
https://www.ncbi.nlm.nih.gov/pubmed/35162399
http://dx.doi.org/10.3390/ijerph19031385
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author Gradiski, Ivan P.
Borovecki, Ana
Ćurković, Marko
San-Martín, Montserrat
Delgado Bolton, Roberto C.
Vivanco, Luis
author_facet Gradiski, Ivan P.
Borovecki, Ana
Ćurković, Marko
San-Martín, Montserrat
Delgado Bolton, Roberto C.
Vivanco, Luis
author_sort Gradiski, Ivan P.
collection PubMed
description Background: Burnout is a common mental problem in medical students. For those who are following medical studies abroad there is a higher risk of suffering this syndrome, due to the combination of academic stress and the stress derived from their new living situation. This study was performed with the purpose of testing the following hypothesis: in medical students enrolled in medical programs abroad, abilities associated with professionalism and family support play a protective role in the prevention of suffering burnout. Methods: A cross-sectional study was performed in the Faculty of Medicine of the University of Zagreb, where a fully English medical program is offered. The general version of the Maslach Burnout Inventory (MBI-GS) was used as a dependent variable, while Jefferson Scales of empathy, teamwork, and physician lifelong learning and the Social and Emotional Loneliness Scale for Adults were used as predictive variables. In addition, information related to sex, country of birth, native language, age, academic achievement, and living situation were collected in a socio-demographic form. Linear regression models were applied to identify predictors of burnout. Results: In a sample composed of 188 medical students (38 Croatians and 144 foreigners from 28 countries), 18% of the global score in the MBI-GS was explained by lifelong learning and family loneliness. A separate analysis for each domain of the MBI-GS allowed the creation of three models: the first model explained 19% of the variance of the “exhaustion” domain by “country of birth”, “living with parents”, “academic year”, and “cynicism”; a second model explained 24% of the variance of the “cynicism” domain by “academic year”, “empathy”, “lifelong learning”, and “exhaustion”; and finally, a third model explained 24% of the variance of the “professional efficacy” domain by “lifelong learning”, “family loneliness”, and “cynicism”. All obtained models presented an effect size between medium and large, as well as matching the required conditions for statistical inference. Conclusions: These findings confirm the important role that family plays as a source of support for medical students. Empathy and lifelong learning, two specific elements of medical professionalism, appear as protective factors in the prevention of burnout in international students.
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spelling pubmed-88354012022-02-12 Burnout in International Medical Students: Characterization of Professionalism and Loneliness as Predictive Factors of Burnout Gradiski, Ivan P. Borovecki, Ana Ćurković, Marko San-Martín, Montserrat Delgado Bolton, Roberto C. Vivanco, Luis Int J Environ Res Public Health Article Background: Burnout is a common mental problem in medical students. For those who are following medical studies abroad there is a higher risk of suffering this syndrome, due to the combination of academic stress and the stress derived from their new living situation. This study was performed with the purpose of testing the following hypothesis: in medical students enrolled in medical programs abroad, abilities associated with professionalism and family support play a protective role in the prevention of suffering burnout. Methods: A cross-sectional study was performed in the Faculty of Medicine of the University of Zagreb, where a fully English medical program is offered. The general version of the Maslach Burnout Inventory (MBI-GS) was used as a dependent variable, while Jefferson Scales of empathy, teamwork, and physician lifelong learning and the Social and Emotional Loneliness Scale for Adults were used as predictive variables. In addition, information related to sex, country of birth, native language, age, academic achievement, and living situation were collected in a socio-demographic form. Linear regression models were applied to identify predictors of burnout. Results: In a sample composed of 188 medical students (38 Croatians and 144 foreigners from 28 countries), 18% of the global score in the MBI-GS was explained by lifelong learning and family loneliness. A separate analysis for each domain of the MBI-GS allowed the creation of three models: the first model explained 19% of the variance of the “exhaustion” domain by “country of birth”, “living with parents”, “academic year”, and “cynicism”; a second model explained 24% of the variance of the “cynicism” domain by “academic year”, “empathy”, “lifelong learning”, and “exhaustion”; and finally, a third model explained 24% of the variance of the “professional efficacy” domain by “lifelong learning”, “family loneliness”, and “cynicism”. All obtained models presented an effect size between medium and large, as well as matching the required conditions for statistical inference. Conclusions: These findings confirm the important role that family plays as a source of support for medical students. Empathy and lifelong learning, two specific elements of medical professionalism, appear as protective factors in the prevention of burnout in international students. MDPI 2022-01-26 /pmc/articles/PMC8835401/ /pubmed/35162399 http://dx.doi.org/10.3390/ijerph19031385 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Gradiski, Ivan P.
Borovecki, Ana
Ćurković, Marko
San-Martín, Montserrat
Delgado Bolton, Roberto C.
Vivanco, Luis
Burnout in International Medical Students: Characterization of Professionalism and Loneliness as Predictive Factors of Burnout
title Burnout in International Medical Students: Characterization of Professionalism and Loneliness as Predictive Factors of Burnout
title_full Burnout in International Medical Students: Characterization of Professionalism and Loneliness as Predictive Factors of Burnout
title_fullStr Burnout in International Medical Students: Characterization of Professionalism and Loneliness as Predictive Factors of Burnout
title_full_unstemmed Burnout in International Medical Students: Characterization of Professionalism and Loneliness as Predictive Factors of Burnout
title_short Burnout in International Medical Students: Characterization of Professionalism and Loneliness as Predictive Factors of Burnout
title_sort burnout in international medical students: characterization of professionalism and loneliness as predictive factors of burnout
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8835401/
https://www.ncbi.nlm.nih.gov/pubmed/35162399
http://dx.doi.org/10.3390/ijerph19031385
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