Department of Psychiatry and Mental Health, Institute of Community Health, Fluminense Federal University, Brazil.
Med Teach. 2013 May;35(5):388-94. doi: 10.3109/0142159X.2013.769673. Epub 2013 Mar 4.
Burnout is a stress-induced syndrome, which affects medical students. Some environmental and personal factors can favor burnout onset and its serious consequences as dropping out, sleep disorders, depression, and suicide. The motivation for choosing medicine is a personal aspect that can modulate the distress with academic demands.
We applied self-administered questionnaires in 277 medical students to investigate the predictive role of career choice motivations on burnout dimensions. Specifically, we studied the influence of the main reasons for choosing medicine on emotional exhaustion, cynicism, and academic efficacy.
Intellectual curiosity, professional autonomy, altruism, and interest in human relationships were the most common reasons for choosing medicine. However, the medical students motivated by personal illness or family member's illness or death revealed a significant greater emotional exhaustion when compared with the students with other motivations.
The students who apply for medical school motivated by illness/death experiences are at a great risk for burnout. We suggest that students who are at risk for emotional exhaustion can be identified at the admission of medical school. Primary prevention strategies for burnout should consider this risk group.
burnout 是一种由压力引起的综合征,影响医学生。一些环境和个人因素可能会导致 burnout 的发生及其严重后果,如辍学、睡眠障碍、抑郁和自杀。选择医学的动机是一个个人方面,可以调节与学业要求相关的困扰。
我们对 277 名医学生进行了自我管理问卷调查,以研究职业选择动机对 burnout 维度的预测作用。具体来说,我们研究了选择医学的主要原因对情绪耗竭、犬儒主义和学术效能的影响。
求知欲、专业自主性、利他主义和对人际关系的兴趣是选择医学的最常见原因。然而,与其他动机的学生相比,因个人疾病或家庭成员疾病或死亡而申请医学院的学生表现出明显更大的情绪疲惫。
因疾病/死亡经历而申请医学院的学生有很大的 burnout 风险。我们建议,在医学院入学时可以识别出情绪疲惫风险较高的学生。预防 burnout 的一级策略应考虑这一风险群体。