Vidhukumar K, Hamza Majida
Department of Psychiatry, Government Medical College, Ernakulam, Kerala, India.
Indian J Psychol Med. 2020 Mar 9;42(2):122-127. doi: 10.4103/IJPSYM.IJPSYM_192_19. eCollection 2020 Mar-Apr.
Burnout among medical students is important for its prevalence, consequences, and modifiable risk factors. Although there are studies on the topic across the globe, Indian studies are few in number. A prevalence estimate of burnout and its determinants among Indian medical graduates will keep us informed about the emotional and motivational factors hindering their professional growth.
From a total of 500 students spanning 5 professional years, data could be collected from 375 students. The study used a questionnaire primarily consisting of "personal burnout" domain of the Copenhagen Burnout Inventory (CBI), which is a validated instrument to assess the burnout at a cutoff score of 50. The questionnaire also included a set of potential personal correlates of burnout. In addition to summary statistics, both univariate and multivariate analyses were used for discerning the relationship of these correlates with burnout.
The prevalence of burnout among medical students in the college under study was 48.5% (95% confidence interval 43.4-53.7). The proportions of moderate, higher, and severe burnout were 44.8%, 3.2%, and 0.5% respectively. Univariate and multivariate analyses revealed that female gender and perceived stress were associated with burnout. Choosing medicine by one's own choice and maintaining hobbies and interests were associated with less chance for burnout.
Burnout is a prevalent phenomenon among medical students. There are modifiable risk factors for burnout and addressing them will help in training a medical student with high motivation and professionalism.
医学生职业倦怠因其普遍性、后果及可改变的风险因素而备受关注。尽管全球范围内都有关于该主题的研究，但印度的相关研究数量较少。对印度医学毕业生职业倦怠及其决定因素的患病率估计，将使我们了解阻碍他们职业发展的情绪和动机因素。
在总共500名涵盖5个专业年级的学生中，收集到了375名学生的数据。该研究使用了一份主要由哥本哈根职业倦怠量表（CBI）的“个人倦怠”领域组成的问卷，这是一种经过验证的工具，以50分为临界值来评估职业倦怠。问卷还包括一系列职业倦怠可能的个人相关因素。除了描述性统计，单变量和多变量分析都用于辨别这些相关因素与职业倦怠的关系。
在所研究的学院中，医学生职业倦怠的患病率为48.5%（95%置信区间43.4 - 53.7）。中度、高度和重度职业倦怠的比例分别为44.8%、3.2%和0.5%。单变量和多变量分析表明，女性性别和感知到的压力与职业倦怠有关。自主选择医学专业以及保持爱好和兴趣与职业倦怠的可能性较小有关。
职业倦怠是医学生中普遍存在的现象。职业倦怠存在可改变的风险因素，解决这些因素将有助于培养有高度积极性和专业精神的医学生。
