Faculty of Social Sciences and Humanities, Lucian Blaga University of Sibiu, 550024 Sibiu, Romania.
Faculty of Medicine and Pharmacy, Dunarea de Jos University of Galati, 800008 Galati, Romania.
Int J Environ Res Public Health. 2022 Apr 29;19(9):5449. doi: 10.3390/ijerph19095449.
The primary aim of the study was to investigate the prevalence of burnout in Romanian medical students during the COVID-19 pandemic using the Maslach Burnout Inventory-General Survey for Students (MBI-GS(S)). The presence of burnout was assessed based on Exhaustion (EX), Cynicism (CY) and Professional Efficacy (PE) subscales. The secondary aim of the study was to identify the presence of intentional shift in medical specialty compared to their initial pursued choice within the population investigated. Data was collected online at the end of 2020 and beginning of 2021 through a licensed, customized MBI-GS(S) questionnaire from a sample of 126 Romanian medical students at the two leading medical schools in the country, Iasi (N = 56) and Cluj Napoca (N = 70). Descriptive statistics and bivariate correlations were also applied to describe the data set (age and gender of participants) and the relationship between variables (EX, CY, PE). Subsequently, the MBI-GS(S) group report revealed that 36.5% of the medical students in the sample (46) experienced burnout, with problematic results both in Exhaustion and Cynicism. Exhaustion and Cynicism, which contribute to burnout, showed high scores compared to the average scale (EX = 3.5/2.4; CY = 2.8/1.8), while the Professional Efficacy score was relatively high (PE = 3.8/4.4), showing a protective effect and burnout reduction. One of the main conclusions is that the consequences of burnout in medical students plays a significant role in shaping the future healthcare practitioners' perception of the medical profession and of patients' wellbeing. Exhaustion and Cynicism are mainly associated with depersonalization and disconnection from the patient. Another conclusion of the study is that about one third of the respondents (30% Cluj students and 37.5% Iasi students) considered changing residency options. The pandemic has also revealed the limitations of and challenges facing current medical education, and that further research is required to assess the trends in prevalence of burnout in medical students.
本研究的主要目的是使用 Maslach 职业倦怠量表-学生版（MBI-GS(S)）调查罗马尼亚医学生在 COVID-19 大流行期间的倦怠发生率。倦怠的存在根据衰竭（EX）、犬儒主义（CY）和职业效能（PE）分量表来评估。本研究的次要目的是确定与研究人群中最初选择的医学专业相比，是否存在医学专业的有意转变。数据于 2020 年底至 2021 年初通过在该国两所领先医学院（雅西[N=56]和克卢日纳波卡[N=70]）的样本中使用许可的定制 MBI-GS(S)问卷在线收集。还应用了描述性统计和双变量相关性来描述数据集（参与者的年龄和性别）和变量之间的关系（EX、CY、PE）。随后，MBI-GS(S)组报告显示，样本中的 36.5%（46 名）医学生经历了倦怠，在衰竭和犬儒主义方面都出现了问题。与平均量表相比，导致倦怠的衰竭和犬儒主义的得分较高（EX=3.5/2.4；CY=2.8/1.8），而职业效能得分相对较高（PE=3.8/4.4），表现出保护作用和降低倦怠的效果。主要结论之一是，医学生倦怠的后果在塑造未来医疗保健从业者对医学职业和患者福祉的看法方面起着重要作用。衰竭和犬儒主义主要与去人性化和与患者脱节有关。研究的另一个结论是，约三分之一的受访者（30%的克卢日学生和 37.5%的雅西学生）考虑改变居住选择。大流行还揭示了当前医学教育面临的限制和挑战，需要进一步研究来评估医学生倦怠流行率的趋势。
