TY - JOUR
T1 - The problems program directors inherit
T2 - Medical student distress at the time of graduation
AU - Dyrbye, Liselotte N.
AU - Moutier, Christine
AU - Durning, Steven J.
AU - Massie, F. Stanford
AU - Power, David V.
AU - Eacker, Anne
AU - Harper, William
AU - Thomas, Matthew R.
AU - Satele, Daniel
AU - Sloan, Jeff A.
AU - Shanafelt, Tait D.
N1 - Funding Information:
This study was supported by an Education Innovation award from the Mayo Clinic and an intramural grant from the Mayo Clinic Program in Professionalism and Bioethics. Drs Dyrbye and Shanafelt receive salary support from the Mayo Clinic Department of Medicine Program on Physician Well-Being. Dr Dyrbye receives additional salary support from the Mayo Clinic, College of Medicine Office of Medical Education.
PY - 2011/9
Y1 - 2011/9
N2 - Background: Distress is prevalent among residents and often attributed to rigors of training. Aims: To explore the prevalence of burnout and depression and measured mental quality of life (QOL) among graduating medical students shortly before they began residency. Method: Pooled analysis of data from 1428 fourth year medical students who responded to 1 of 3 multi-institutional studies. Students completed the Maslach Burnout Inventory, PRIME MD, and SF-8 to measure burnout, depression, and low mental QOL (defined as mean mental SF-8 scores a standard deviation below the population norm) and answered demographic items. Results: Shortly before beginning residency, 49% of responding medical students had burnout, 38% endorsed depressive symptoms, and 34% had low mental QOL. While no differences in the prevalence of distress was observed by residency specialty area, there were subtle differences in the manifestation of burnout by specialty. Medical students entering surgical fields had lower mean emotional scores, students entering primary care fields had lower mean depersonalization scores, and students entering non-primary care/non-surgical fields reported the lowest mean personal accomplishment scores (all p≤0.03). Conclusion: Our results indicate a high prevalence of distress among graduating medical students across all specialty disciplines before they even begin residency training.
AB - Background: Distress is prevalent among residents and often attributed to rigors of training. Aims: To explore the prevalence of burnout and depression and measured mental quality of life (QOL) among graduating medical students shortly before they began residency. Method: Pooled analysis of data from 1428 fourth year medical students who responded to 1 of 3 multi-institutional studies. Students completed the Maslach Burnout Inventory, PRIME MD, and SF-8 to measure burnout, depression, and low mental QOL (defined as mean mental SF-8 scores a standard deviation below the population norm) and answered demographic items. Results: Shortly before beginning residency, 49% of responding medical students had burnout, 38% endorsed depressive symptoms, and 34% had low mental QOL. While no differences in the prevalence of distress was observed by residency specialty area, there were subtle differences in the manifestation of burnout by specialty. Medical students entering surgical fields had lower mean emotional scores, students entering primary care fields had lower mean depersonalization scores, and students entering non-primary care/non-surgical fields reported the lowest mean personal accomplishment scores (all p≤0.03). Conclusion: Our results indicate a high prevalence of distress among graduating medical students across all specialty disciplines before they even begin residency training.
UR - http://www.scopus.com/inward/record.url?scp=80052002160&partnerID=8YFLogxK
U2 - 10.3109/0142159X.2011.577468
DO - 10.3109/0142159X.2011.577468
M3 - Article
C2 - 21854153
AN - SCOPUS:80052002160
SN - 0142-159X
VL - 33
SP - 756
EP - 758
JO - Medical Teacher
JF - Medical Teacher
IS - 9
ER -