Screening for burn-out in Australian medical students undertaking a rural clinical placement
| Autor: | Jennene Greenhill, Lucie Walters, Vivian Isaac, Craig S. McLachlan |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Male
Rural Population medicine.medical_specialty Students Medical 020205 medical informatics rural intention education Burn out 111799 Public Health and Health Services not elsewhere classified 02 engineering and technology Intention Burnout FOS: Health sciences Logistic regression 03 medical and health sciences 0302 clinical medicine 0202 electrical engineering electronic engineering information engineering medicine Humans Mass Screening 030212 general & internal medicine Social isolation Emotional exhaustion Burnout Professional rural clinical school Response rate (survey) Academic year Clinical placement Career Choice burnout business.industry Research Australia Clinical Clerkship General Medicine Self Efficacy Mental Health Social Isolation Family medicine Female medicine.symptom business rural practice self-efficacy Education Medical Undergraduate |
| Zdroj: | BMJ Open |
| DOI: | 10.25905/14079881 |
| Popis: | ObjectiveTo investigate Australian medical student burn-out during rural clinical placement. Second, to examine the association between perceived burn-out and rural career intent at the time of finishing their rural placement.Design, settings and participantsThe 2016 Federation of Rural Australian Medical Educators evaluation survey is a cross-sectional study of medical students from 17 Australian universities. Specifically, those medical students who completed a full academic year or more at a Rural Clinical School (RCS). Responses from 638 medical students from regional Australia were analysed in the study of all eligible 756 medical students (response rate 84.3%).Primary and secondary outcome measuresThe primary objective was to determine self-reported burn-out (emotional exhaustion) in rural placements for medical students. Secondary outcome measures were designed to explore interactions with rural practice self-efficacy and rural intentions. Logistic regression models explored factors associated with burn-out.Results26.5% of students reported experiencing burn-out during a rural placement. Factors associated with burn-out were female gender, rural origin, low preference for RCS, stress in the year prior to a rural clinical placement, perceived social isolation during rural placement and lower rural practice self-efficacy. Burn-out was not associated with rural career intentions. Social isolation and low rural self-efficacy were independently associated with burn-out during rural placement and together explained 10% of variance in burn-out (Model Nagelkerke R2=0.23).ConclusionBurn-out during rural placement may be a consequence of stress prior to a medical school placement. Social isolation and rural self-efficacy are amendable factors to mitigate medical student burn-out during rural placements. |
| Databáze: | OpenAIRE |
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