A narrative review on burnout experienced by medical students and residents

Liselotte (Lotte) Dyrbye, Tait Shanafelt

Research output: Contribution to journalArticle

137 Citations (Scopus)

Abstract

Objective: To summarise articles reporting on burnout among medical students and residents (trainees) in a narrative review. Methods: MEDLINE was searched for peer-reviewed, English language articles published between 1990 and 2015 reporting on burnout among trainees. The search used combinations of Medical Subject Heading terms medical student, resident, internship and residency, and burnout, professional. Reference lists of articles were reviewed to identify additional studies. A subset of high-quality studies was selected. Results: Studies suggest a high prevalence of burnout among trainees, with levels higher than in the general population. Burnout can undermine trainees' professional development, place patients at risk, and contribute to a variety of personal consequences, including suicidal ideation. Factors within the learning and work environment, rather than individual attributes, are the major drivers of burnout. Limited data are available regarding how to best address trainee burnout, but multi-pronged efforts, with attention to culture, the learning and work environment and individual behaviours, are needed to promote trainees' wellness and to help those in distress. Conclusion: Medical training is a stressful time. Large, prospective studies are needed to identify cause-effect relationships and the best approaches for improving the trainee experience.

Original languageEnglish (US)
Pages (from-to)132-149
Number of pages18
JournalMedical Education
Volume50
Issue number1
DOIs
StatePublished - Jan 1 2016

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burnout
Internship and Residency
Medical Students
trainee
medical student
Professional Burnout
Learning
Medical Subject Headings
resident
narrative
Suicidal Ideation
MEDLINE
Language
Prospective Studies
work environment
learning environment
Population
internship
English language
driver

ASJC Scopus subject areas

  • Medicine(all)
  • Education

Cite this

A narrative review on burnout experienced by medical students and residents. / Dyrbye, Liselotte (Lotte); Shanafelt, Tait.

In: Medical Education, Vol. 50, No. 1, 01.01.2016, p. 132-149.

Research output: Contribution to journalArticle

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