Screening for burn-out in Australian medical students undertaking a rural clinical placement
Objective To 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 participants The 2016 Federation of Rural Australian...
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| Format: | Article |
| Language: | English |
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BMJ Publishing Group
2019-07-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/9/7/e029029.full |
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| author | Vivian Isaac Craig S McLachlan Lucie Walters Jennene Greenhill |
| author_facet | Vivian Isaac Craig S McLachlan Lucie Walters Jennene Greenhill |
| author_sort | Vivian Isaac |
| collection | DOAJ |
| description | Objective To 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 participants The 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 measures The 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.Results 26.5% 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).Conclusion Burn-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. |
| format | Article |
| id | doaj-art-2d016159e3354b7c9b1e257ade52c26d |
| institution | DOAJ |
| issn | 2044-6055 |
| language | English |
| publishDate | 2019-07-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-2d016159e3354b7c9b1e257ade52c26d2025-08-20T02:48:53ZengBMJ Publishing GroupBMJ Open2044-60552019-07-019710.1136/bmjopen-2019-029029Screening for burn-out in Australian medical students undertaking a rural clinical placementVivian Isaac0Craig S McLachlan1Lucie Walters2Jennene Greenhill31 Flinders Rural Health South Australia, College of Medicine and Public Health, Flinders University, Renmark, South Australia, Australia2 School of Health, Torrens University Australia, Sydney, New South Wales, Australia4 Rural Health, Flinders University, Adelaide, South Australia, Australia1 Flinders Rural Health South Australia, College of Medicine and Public Health, Flinders University, Renmark, South Australia, AustraliaObjective To 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 participants The 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 measures The 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.Results 26.5% 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).Conclusion Burn-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.https://bmjopen.bmj.com/content/9/7/e029029.full |
| spellingShingle | Vivian Isaac Craig S McLachlan Lucie Walters Jennene Greenhill Screening for burn-out in Australian medical students undertaking a rural clinical placement BMJ Open |
| title | Screening for burn-out in Australian medical students undertaking a rural clinical placement |
| title_full | Screening for burn-out in Australian medical students undertaking a rural clinical placement |
| title_fullStr | Screening for burn-out in Australian medical students undertaking a rural clinical placement |
| title_full_unstemmed | Screening for burn-out in Australian medical students undertaking a rural clinical placement |
| title_short | Screening for burn-out in Australian medical students undertaking a rural clinical placement |
| title_sort | screening for burn out in australian medical students undertaking a rural clinical placement |
| url | https://bmjopen.bmj.com/content/9/7/e029029.full |
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