The Silent Epidemic: Causes and Consequences of Medical Learner Burnout

Springer Science and Business Media LLC - Tập 22 - Trang 1-9 - 2020
Lauren A. Gaston-Hawkins1, Francisco A. Solorio2, Grace F. Chao3,4, Carmen Renee’ Green5,6,7,8,9,10
1University of Michigan Medical School, Ann Arbor, USA.
2Department of Anesthesiology, The University of Toledo College of Medicine & Life Sciences, Toledo, USA
3National Clinician Scholars Program (Veterans Affairs), Ann Arbor, USA
4Department of Surgery, Yale School of Medicine, New Haven, USA
5Department of Anesthesiology, University of Michigan Medical School, Ann Arbor, USA
6Department of Obstetrics and Gynecology, University of Michigan Medical School, Ann Arbor, USA
7Department of Health Management and Policy, University of Michigan School of Public Health, Ann Arbor, USA
8Program for Research on Black Americans, Resource Center for Group Dynamics, Institute for Social Research, University of Michigan, Ann Arbor, USA
9Institute for Health Policy and Innovation, University of Michigan, Ann Arbor, USA
10Back and Pain Center, Michigan Medicine, Ann Arbor, USA

Tóm tắt

Clinician burnout has significant socioeconomic, health, and quality of life implications. However, there has been little attention directed at medical students and house officers (i.e., medical learners). This review provides pertinent evidence regarding burnout as it relates to medical learners including risk factors and potential interventions. We conclude with recommendations on future research directions and potential approaches to address this epidemic of medical learner burnout. Burnout is a significant issue among medical learners that is impacted both by interpersonal and environmental factors. There are points of heightened vulnerability for medical learners throughout their training. However, studies are unable to reach consensus regarding effective interventions to mitigate the impact of burnout. Furthermore, some elements of burnout are not readily reversible even after removing risk factors. Burnout is a significant concern for medical learners with wide-ranging physical, emotional, and psychosocial consequences. However, the current body of literature is sparse and does not provide consistent guidance on how to address burnout in medical learners. It is clear additional attention is needed in understanding burnout among learners and establishing proactive approaches to minimize its negative impact.

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