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Single-Item Burnout Measure Correlates Well with Emotional Exhaustion Domain of Burnout but Not Depersonalization Among Medical Students

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Burnout is a serious concern in medical education and practice with negative impacts on professionalism and patient care. Accurate measurement of burnout is necessary for medical education scholarship and intervention… Click to show full abstract

Burnout is a serious concern in medical education and practice with negative impacts on professionalism and patient care. Accurate measurement of burnout is necessary for medical education scholarship and intervention evaluation. The Maslach Burnout Inventory (MBI) is a validated 22-item tool with three domains of emotional exhaustion (EE), depersonalization (DP), and personal accomplishment (PA) . EE refers to the feeling of being overextended and depleted, while DP refers to a detached or callous attitude towards patients and PA refers to a sense of professional achievement. A 1-item measure used in the Physician Work Life Study (PWLS) correlates well with the full MBI among practicing physicians . This measure shows stronger correlation with EE than with DP for physicians and other practitioners, suggesting that these domains of burnout may not be captured equally . The 1-item PWLSmeasure is thought to be faster and easier to administer than the full MBI and is available at no cost. However, the correlation between this 1-item measure and the domains of the full MBI has not been established for physicians-in-training. Medical students, residents, and practicing physicians all have higher levels of burnout than the general population, but the patterns of stressors they experience may differ. During medical school, students experience the stress of new clinical responsibilities and emotional burdens, in addition to the pressure of succeeding at their academic work, with implications for their future career paths. Different dimensions of distress may affect different stages of training and career more than others . Therefore, we sought to investigate whether measures previously correlated among practicing physicians would demonstrate similar performance in medical students. We aimed to compare measurement of burnout by the PWLS measure as compared with the full MBI domains among medical students. METHODS

Keywords: medical students; correlates well; mbi; measure; emotional exhaustion; item

Journal Title: Journal of General Internal Medicine
Year Published: 2020

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