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Screening for burn-out in Australian medical students undertaking a rural clinical placement218.86 kB
Published (Version of record)CC BY-NC V4.0, Open Access
Published (Version of record)CC BY-NC V4.0, Open
Journal article
Screening for burn-out in Australian medical students undertaking a rural clinical placement
BMJ Open, Vol.9(7), e029029
01/08/2019
PMCID: PMC6615879
PMID: 31289089
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Source: InCites
Abstract
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 R-2=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.
Details
- Title
- Screening for burn-out in Australian medical students undertaking a rural clinical placement
- Creators
- Vivian Isaac - Flinders UniversityCraig S. McLachlan - Torrens University AustraliaLucie Walters - University of AdelaideJennene Greenhill - Flinders University
- Publication Details
- BMJ Open, Vol.9(7), e029029
- Publisher
- BMJ Publishing Group
- Number of pages
- 7
- Grant note
- Commonwealth Government of Australia; Australian Government
- Identifiers
- 991013043112102368
- Copyright
- © Author(s) (or their employer(s) 2019. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.
- Academic Unit
- Nursing; Faculty of Health
- Language
- English
- Resource Type
- Journal article