Featured Research

from universities, journals, and other organizations

Burnout associated with self-reported unprofessional conduct among medical students

Date:
September 15, 2010
Source:
JAMA and Archives Journals
Summary:
Medical students with higher levels of distress (burnout) were more likely to self-report unprofessional conduct related to patient care and less altruistic professional values, according to a new study.

Medical students with higher levels of distress (burnout) were more likely to self-report unprofessional conduct related to patient care and less altruistic professional values, according to a study in the September 15 issue of JAMA, a theme issue on medical education.

Related Articles


"Professionalism is a core competency for all physicians. Professionalism includes being honest, acting with integrity, advocating for the needs of patients, reducing barriers to equitable health care, and adhering to an ethical code of conduct," the authors write. "Despite the widely acknowledged importance of professionalism, how personal distress (such as depression or low mental quality of life [QOL]) and professional distress (such as burnout) relate to professionalism is largely unexplored."

Liselotte N. Dyrbye, M.D., M.H.P.E., of the Mayo Clinic College of Medicine, Rochester, Minn., and colleagues conducted a study that measured multiple dimensions of professionalism and assessed its relationship to burnout and other measures of distress. The study included a survey of all medical students attending 7 U.S. medical schools (overall response rate, 2,682/4,400 [61 percent]) in the spring of 2009. Items measured and assessed in the survey included burnout, depression, quality of life, as well as items exploring students' personal engagement in unprofessional conduct, understanding of appropriate relationships with industry, and attitudes regarding physicians' responsibility to society. Among the outcomes assessed included frequency of self-reported cheating/dishonest behaviors and understanding of appropriate relationships with industry as defined by American Medical Association (AMA) policy.

Of the students who responded to the inventory regarding burnout, 1,354 of 2,566 (52.8 percent) had burnout. The researchers found that cheating/dishonest academic behaviors were rare (endorsed by less than 10 percent) in comparison to unprofessional conduct related to patient care (endorsed by up to 43 percent). Only 14 percent (362/2,531) of students' opinions on relationships with industry aligned with the AMA policy for 6 scenarios.

Students with burnout were significantly more likely to have engaged in each of the cheating/dishonest clinical behaviors evaluated (with the exception of taking credit for another person's work), such as copying from a crib sheet or from another student during an exam; or reporting a physical examination finding as normal when it had been omitted. Students with burnout were more likely to report engaging in 1 or more unprofessional behaviors than those without burnout (35.0 percent vs. 21.9 percent). Burned-out students were also less likely to hold altruistic views regarding physicians' responsibility to society, including personally wanting to provide care for the medically underserved (79.3 percent vs. 85.0 percent).

"Burnout was the only aspect of distress independently associated with report of 1 or more cheating/ dishonest clinical behaviors or with disagreeing with 1 or more altruistic attitudes regarding physicians' responsibility to society after adjusting for demographic characteristics (sex, age, parental status, marital status, year in school, student debt load), burnout, positive depression screen, mental QOL, and physical QOL," the authors write.

"In this large, multi-institutional study, self-reported cheating and dishonest clinical behaviors showed a direct association with burnout, while altruistic professional values regarding physicians' responsibility to society showed an inverse relationship with burnout," the researchers write. "In addition to exploring these associations further, future research should investigate whether interventions designed to reduce burnout help students cultivate professional values and behavior."


Story Source:

The above story is based on materials provided by JAMA and Archives Journals. Note: Materials may be edited for content and length.


Journal Reference:

  1. Liselotte N. Dyrbye; F. Stanford Massie, Jr; Anne Eacker; William Harper; David Power; Steven J. Durning; Matthew R. Thomas; Christine Moutier; Daniel Satele; Jeff Sloan; Tait D. Shanafelt. Relationship Between Burnout and Professional Conduct and Attitudes Among US Medical Students. JAMA, 2010; 304 (11): 1173-1180 [link]

Cite This Page:

JAMA and Archives Journals. "Burnout associated with self-reported unprofessional conduct among medical students." ScienceDaily. ScienceDaily, 15 September 2010. <www.sciencedaily.com/releases/2010/09/100914162247.htm>.
JAMA and Archives Journals. (2010, September 15). Burnout associated with self-reported unprofessional conduct among medical students. ScienceDaily. Retrieved March 6, 2015 from www.sciencedaily.com/releases/2010/09/100914162247.htm
JAMA and Archives Journals. "Burnout associated with self-reported unprofessional conduct among medical students." ScienceDaily. www.sciencedaily.com/releases/2010/09/100914162247.htm (accessed March 6, 2015).

Share This


More From ScienceDaily



More Health & Medicine News

Friday, March 6, 2015

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

Suicide Rates Up For Young Women In U.S.

Suicide Rates Up For Young Women In U.S.

Newsy (Mar. 6, 2015) According to a report from the CDC, suicide rates among young women increased from 1994 to 2012 while rates among young men have decreased. Video provided by Newsy
Powered by NewsLook.com
Bupa Eyes India Healthcare Opportunities

Bupa Eyes India Healthcare Opportunities

Reuters - Business Video Online (Mar. 5, 2015) Bupa is hoping to expand in India&apos;s fast-growing health insurance market, once a rule change on foreign investment is implemented. The British private healthcare group&apos;s CEO tells Grace Pascoe why it&apos;s so keen on the new opportunity. Video provided by Reuters
Powered by NewsLook.com
Liberia Releases Last Ebola Patient, But Threat Remains

Liberia Releases Last Ebola Patient, But Threat Remains

Newsy (Mar. 5, 2015) Liberia&apos;s last Ebola patient has been released, and the country hasn&apos;t recorded a new case in a week. However, fears of another outbreak still exist. Video provided by Newsy
Powered by NewsLook.com
Doctor in Your Pocket Is Getting Smarter

Doctor in Your Pocket Is Getting Smarter

Reuters - Business Video Online (Mar. 5, 2015) Mobile apps are turning smartphones into a personal doctors, with users able to measure heart rate, blood pressure and even blood sugar. But will it change our behaviour? Ivor Bennett reports from the Mobile World Congress in Barcelona. Video provided by Reuters
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:

Strange & Offbeat Stories


Health & Medicine

Mind & Brain

Living & Well

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile: iPhone Android Web
Follow: Facebook Twitter Google+
Subscribe: RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins