Prevalence and associated factors of burnout among medical students at faculty of medicine Siriraj hospital

Abstract

Medical students around the world were increasingly struggling with burnout. However, important information of medical students’ burnout at Faculty of Medicine Siriraj Hospital was insufficient. The objectives of this cross-sectional survey study were (1) to investigate prevalence of burnout and (2) to explore associated factors of burnout among medical students in the medical school. Self-assessment questionnaires including demographic data, experiences of mistreatment perception, and Maslach Burnout Inventory-Student Survey (MBI-SS) were distributed to second-year to sixth-year medical students in academic year 2021 via electronic transmissions. The criteria to diagnose burnout consisted of high level of emotional exhaustion, high level of depersonalization, and low level of professional efficacy. Response rate was 50.1 % (716/1428) and the findings demonstrated that prevalence of burnout among medical students was 31.1 % (223/716). Frequencies of medical students with high level of emotional exhaustion, high level of depersonalization, and low level of professional efficacy were 69.4 %, 70.9 %, and 43.9 %, respectively. According to multivariate logistic regression analysis, the results found that academic year, lower grade point average, feeling unfulfillment as medical students, inadequately educational support from medical teachers, and idea of resignation were independently associated factors of burnout among medical students (p < 0.05). However, medical students with mistreatment perception were not associated with burnout, but prevalence of mistreatment perception among medical students was 29.9% (214/716). In conclusion, nearly one-third of medical students met the criteria of burnout and the associated factors of burnout were academic year, lower grade point average, feeling unfulfillment as medical students, inadequately educational support from medical teachers, and idea of resignation. IMPLICATION OF THE THESIS. The medical school could use these findings to explore these issues in depth. To reduce medical students’ burnout, the faculty should implement surveillance systems for medical students’ well-being, mental health literacy program, academic assistance, and supportive system. To minimize the occurrences of mistreatment, the medical school should promote faculty development program and organizational trust to enhance positive educational environment in the medical school.

นักศึกษาแพทย์ทั่วโลกต่างดิ้นรนกับภาวะหมดไฟกันมากขึ้น อย่างไรก็ตาม ข้อมูลที่สำคัญด้านภาวะหมดไฟในนักศึกษาแพทย์ของคณะแพทยศาสตร์ศิริราชพยาบาลยังไม่เพียงพอ การศึกษาของงานวิจัยเชิงสำรวจแบบภาคตัดขวางนี้มีวัตถุประสงค์ (1) เพื่อสำรวจความชุกของภาวะหมดไฟ และ (2) เพื่อสำรวจปัจจัยที่สัมพันธ์กับภาวะหมดไฟในนักศึกษาแพทย์ในโรงเรียนแพทย์แห่งนี้ แบบสอบถามประเมินตนเองประกอบไปด้วยข้อมูลพื้นฐาน ประสบการณ์การถูกละเมิดสิทธิ และแบบประเมินภาวะหมดไฟฉบับนักศึกษา (MBI-SS) ถูกส่งไปให้นักศึกษาแพทย์ชั้นปี 2 ถึงปี 6 ของปีการศึกษา 2564 ทางช