Article Gold Open Access 2024

The Relationship between Burnout and Sense of School Belonging among the Resident Physicians in the Standardization Training in China

Medical Education Online
Journal · Vol. 29 · Issue 1 · Art. 2343515
Abstract

Background: As an important part in medical training in graduate school, 33-month medical residency training could be a stressful period inducing burnout (i.e. emotional exhaustion, depersonalization, and low personal accomplishment). Despite that existing literature has found that sense of belonging may have merits for residents’ well-being, it has remained unclear how sense of school belonging affects burnout and the potential moderators. To address this question, a cross-sectional survey has been conducted among the residents of the physicians standardized residency training program in China. Methods: Seven hundred (N = 700) resident physicians from different majors (i.e. clinical medicine, clinical Stomatology, and Chinese medicine) and grades have participated in the survey. Resident’s sense of school belonging was assessed with the psychological sense of school membership scale (PSSM, mean = 45.12, SD = 11.14). Burnout was measured by the 22-item Maslach Burnout Inventory (MBI-HSS, mean = 65.80, SD = 15.89), including three subscales of emotional exhaustion, depersonalization, and personal accomplishment. Results: The results showed that over 80% of the residents reported moderate or high level of emotional exhaustion and reduced personal accomplishment during residency training. Meanwhile, higher level of sense of school belonging was associated with lower overall burnout (B = −0.722, p < 0.001), less emotional exhaustion, reduced depersonalization, and higher personal accomplishment. In particular, the benefits of sense of belonging seem more pronounced among female and those at earlier stage of residency. No interaction effect was found between sense of belonging and major, while those from Chinese medicine reported lower scores in overall burnout and the three dimensions. Conclusions: Burnout was a prevalent issue among the resident physicians, and our findings confirmed the protective effects of sense of school belonging against burnout. Therefore, support service should be developed to cultivate resident’s sense of school belonging and social connections, particularly for female and those at earlier stage of residency. © 2024 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.

Keywords

Author Keywords

Vocational training burnout graduate medical education resident physicians Sense of school belonging

Index Keywords

adult China cross-sectional study female human male medical education psychology questionnaire Cross-Sectional Studies Humans Internship and Residency Surveys and Questionnaires epidemiology physician Physicians professional burnout Burnout, Professional
Author Affiliations
School of Medicine, Guangzhou, Guangdong, China
Graduate School, Jinan University, Guangzhou, Guangdong, China
Department of Public Health and Preventive Medicine, School of Medicine, Guangzhou, Guangdong, China
Division of Histology and Embryology, School of Medicine, Guangzhou, Guangdong, China
Funding & Acknowledgements
Jinan University, JNU
The work was supported by the\u00A0-2022 Project of online course construction and teaching for national medical and pharmaceutical postgraduates [BYXC2022-02-0310]; 2020 Guangdong Province degree and graduate education reform project [2020JGXM012]; 2023 Jinan university\u00A0\u201DGolden course\u201D projects [JG2024065]; Jinan University\u2019s 19th Batch of \u201CInnovation Project\u201D in Educational Technology.
Grant: BYXC2022-02-0310, 2020JGXM012, JG2024065
The work was supported by the\u00A0-2022 Project of online course construction and teaching for national medical and pharmaceutical postgraduates [BYXC2022-02-0310]; 2020 Guangdong Province degree and graduate education reform project [2020JGXM012]; 2023 Jinan university\u00A0\u201DGolden course\u201D projects [JG2024065]; Jinan University\u2019s 19th Batch of \u201CInnovation Project\u201D in Educational Technology.
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