Document Type
Article
Publication Date
1-29-2022
Abstract
Background: International medical graduates (IMGs) have less burnout than U. S. medical school graduates (USMGs) during residency training. This study evaluates possible correlates of differences in burnout rates between USMGs and IMGs.
Methods: We surveyed 375 first-year residents at orientation in June/July 2017. We assessed burnout using the Copenhagen Burnout Inventory (CBI) and used validated scales to measure stress, quality of life (QoL), mastery, and spirituality. We collected data on gender, place of graduation, language fluency, and specialty. We compared CBI scores between USMGs and IMGs, performed a multivariate linear regression analysis of relationships between covariates and CBI subscales, and logistic regression analysis for our categorical definition of burnout.
Results: Two hundred twenty-two residents responded for a response rate of 59%. Personal, work or patient- related burnout was common among residents, particularly among USMGs. The most common form of burnout was work-related. Forty nine percent of USMGs have work burnout compared to 26% of IMGs (p < 0.01). In multivariate analysis, being an IMG reduced odds of work-related and of total burnout by 50% (OR 0.5 C.I 0.25-0.99). Perceived mastery was associated with reductions in all subscales of burnout (p < 0.05). Stress and low QoL related to personal and work burnout scores (p < 0.01).
Conclusion: Work-related burnout is more common among USMGs than in IMGs. Although mastery, QoL and stress were correlates of burnout among all residents, these factors did not explain the difference. Future studies should evaluate the role of medical school structure and curriculum on differences in burnout rates between the two groups.
Recommended Citation
St Onge, Joan E; Allespach, Heidi; Diaz, Yvonne; Poitier, Alexandria; Tamariz, Leonardo; Paidas, Charles; and Palacio, Ana, "Burnout: exploring the differences between U.S. and international medical graduates." (2022). Department of Surgery Faculty Papers. Paper 206.
https://jdc.jefferson.edu/surgeryfp/206
Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.
PubMed ID
35093052
Language
English
Comments
This article is the author’s final published version in BMC Medical Education, Volume 22, Issue 1, January 2022, Article number 69.
The published version is available at https://doi.org/10.1186/s12909-022-03135-x. Copyright © St. Onge et al.