Grit protects medical students from burnout: a longitudinal study.

dc.contributor.author

Jumat, Muhammad Raihan

dc.contributor.author

Chow, Pierce Kah-Hoe

dc.contributor.author

Allen, John Carson

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Lai, Siang Hui

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Hwang, Nian-Chih

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Iqbal, Jabed

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Mok, May Un Sam

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Rapisarda, Attilio

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Velkey, John Matthew

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Engle, Deborah Lynn

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Compton, Scott

dc.date.accessioned

2022-10-26T12:19:14Z

dc.date.available

2022-10-26T12:19:14Z

dc.date.issued

2020-08

dc.date.updated

2022-10-26T12:19:12Z

dc.description.abstract

Background

Burnout is a serious issue plaguing the medical profession with potential negative consequences on patient care. Burnout symptoms are observed as early as medical school. Based on a Job Demands-Resources model, this study aims to assess associations between specific job resources measured at the beginning of the first year of medical school with burnout symptoms occurring later in the first year.

Methods

The specific job resources of grit, tolerance for ambiguity, social support and gender were measured in Duke-NUS Medical School students at the start of Year 1. Students were then surveyed for burnout symptoms at approximately quarterly intervals throughout the year. Using high ratings of cynicism and exhaustion as the definition of burnout, we investigated the associations of the occurrence of burnout with student job resources using multivariable logistic regression analysis.

Results

Out of 59 students, 19 (32.2%) indicated evidence of burnout at some point across the first year of medical school. Stepwise multivariable logistic regression analysis identified grit as having a significant protective effect against experiencing burnout (Odds Ratio, 0.84; 95%CI 0.74 to 0.96). Using grit as a single predictor of burnout, area under the ROC curve was 0.76 (95%CI: 0.62 to 0.89).

Conclusions

Grit was identified as a protective factor against later burnout, suggesting that less gritty students are more susceptible to burnout. The results indicate that grit is a robust character trait which can prognosticate burnout in medical students. These students would potentially benefit from enhanced efforts to develop grit as a personal job resource.
dc.identifier

10.1186/s12909-020-02187-1

dc.identifier.issn

1472-6920

dc.identifier.issn

1472-6920

dc.identifier.uri

https://hdl.handle.net/10161/26105

dc.language

eng

dc.publisher

Springer Science and Business Media LLC

dc.relation.ispartof

BMC medical education

dc.relation.isversionof

10.1186/s12909-020-02187-1

dc.subject

Humans

dc.subject

Longitudinal Studies

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Burnout, Professional

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Students, Medical

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Surveys and Questionnaires

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Burnout, Psychological

dc.title

Grit protects medical students from burnout: a longitudinal study.

dc.type

Journal article

duke.contributor.orcid

Engle, Deborah Lynn|0000-0003-1849-6828

pubs.begin-page

266

pubs.issue

1

pubs.organisational-group

Duke

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School of Medicine

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Staff

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Medical Education

pubs.publication-status

Published

pubs.volume

20

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