A Multi-institutional study exploring the impact of positive mental health on medical students' professionalism in an era of high burnout

Academic Medicine

Volumn 87, Issue 8, 2012, Pages 1024-1031

  Dyrbye, Liselotte N ^a   Harper, William ^b   Moutier, Christine ^c   Durning, Steven J ^d   Power, David V ^e   Massie, F Stanford ^f   Eacker, Anne ^g   Thomas, Matthew R ^a   Satele, Daniel ^a   Sloan, Jeff A ^a   Shanafelt, Tait D ^a  

^a MAYO CLINIC   (United States)

^b UNIVERSITY OF CHICAGO   (United States)

^c UNIVERSITY OF CALIFORNIA   (United States)

^d Uniformed Services University of the Health Sciences and the Walter Reed National Military Medical Center   (United States)

^e UNIVERSITY OF MINNESOTA MEDICAL SCHOOL   (United States)

^f University of Alabama at Birmingham   (United States)

^g UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

EID: 84864326080     PISSN: 10402446     EISSN: None     Source Type: Journal    
DOI: 10.1097/ACM.0b013e31825cfa35     Document Type: Article

References (43)

1. Dyrbye LN, Thomas MR, Shanafelt TD. Systematic review of depression, anxiety, and other indicators of psychological distress among U.S. and Canadian medical students. Acad Med. 2006;81:354-373.
2. Shanafelt TD, Sloan JA, Habermann TM. The well-being of physicians. Am J Med. 2003;114:513-519.
3. Thomas NK. Resident burnout. JAMA. 2004;292:2880-2889.
4. Wallace JE, Lemaire JB, Ghali WA. Physician wellness: A missing quality indicator. Lancet. 2009;374:1714-1721.
5. Campbell DA Jr, Sonnad SS, Eckhauser FE, Campbell KK, Greenfield LJ. Burnout among American surgeons. Surgery. 2001;130:696-702.
6. Shanafelt TD, Balch CM, Bechamps GJ, et al. Burnout and career satisfaction among American surgeons. Ann Surg. 2009;250:463-471.
7. West CP, Huschka MM, Novotny PJ, et al. Association of perceived medical errors with resident distress and empathy: A prospective longitudinal study. JAMA. 2006;296:1071-1078.
8. Shanafelt T, Sloan J, Satele D, Balch C. Why do surgeons consider leaving practice? J Am Coll Surg. 2011;212:421-422.
9. Dyrbye LN, Thomas MR, Power DV, et al. Burnout and serious thoughts of dropping out of medical school: A multi-institutional study. Acad Med. 2010;85:94-102.
10. Clark DC, Zeldow PB. Vicissitudes of depressed mood during four years of medical school. JAMA. 1988;260:2521-2528.
11. Dyrbye LN, Massie FS Jr, Eacker A, et al. Relationship between burnout and professional conduct and attitudes among US medical students. JAMA. 2010;304:1173-1180.
12. World Health Organization. Constitution of the World Health Organization. http://www.who.int/governance/eb/who-constitution-en.pdf. Accessed April 16, 2012.
13. U.S. Department of Health and Human Services. Mental Health: A Report of the Surgeon General-Executive Summary. Rockville, Md: U.S. Deptartment of Health and Human Services, Substance Abuse and Mental Health Services Administration, Center for Mental Health Services, National Institutes of Health, National Institute of Mental Health; 1999.
14. Ryan RM, Deci EL. On happiness and human potentials: A review of research on hedonic and eudaimonic well-being. Annu Rev Psychol. 2001;52:141-166.
15. Keyes CL, Grzywacz JG. Health as a complete state: The added value in work performance and healthcare costs. J Occup Environ Med. 2005;47:523-532.
16. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders (DSM-IV-TR). 4th ed. Arlington, Va: American Psychiatric Publishing; 2000.
17. Ewait JR. Goals of the Joint Commission on Mental Ilness and Health. Am J Public Health. 1957;47:19-24.
18. Glass RM. Mental health vs mental disorders. JAMA. 2010;303:1978-1979.
19. Keyes CLM. Brief Description of the Mental Health Continuum Short Form (MHC-SF). http://www.sociology.emory.edu/downloads/MHC-SF-Brief-Description.pdf. Accessed May 29, 2012.
20. Ryff CD. Happiness is everything, or is it? Explorations on the meaning of psychological well-being. J Pers Soc Psychol. 1989;57:1069-1081.
21. Keyes CLM. Social well-being. Soc Psychol Q. 1998;61:121-140.
22. Personal communication with Corey Keyes P. Associate professor, Department of Sociology, Emory University, Atlanta, Ga; 2011.
23. Keyes CL. Mental illness and/or mental health? Investigating axioms of the complete state model of health. J Consult Clin Psychol. 2005;73:539-548.
24. Keyes CL. Mental health in adolescence: Is America's youth flourishing? Am J Orthopsychiatry. 2006;76:395-402.
25. Maslach C, Jackson SE, Leiter MP. Maslach Burnout Inventory Manual. 3rd ed. Palo Alto, Calif: Consulting Psychologists Press; 1996.
26. Dyrbye LN, Sloan JA, Shanafelt TD. In reply. JAMA. 2011;305:38.
27. Dyrbye LN, Thomas MR, Massie FS, et al. Burnout and suicidal ideation among U.S. medical students. Ann Intern Med. 2008;149:334-341.
28. Thomas MR, Dyrbye LN, Huntington JL, et al. How do distress and well-being relate to medical student empathy? A multicenter study. J Gen Intern Med. 2007;22:177-183.
29. Schaufeli W, Bakker A, Hoogduin K, Schaap C, Kladler A. On the clinical validity of the Maslach Burnout Inventory and the Burnout Measure. Psychol Health. 2001;16:565-582.
30. West CP, Dyrbye LN, Shanafelt TD. Burnout in medical school deans. Acad Med. 2009;84:6.
31. Dyrbye LN, West CP, Shanafelt TD. Defining burnout as a dichotomous variable. J Gen Intern Med. 2009;24:440.
32. Simpson DE, Yindra KJ, Towne JB, Rosenfeld PS. Medical students' perceptions of cheating. Acad Med. 1989;64:221-222.
33. Anderson RE, Obenshain SS. Cheating by students: Findings, reflections, and remedies. Acad Med. 1994;69:323-332.
34. Dans PE. Self-reported cheating by students at one medical school. Acad Med. 1996;71(1 suppl):S70-S72.
35. Sierles F, Hendrickx I, Circle S. Cheating in medical school. J Med Educ. 1980;55:124-125.
36. Dyrbye LN, Power DV, Massie FS, et al. Factors associated with resilience to and recovery from burnout: A prospective, multi-institutional study of US medical students. Med Educ. 2010;44:1016-1026.
37. Krasner MS, Epstein RM, Beckman H, et al. Association of an educational program in mindful communication with burnout, empathy, and attitudes among primary care physicians. JAMA. 2009;302:1284-1293.
38. Liasion Committee on Medical Education. Accreditation standards. www.lcme.org. Accessed April 16, 2012.
39. Royal College of Physicians and Surgeons of Canada. CanMEDS 2005. http://rcpsc.medical.org/canmeds/CanMEDS2005/CanMEDS2005-e.pdf. Accessed April 16, 2012.
40. General Medical Council. The New Doctor. Guidance on foundation training. 2009. http://www.gmc-uk.org/New-Doctor09-FINAL.pdf-27493417.pdf-39279971.pdf. Accessed May 29,2012.
41. Kellerman SE, Herold J. Physician response to surveys. A review of the literature. Am J Prev Med. 2001;20:61-67.
42. Crandall SJ, Volk RJ, Loemker V. Medical students' attitudes toward providing care for the underserved. Are we training socially responsible physicians? JAMA. 1993;269:2519-2523.
43. Crandall SJ, Reboussin BA, Michielutte R, Anthony JE, Naughton MJ. Medical students' attitudes toward underserved patients: A longitudinal comparison of problem-based and traditional medical curricula. Adv Health Sci Educ Theory Pract. 2007;12:71-86.