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Review
. 2025 Mar 26;14(7):2263.
doi: 10.3390/jcm14072263.

Physician and Medical Student Burnout, a Narrative Literature Review: Challenges, Strategies, and a Call to Action

Santiago Cotobal Rodeles  1 , Francisco Javier Martín Sánchez  2 , Manuel Martínez-Sellés  3   4   5   6
Affiliations
Review

Physician and Medical Student Burnout, a Narrative Literature Review: Challenges, Strategies, and a Call to Action

Santiago Cotobal Rodeles et al. J Clin Med. .

Abstract

Background: Burnout is a state of emotional, physical, and mental exhaustion produced by excessive and prolonged professional stress. Its prevalence is unclear, and figures from 2 to 81% have been reported, although studies focused on this issue are scarce and inconsistent definitions and the absence of validated measurement tools make comparisons difficult. Methods: Our narrative review's purpose was to explore physician and medical student burnout across medical specialties and in specific subgroups, including young doctors, researchers, and female physicians. We also assess burnout effects in medical students and patients and the possible strategies to prevent and reverse it. Results: Burnout affects doctors, medical students, and patients. It impacts significantly on physicians mental health and can be the trigger for depression, substance abuse, and suicide attempts. Moreover, this psychological and physical exhaustion can also increase the risk of systemic conditions such as cardiovascular disease. Physician burnout increases the risk of medical errors, reduces professional efficacy, and might compromise patients' safety. Strategies focusing on mental, physical, social, and occupational well-being can help to prevent and treat burnout. These include resilience training, self-care, exercise, work-life balance, and institutional changes, such as reducing administrative burdens and improving electronic health record systems. Medical students' burnout might be triggered by specific problems related to their young age, economic situation, exam stress and workload, high academic expectations, lack of support, and others. Conclusions: Burnout is common in physicians and medical students, negatively affecting mental health, professional/academic efficacy, and patient outcomes. Addressing burnout requires a multifaceted approach, including individual strategies and systemic changes within institutions.

Keywords: burnout; depression; healthcare; resilience.

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Conflict of interest statement

The authors declare no conflicts of interest.

Figures

Figure 1
Figure 1
The main factors that influence the prevalence of physician burnout.
Figure 2
Figure 2
Step-by-step approach to addressing physician burnout.
See this image and copyright information in PMC

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References

    1. Khammissa R.A.G., Nemutandani S., Feller G., Lemmer J., Feller L. Burnout Phenomenon: Neurophysiological Factors, Clinical Features, and Aspects of Management. J. Int. Med. Res. 2022;50:03000605221106428. doi: 10.1177/03000605221106428. - DOI - PMC - PubMed
    1. Marlicz W., Koulaouzidis A., Charisopoulou D., Jankowski J., Marlicz M., Skonieczna-Zydecka K., Krynicka P., Loniewski I., Samochowiec J., Rydzewska G., et al. Burnout in Healthcare—The Emperor’s New Clothes. Przegląd Gastroenterol. 2023;18:274–280. doi: 10.5114/pg.2023.131595. - DOI - PMC - PubMed
    1. Sen S. Is It Burnout or Depression? Expanding Efforts to Improve Physician Well-Being. N. Engl. J. Med. 2022;387:1629–1630. doi: 10.1056/NEJMp2209540. - DOI - PubMed
    1. Gupta M., Chedrawy E. An Ontological, Anthropological, and Psychoanalytic Perspective on Physician Burnout. Cureus. 2023;15:e34282. doi: 10.7759/cureus.34282. - DOI - PMC - PubMed
    1. Lin C.-Y., Alimoradi Z., Griffiths M.D., Pakpour A.H. Psychometric Properties of the Maslach Burnout Inventory for Medical Personnel (MBI-HSS-MP) Heliyon. 2022;8:e08868. doi: 10.1016/j.heliyon.2022.e08868. - DOI - PMC - PubMed

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