ArticleBMC medical education2020
Grit protects medical students from burnout: a longitudinal study.
Article in BMC medical education, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 4 of them syntheses that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
30 citing papers in PubMed, 4 syntheses or guidelines pooled it, 103 citations in OpenAlex.
- The effect of resilience training on resilience and stress in medical students: a systematic review and meta-analysis.BMC medical education · 2025Pooled it
- Physical activity, burnout and quality of life in medical students: A systematic review.The clinical teacher · 2022Pooled it
- Determinants of Burnout among Teachers: A Systematic Review of Longitudinal Studies.International journal of environmental research and public health · 2022Pooled it
- Predictors of Occupational Burnout: A Systematic Review.International journal of environmental research and public health · 2021Pooled it
- The interplay of grit, resilience, and burnout among medical students during exams: a cross-sectional study in Mansoura university, Egypt.Scientific reports · 2026Article
- Exploring Psychosocial Stressors, Exam Performance, and Grit Among Preclinical Medical Students.Advances in medical education and practice · 2026Article
- The Effects of Grit, Emergency Nursing Competency, and Positive Nursing Organisational Culture on Burnout Among Nurses in the Emergency Department.Behavioral sciences (Basel, Switzerland) · 2025Article
- Student Burnout: A Review on Factors Contributing to Burnout Across Different Student Populations.Behavioral sciences (Basel, Switzerland) · 2025Review
- Predictors of grit among medical students: a study at a Malaysian Public University.BMC medical education · 2024Article
- Burnout in early year medical students: experiences, drivers and the perceived value of a reflection-based intervention.BMC medical education · 2024Article
- The Impact of Grit on Nurses' Job Performance: Evaluating Chained Mediation through Perceived Social Support and Self-Esteem.Journal of nursing management · 2024Article
- Effects of grit on medical students' wellbeing during clerkships: a longitudinal observational cohort study.Frontiers in medicine · 2024Article
- Physician Burnout: Evidence-Based Roadmaps to Prioritizing and Supporting Personal Wellbeing.Journal of healthcare leadership · 2024Review
- Association between Grit and depressive symptoms at the timing of job start among medical residents during the COVID-19 pandemic in Japan: a cross-sectional study.Medical education online · 2023Article
- The Impact of Changing Step 1 to Pass/Fail Reporting on Anxiety, Learning Approaches, and Curiosity.Medical science educator · 2023Article
- Tough Times Require Tough People: The Benefits of Grit for Reducing Employee Burnout.International journal of environmental research and public health · 2023Article
- Impact of Resilience and Viral Anxiety on Psychological Well-Being, Intrinsic Motivation, and Academic Stress in Medical Students During the COVID-19 Pandemic.Psychiatry investigation · 2023Article
- Factors influencing burnout in millennial medical students during the COVID-19 pandemic!Irish journal of medical science · 2023Article
- Measuring grit, self-efficacy, curiosity, and intolerance of uncertainty in first-generation college and first-generation osteopathic medical students.BMC medical education · 2023Article
- Psychological need satisfaction and academic stress in college students: mediator role of grit and academic self-efficacy.European journal of psychology of education = Journal europeen de psychologie de l'education · 2023Article
Corrections and comments
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Authors and funding
11 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundBurnout 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.
methodsThe 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.
resultsOut 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).
conclusionsGrit 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.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.