Evidence map›Paper›PMID 34624828›Full record

ArticleClinical neurology and neurosurgery2021

Burnout among medical students interested in neurosurgery during the COVID-19 era.

Adham M Khalafallah, Adrian E Jimenez, Shravika Lam, Abhishek Gami, David L Dornbos, Walavan Sivakumar, Jeremiah N Johnson, Debraj Mukherjee

Abstract read
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In one paragraph

Article in Clinical neurology and neurosurgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Impact of COVID-19 on Academic Burnout among Medical College Students in China: Findings from a Web-Based Survey.Medical science monitor : international medical journal of experimental and clinical research · 2024
    Article
  3. Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Adham M KhalafallahDepartment of Neurosurgery, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Adrian E JimenezDepartment of Neurosurgery, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Shravika LamDepartment of Neurosurgery, Vanderbilt University School of Medicine, Nashville, TN, USA.
Abhishek GamiDepartment of Neurosurgery, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
David L DornbosDepartment of Neurosurgery, The Ohio State University Wexner Medical Center, Columbus, OH, USA.
Walavan SivakumarDepartment of Neurosurgery, Pacific Neuroscience Institute, Santa Monica, CA, USA.
Jeremiah N JohnsonDepartment of Neurosurgery, Baylor College of Medicine, Houston, TX, USA.
Debraj MukherjeeDepartment of Neurosurgery, Johns Hopkins University School of Medicine, Baltimore, MD, USA. Electronic address: dmukher1@jhmi.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe novel Coronavirus Disease 2019 (COVID-19) pandemic has posed unprecedented new stressors to medical student education. This national survey investigated the prevalence of burnout in U.S. medical students interested in pursuing neurosurgical residency during the COVID-19 pandemic.

methodsA 24-question survey was sent to all American Association of Neurological Surgeons (AANS) medical student chapter members. The abbreviated Maslach Burnout Inventory (aMBI) was used to measure the following burnout metrics: emotional exhaustion, depersonalization, and personal accomplishment. Bivariate analyses were conducted and multivariate analyses were performed using a logistic regression models.

results254 medical students were included (response rate of 14.5%). The majority were male (55.1%), White (66.1%), and between their 2nd and 3rd years in medical school (62.6%). Burnout was identified in 38 (15.0%) respondents, a rate lower than reported in the pre-COVID era. In multivariate analysis, burnout was significantly associated with choosing not to pursue, or feeling uncertain about pursuing, a medical career again if given the choice (OR = 3.40, p = 0.0075), having second thoughts about choosing to pursue neurosurgery (OR = 3.47, p = 0.0025), attending a medical program in the Northeast compared to the Southeast (OR = 0.32, p = 0.027) or Southwest U.S. (OR = 0.30, p = 0.046), and indicating that one's future clinical performance will have worsened due to COVID-19 (OR = 2.71, p = 0.025).

conclusionsOur study demonstrates relatively low rates of burnout among U.S. medical students interested in pursuing neurosurgery during the COVID-19 pandemic. Our findings also demonstrate multiple factors may aid in early identification of burnout, highlighting potential opportunities for intervention.

Indexed as

Surveys and QuestionnairesAdultBurnout, ProfessionalCOVID-19FemaleHumansInternship and ResidencyMaleNeurosurgeryStudents, MedicalYoung AdultBurnoutCoronavirusCOVID-19Medical studentNeurosurgery

Identifiers

PMID34624828
PMCPMC8493812

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Registered trials

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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.