ArticleBMC medical education2022
Burnout: exploring the differences between U.S. and international medical graduates.
Article in BMC medical education, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.
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Who cites it
11 citing papers in PubMed, 2 syntheses or guidelines pooled it, 18 citations in OpenAlex.
- Burnout among international versus domestic medical graduates in the United States and United Kingdom: a systematic review and meta-analysis of trainees and early-career physicians.BMC medical education · 2026Pooled it
- Systematic review of the relationship between burn-out and spiritual health in doctors.BMJ open · 2023Pooled it
- Experiences of International and Puerto Rican Medical Graduates in the United States: A Cross-Sectional Survey.Journal of general internal medicine · 2026Article
- Associations between the perceived educational environment and burnout symptoms across multilingual medical programs: the role of academic and social self-perception.BMC medical education · 2026Article
- Article
- Self-reported mental health outcomes of International medical graduates in Australia: a cross-sectional survey.Frontiers in medicine · 2025Article
- Burnout Among Mid-Career Academic Medical Faculty.JAMA network open · 2024Article
- Prevalence and Predictors of Burnout Among Resident Family Physicians.Family medicine · 2024Article
- Reliability and validity support for an abbreviated Copenhagen burnout inventory using exploratory and confirmatory factor analysis.Journal of the American College of Emergency Physicians open · 2022Article
- Do physicians with academic affiliation have lower burnout and higher career-related satisfaction?BMC medical education · 2022Article
- "Frontiers in public health · 2022Article
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Authors and funding
7 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundInternational medical graduates (IMGs) have less burnout than U. S. medical school graduates (USMGs) during residency training. This study evaluates possible correlates of differences in burnout rates between USMGs and IMGs.
methodsWe surveyed 375 first-year residents at orientation in June/July 2017. We assessed burnout using the Copenhagen Burnout Inventory (CBI) and used validated scales to measure stress, quality of life (QoL), mastery, and spirituality. We collected data on gender, place of graduation, language fluency, and specialty. We compared CBI scores between USMGs and IMGs, performed a multivariate linear regression analysis of relationships between covariates and CBI subscales, and logistic regression analysis for our categorical definition of burnout.
resultsTwo hundred twenty-two residents responded for a response rate of 59%. Personal, work or patient- related burnout was common among residents, particularly among USMGs. The most common form of burnout was work-related. Forty nine percent of USMGs have work burnout compared to 26% of IMGs (p < 0.01). In multivariate analysis, being an IMG reduced odds of work-related and of total burnout by 50% (OR 0.5 C.I 0.25-0.99). Perceived mastery was associated with reductions in all subscales of burnout (p < 0.05). Stress and low QoL related to personal and work burnout scores (p < 0.01).
conclusionWork-related burnout is more common among USMGs than in IMGs. Although mastery, QoL and stress were correlates of burnout among all residents, these factors did not explain the difference. Future studies should evaluate the role of medical school structure and curriculum on differences in burnout rates between the two groups.
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