Evidence map›Paper›PMID 39143612›Full record

ArticleBMC medical education2024

The mediating role of self-efficacy in the relationship between past professional training and burnout resilience in medical education: a multicentre cross-sectional study.

Rebecca Erschens, Carla Schröpel, Anne Herrmann-Werner, Florian Junne, Lena Listunova, Andrea Heinzmann, Oliver Keis, Katrin Schüttpelz-Brauns, Sabine C Herpertz, Kevin Kunz and 2 more

Abstract readMulticenter Study
In one paragraph

Article in BMC medical education, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–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

7 citing papers in PubMed.

  1. Trial
  2. Trial
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  4. Relationship Between Self-Efficacy and Burnout Syndrome in Resident Physicians in Metropolitan Lima.International journal of environmental research and public health · 2026
    Observational
  5. Article
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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

12 authors.

Rebecca ErschensDepartment of Psychosomatic Medicine and Psychotherapy, University Hospital Tübingen, Tübingen, Germany. rebecca.erschens@med.uni-tuebingen.de.
Carla SchröpelDepartment of Psychosomatic Medicine and Psychotherapy, University Hospital Tübingen, Tübingen, Germany.
Anne Herrmann-WernerDepartment of Psychosomatic Medicine and Psychotherapy, University Hospital Tübingen, Tübingen, Germany.
Florian JunneDepartment of Psychosomatic Medicine and Psychotherapy, University Hospital Tübingen, Tübingen, Germany.
Lena ListunovaMedical Faculty Heidelberg, Office of Students' Affairs, Heidelberg University, Heidelberg, Germany.
Andrea HeinzmannMedical Faculty, Albert-Ludwigs-University Freiburg, Office of the Dean of Studies, Freiburg, Germany.
Oliver KeisOffice of the Dean of Studies, Medical Faculty, Ulm University, Ulm, Germany.
Katrin Schüttpelz-BraunsMedical Education Research Department, Division for Study and Teaching Development, Medical Faculty Mannheim at Heidelberg University, Mannheim, Germany.
Sabine C HerpertzDepartment of General Psychiatry, Centre for Psychosocial Medicine, University of Heidelberg, Heidelberg, Germany.
Kevin KunzMedical Faculty, Albert-Ludwigs-University Freiburg, Office of the Dean of Studies, Freiburg, Germany.
Stephan ZipfelDepartment of Psychosomatic Medicine and Psychotherapy, University Hospital Tübingen, Tübingen, Germany.
Teresa Festl-WietekTübingen Institute for Medical Education, University of Tübingen, Tübingen, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMeta-analyses indicate a high prevalence of burnout among medical students. Although studies have investigated different coping strategies and health interventions to prevent burnout, professional experience's influence on burnout resilience as seldom been explored. Therefore, in our study we aimed to examine the self-efficacy's mediating role in the relationship between past vocational training and burnout resilience. In the process, we also analysed the associations between study-related variables and burnout resilience.

methodsIn our cross-sectional study, we analysed the data of 2217 medical students at different stages of their university education (i.e. 1st, 3rd, 6th, 10th semester, and final year) at five medical faculties in Germany. The questionnaire included items addressing variables related to medical school, previous professional and academic qualifications, and validated instruments for measuring burnout and self-efficacy.

resultsThe overall prevalence of burnout was 19.7%, as defined by high scores for emotional exhaustion and notable values in at least one of the other two dimensions (cynicism or academic efficacy). Higher levels for self-efficacy (p < .001), having children (p = .004), and financing education with personal earnings (p = .03) were positively associated with burnout resilience, whereas having education financed by a partner or spouse (p = .04) had a negative association. In a mediation analysis, self-efficacy exerted a suppressor effect on the relationship between vocational training and burnout resilience (indirect effect = 0.11, 95% CI [0.04, 0.19]).

conclusionsSelf-efficacy's suppressor effect suggests that the positive association between vocational training and burnout resilience identified in the mediation analysis disappears for students who have completed vocational training but do not feel efficacious. Those and other findings provide important insights into the psychological mechanisms underlying the development of burnout resilience in medical students and suggest the promotion of self-efficacy in medical education.

Indexed as

Burnout, ProfessionalResilience, PsychologicalSelf EfficacyStudents, MedicalAdaptation, PsychologicalAdultCross-Sectional StudiesEducation, MedicalFemaleGermanyHumansMalePrevalenceSurveys and QuestionnairesYoung AdultBurnoutMedical studentProfessional experienceSelf-efficacyVocational training

Identifiers

PMID39143612
PMCPMC11323524

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

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.