Evidence map›Paper›PMID 40001154›Full record

ArticleBMC medical education2025

A national perspective: integrating medical humanities to address burnout and stress in Chinese medical education.

Huiwen Zhai, Jiaolong Xue, Haotan Wu, Shuang Liao, Christopher Lavender, Yangludan Lv, Wanfei Xie, Di Wang, Yu Cheng

Abstract read
In one paragraph

Article in BMC medical education, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

8 citing papers in PubMed.

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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

9 authors.

Huiwen Zhai *State Key Laboratory of Oncology in South China, Collaborative Innovation Center for Cancer Medicine, Sun Yat-Sen University Cancer Center, Guangzhou, China.
Jiaolong Xue *Business School, Sichuan University, Chengdu, China.
Haotan Wu *School of Sociology and Anthropology, Sun Yat-Sen University, Guangzhou, China.
Shuang LiaoState Key Laboratory of Oncology in South China, Collaborative Innovation Center for Cancer Medicine, Sun Yat-Sen University Cancer Center, Guangzhou, China.
Christopher LavenderState Key Laboratory of Oncology in South China, Collaborative Innovation Center for Cancer Medicine, Sun Yat-Sen University Cancer Center, Guangzhou, China.
Yangludan LvSecond Clinical Medical College, Guangzhou University of Traditional Chinese Medicine, Guangzhou, China.
Wanfei XieState Key Laboratory of Oncology in South China, Collaborative Innovation Center for Cancer Medicine, Sun Yat-Sen University Cancer Center, Guangzhou, China.
Di WangThe Seventh Affiliated Hospital, Sun Yat-Sen University, Guangming District, Shenzhen, China. wangdi@sysush.com.
Yu ChengThe Seventh Affiliated Hospital, Sun Yat-Sen University, Guangming District, Shenzhen, China. chengyu@mail.sysu.edu.cn.

Funding

National Natural Science Foundation of China 72102238National Social Science Foundation of China 20&ZD122
6 · The paper itself

Abstract

backgroundThe significance of issues in medical humanities, such as empathy, professionalism, patient-orientation, disclosure of harms, and communication skills, has been widely acknowledged in previous studies. While these studies have showcased the impact of individual facets of medical humanities on clinical practice, there exists a dearth of comprehensive assessments that encompass these constructs and their relationship with burnout and distress among medical students. This study aims to fill these gaps by exploring Chinese medical students' overall perceptions of medical humanities across different educational phases and shedding light on the intricate associations between perceptions of humanities, burnout, and stress.

methodsWe conducted a nationwide survey using a web-based questionnaire across 38 Chinese universities. The questionnaire includes Medical Humanities constructs, the Maslach Burnout Inventory constructs and the Perceived Stress constructs. The survey was administered using the snowball sampling method, with the data collection period running from September 8, 2022, to September 22, 2023. Participants included a national sample of 904 students (out of a total of 969) enrolled in medical schools. To investigate the relationships among all the constructs, PLS-SEM analysis was conducted by using the SmartPLS 3.3.9 software in this study.

resultsThe student's perception of medical humanities was significantly influenced by several factors: years of medical school education (β  = -.077; P = .045), work burnout (β = -.208; P < .001), and perceived stress (β = -.467; P < .001). Work burnout was impacted by clinical clerkship experience (β = .106; P = .001), whereas perceived stress was influenced by the number of years in medical school (β = 0.102; P = .002). Additionally, work burnout acts as an intermediate variable between clinical clerkship experience and students' perception of medical humanities.

conclusionThis study illuminated the complex relationship between medical education, burnout, stress, and students' perception of medical humanities issues. It underscores the critical importance of balancing technical proficiency with humanistic values in medical training. Implementing strategies that support students' well-being and foster empathy is essential in nurturing a compassionate and effective healthcare workforce.

Indexed as

Burnout, ProfessionalEducation, MedicalHumanitiesStress, PsychologicalStudents, MedicalAdultChinaCurriculumEducation, Medical, UndergraduateFemaleHumansMaleSurveys and QuestionnairesYoung AdultMedical educationMedical humanitiesPerceived stressWork burnout

Identifiers

PMID40001154
PMCPMC11863532

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.