ArticleJournal of evaluation in clinical practice2026
Responsiveness of the Oldenburg Burnout Inventory for Medical Students and Predictors of Sustained Burnout during Clinical Clerkships: A Five-Wave Longitudinal Cohort Study.
Article in Journal of evaluation in clinical practice, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
rationaleRobust outcome measurement is central to evaluating clinical training environments and providing timely support to medical students. Burnout during clinical clerkships is common; however, evidence of the capability of instruments to monitor sustained risks and detect meaningful changes remains limited. AIMS AND
objectivesTo evaluate the responsiveness of the 11-item Oldenburg Burnout Inventory-Medical Student version (OLBI-MS-11) and examine the baseline predictors of individuals' sustained burnout during their clerkships.
methodsWe examined within-person change correlations between the OLBI-MS-11 and domain-matched anchors (Maslach Burnout Inventory-General Survey [MBI-GS] subscales) in a five-wave longitudinal cohort study of Japanese medical students (N = 162). We assessed the instrument's discrimination of MBI-defined burnout caseness and analysed associations between burnout trajectories and clinically relevant constructs, including psychological flexibility, depressive symptoms, perceived stigma, mistreatment, and absence of clerkship.
resultsThe OLBI-MS-11 demonstrated moderate, domain-concordant correlations in within-person changes with the MBI-GS subscales across adjacent time points and maintained a stable discrimination of burnout caseness (AUC ≈ 0.82-0.84). Changes in burnout were associated with concurrent changes in psychological flexibility and depressive symptoms. Higher baseline psychological flexibility was associated with a reduced risk of sustained burnout, whereas mistreatment predicted persistent burnout.
conclusionsThe OLBI-MS-11 showed responsiveness and discriminative validity in clinical clerkships. Its use may facilitate the longitudinal monitoring of medical students' well-being and inform the identification of sustained burnout risk. Continuous-change metrics may provide a more nuanced evaluation of individual trajectories than dichotomous classifications alone.
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