Sweating Out Stress: Comparing Medical Student Burnout in Group vs. Individual Exercise

Andrew Braun

Abstract


 Purpose: The topic of burnout is growing in popularity within medical education. Since it has been widely accepted that exercise can improve mental health, this study aimed to identify the types of exercise that best improve stress, burnout, well-being, and academic performance in medical students.

Methods: This prospective mixed methods study compared medical students’ exercise habits to indicators of their well-being, burnout, stress, and academic performance. The expanded Physician Well Being Index was used to measure quality of life, burnout, fatigue, meaning of work, and satisfaction of work/life balance. An original survey instrument was used to collect baseline data on participants’ approach to physical health and the role it plays in well-being.

Results: Results from students who completed the ePWBI at the three offered time points (n=43) were analyzed using repeated measures analysis of variance techniques. We found significant linear trends at all three time points showing lower ePWBI scores (range -2 to 9) in the following pattern: group exercise < individual exercise < group and individual exercise < neither group nor individual exercise. At the beginning of the study, the trend for the ePWBI showed group exercise superior to all others (group, mean =-0.57; individual, mean = 0.78; group and individual, mean = 1.13; neither group nor individual exercise, mean = 1.80, p=0.037). A similar trend was found for the halfway point (group, mean =-0.14; individual, mean = 0.83; group and individual, mean = 1.50; neither group nor individual exercise, mean = 1.80, p=0.022), and the conclusion (group, mean =-0.29; individual, mean = 0.43; group and individual, mean = 1.00; neither group nor individual exercise, mean = 2.00, p=0.050). When looking at matched survey responses across the three time points, 20 out of 43 students quoted time as their greatest barrier to more routine exercise. When surveyed about overcoming this barrier, 19 students stated that improved motivation and prioritization would enable them to exercise more regularly. Thirteen students noted that lack of control over their medical school schedule keeps them from achieving exercise goals.

Conclusion: This prospective study identified the trend that medical students who participate in group exercise have improved well-being when compared to students who do not participate in group exercise. 


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References


Ishak, W, Nikravesh, R, Lederer, S, Perry, R, et al. Burnout in medical students: A systematic review. The Clinical Teacher 2013; 10(4): 242-245.

Shanafelt, TD, Hasan, O, Dyrbye, LN, Sinsky, C, et al. Changes in Burnout and Satisfaction With Work-Life Balance in Physicians and the General US Working Population Between 2011 and 2014. Mayo Clinic Proceedings 2015; 90(12): 1600-1613.

Dyrbye, LN, West, CP, Satele, D, Boone, S, et al. Burnout Among U.S. Medical Students, Residents, and Early Career Physicians Relative to the General U.S. Population. Academic Medicine 2014; 89(3): 443-451.

Goebert, D, Thompson, D, Takeshita, J, Beach, C, et al. Depressive Symptoms in Medical Students and Residents: A Multischool Study. Academic Medicine 2009; 84(2): 236-241.

Dyrbye, LN, Thomas, MR, Power, DV, Durning, S, et al. Burnout and Serious Thoughts of Dropping Out of Medical School: A Multi-Institutional Study. Academic Medicine 2010; 85(1): 94-102.

Ayala, EE, Omorodion, AM, Nmecha, D, Winseman, JS, et al. What Do Medical Students Do for Self-Care? A Student- Centered Approach to Well-Being. Teaching and Learning in Medicine 2017; 29(3): 237-246.

Frank, E, Tong, E, Lobelo, F, Carrera, J, Duperly, J. Physical Activity Levels and Counseling Practices of U.S. Medical Students. Medicine & Science in Sports & Exercise 2008; 40(3): 413-421.

Portugal, EM, Cevada, T, Monteiro-Junior, RS, Guimarães, TT, et al. Neuroscience of Exercise: From Neurobiology Mechanisms to Mental Health. Neuropsychobiology 2013; 68(1): 1-14.

Fox, KR. The influence of physical activity on mental well-being. Public Health Nutrition 1999; 2(3a): 411-418.

Bitonte, RA, Desanto, DJ. Mandatory physical exercise for the prevention of mental illness in medical students. Mental Illness 2014; 6(2): 43-44.

Kirch, DG. Educating for Resilience and Humanism in an Uncertain Time. 2016. https://reflectivemeded.org/2016/09/27/educating-for-resilience-and-humanism-in-an-uncertain-time/. Retrieved October 14, 2016.

Drolet, BC, Rodgers, S. A Comprehensive Medical Student Wellness Program—Design and Implementation at Vanderbilt School of Medicine. Academic Medicine 2010; 85(1): 103-110.

Ritterbeck, M, Glass, J. The 26 Healthiest Colleges in the U.S. 2016. https://greatist.com/health/healthiest-colleges. Accessed August 19, 2016.

Dillman, DA. Mail and Internet Surveys: The Tailored Design method. 2nd ed. Hoboken, NJ: John Wiley & Sons, Inc; 2007.

Dyrbye, LN, Satele, D, & Shanafelt, T. Ability of a 9-Item Well-Being Index to Identify Distress and Stratify Quality of Life in US Workers. Journal of Occupational and Environmental Medicine 2016; 58(8): 810-817.

Pandit, NR. The creation of theory: A recent application of the grounded theory method. The Qualitative Report 1996; 2(4): 1-15.

Weight, CJ, Sellon, JL, Lessard-Anderson, CR, Shanafelt, TD, et al. Physical Activity, Quality of Life, and Burnout Among Physician Trainees: The Effect of a Team-Based, Incentivized Exercise Program . Mayo Clinic Proceedings 2013; 88(12): 1435-1442.

Dyrbye, LN, Satele, D, Shanafelt, T. Healthy Exercise Habits Are Associated With Lower Risk of Burnout and Higher Quality of Life Among U.S. Medical Students. Academic Medicine 2017; 92(7): 1006-1011.


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