Disability, program access, empathy and burnout in US medical students: A national study
dc.contributor.author | Meeks, Lisa M. | |
dc.contributor.author | Pereira-Lima, Karina | |
dc.contributor.author | Plegue, Melissa | |
dc.contributor.author | Jain, Neera R. | |
dc.contributor.author | Stergiopoulos, Erene | |
dc.contributor.author | Stauffer, Catherine | |
dc.contributor.author | Sheets, Zoie | |
dc.contributor.author | Swenor, Bonnelin K. | |
dc.contributor.author | Taylor, Nichole | |
dc.contributor.author | Addams, Amy N. | |
dc.contributor.author | Moreland, Christopher J. | |
dc.date.accessioned | 2023-06-01T20:52:06Z | |
dc.date.available | 2024-07-01 16:52:04 | en |
dc.date.available | 2023-06-01T20:52:06Z | |
dc.date.issued | 2023-06 | |
dc.identifier.citation | Meeks, Lisa M.; Pereira-Lima, Karina ; Plegue, Melissa; Jain, Neera R.; Stergiopoulos, Erene; Stauffer, Catherine; Sheets, Zoie; Swenor, Bonnelin K.; Taylor, Nichole; Addams, Amy N.; Moreland, Christopher J. (2023). "Disability, program access, empathy and burnout in US medical students: A national study." Medical Education 57(6): 523-534. | |
dc.identifier.issn | 0308-0110 | |
dc.identifier.issn | 1365-2923 | |
dc.identifier.uri | https://hdl.handle.net/2027.42/176893 | |
dc.description.abstract | ObjectiveThe objective of this study is to investigate whether self-disclosed disability and self-reported program access are associated with measures of empathy and burnout in a national sample of US medical students.MethodsThe authors obtained data from students who responded to the Association of Medical Colleges (AAMC) Year 2 Questionnaire (Y2Q) in 2019 and 2020. Data included demographic characteristics, personal variables, learning environment indicators, measures of burnout (Oldenburg Burnout Inventory for Medical Students), empathy (Interpersonal Reactivity Index) and disability-related questions, including self-reported disability, disability category and program access. Associations between disability status, program access, empathy and burnout were assessed using multivariable logistic regression models accounting for YQ2 demographic, personal-related and learning environment measures.ResultsOverall, 23 898 (54.2%) provided disability data and were included. Of those, 2438 (10.2%) self-reported a disability. Most medical students with disabilities (SWD) self-reported having program access through accommodations (1215 [49.8%]) or that accommodations were not required for access (824 [33.8%]). Multivariable models identified that compared with students without disabilities, SWD with and without program access presented higher odds of high exhaustion (1.50 [95% CI, 1.34–1.69] and 2.59 [95% CI, 1.93–3.49], respectively) and lower odds of low empathy (0.75 [95% CI, 0.67–.85] and 0.68 [95% CI, 0.52–0.90], respectively). In contrast, multivariable models for disengagement identified that SWD reporting lack of program access presented higher odds of high disengagement compared to students without disabilities (1.43 [95% CI, 1.09–1.87], whereas SWD with program access did not (1.09 [95% CI, 0.97–1.22]).ConclusionsDespite higher odds of high exhaustion, SWD were less likely to present low empathy regardless of program access, and SWD with program access did not differ from students without disabilities in terms of disengagement. These findings add to our understanding of the characteristics and experiences of SWD including their contributions as empathic future physicians.Meeks et al. demonstrate that program access is essential for the wellbeing of students with disabilities while showing that they may be more empathic physicians. #DocsWithDisabilities | |
dc.publisher | Assocation of American Medical Colleges | |
dc.publisher | Wiley Periodicals, Inc. | |
dc.title | Disability, program access, empathy and burnout in US medical students: A national study | |
dc.type | Article | |
dc.rights.robots | IndexNoFollow | |
dc.subject.hlbsecondlevel | Education | |
dc.subject.hlbsecondlevel | Medicine (General) | |
dc.subject.hlbtoplevel | Health Sciences | |
dc.subject.hlbtoplevel | Social Sciences | |
dc.description.peerreviewed | Peer Reviewed | |
dc.description.bitstreamurl | http://deepblue.lib.umich.edu/bitstream/2027.42/176893/1/medu14995_am.pdf | |
dc.description.bitstreamurl | http://deepblue.lib.umich.edu/bitstream/2027.42/176893/2/medu14995.pdf | |
dc.identifier.doi | 10.1111/medu.14995 | |
dc.identifier.source | Medical Education | |
dc.identifier.citedreference | Petersen KH, Jain NR, Case B, Jain S, Meeks LM. Impact of USMLE Step-1 accommodation denial on US medical schools: a national survey. PLoS One. 2022; 17 ( 4 ): e0266685. doi: 10.1371/journal.pone.0266685 | |
dc.identifier.citedreference | Singh S. Medical Council of India’s new guidelines on admission of persons with specified disabilities: unfair, discriminatory and unlawful. Indian J Med Ethics. 2019; 4 ( 1 ): 29 - 34. doi: 10.20529/IJME.2018.064 | |
dc.identifier.citedreference | Dyrbye LN, Thomas MR, Power DV, et al. Burnout and serious thoughts of dropping out of medical school: a multi-institutional study. Acad Med. 2010; 85 ( 1 ): 94 - 102. doi: 10.1097/ACM.0b013e3181c46aad | |
dc.identifier.citedreference | Meeks LM, Pereira-Lima K, Frank E, Stergiopoulos E, Ross KET, Sen S. Program access, depressive symptoms, and medical errors among resident physicians with disability. JAMA Netw Open. 2021; 4 ( 12 ): e2141511. doi: 10.1001/jamanetworkopen.2021.41511 | |
dc.identifier.citedreference | Moreland CJ, Meeks LM, Nahid M, Panzer K, Fancher TL. Exploring accommodations along the education to employment pathway for deaf and hard of hearing healthcare professionals. BMC Med Educ. 2022; 22 ( 1 ): 345. doi: 10.1186/s12909-022-03403-w | |
dc.identifier.citedreference | Meeks LM, Plegue M, Swenor BK, et al. The performance and trajectory of medical students with disabilities: results from a multisite, multicohort study. Acad Med. 2022; 97 ( 3 ): 389 - 397. doi: 10.1097/ACM.0000000000004510 | |
dc.identifier.citedreference | Meeks LM, Pereira-Lima K, Plegue M, et al. Assessment of accommodation requests reported by a National Sample of US MD students by category of disability. JAMA. Published online August 11. 2022; 10: 982 - 984. doi: 10.1001/jama.2022.12283 | |
dc.identifier.citedreference | Demerouti, Bakker. The Oldenburg Burnout Inventory: a good alternative to measure burnout and engagement. Handbook of stress and burnout in health care 2008; 65: 78. http://www.psicopolis.com/burnout/bumesur.pdf | |
dc.identifier.citedreference | Dahlin M, Joneborg N, Runeson B. Performance-based self-esteem and burnout in a cross-sectional study of medical students. Med Teach. 2007; 29 ( 1 ): 43 - 48. doi: 10.1080/01421590601175309 | |
dc.identifier.citedreference | Halbesleben JRB, Demerouti E. The construct validity of an alternative measure of burnout: investigating the English translation of the Oldenburg burnout inventory. Work & Stress. 2005; 19 ( 3 ): 208 - 220. doi: 10.1080/02678370500340728 | |
dc.identifier.citedreference | Peterson U, Bergström G, Samuelsson M, Asberg M, Nygren A. Reflecting peer-support groups in the prevention of stress and burnout: randomized controlled trial. J Adv Nurs. 2008; 63 ( 5 ): 506 - 516. doi: 10.1111/j.1365-2648.2008.04743.x | |
dc.identifier.citedreference | O’Marr JM, Chan SM, Crawford L, Wong AH, Samuels E, Boatright D. Perceptions on burnout and the medical school learning environment of medical students who are underrepresented in medicine. JAMA Netw Open. 2022; 5 ( 2 ): e220115. doi: 10.1001/jamanetworkopen.2022.0115 | |
dc.identifier.citedreference | Davis MH. Measuring individual differences in empathy: evidence for a multidimensional approach. J Pers Soc Psychol. 44 ( 1 ): 113 - 126. doi: 10.1037/0022-3514.44.1.113 | |
dc.identifier.citedreference | Hojat M, Spandorfer J, Louis DZ, Gonnella JS. Empathic and sympathetic orientations toward patient care: conceptualization, measurement, and psychometrics. Acad Med. 2011; 86 ( 8 ): 989 - 995. doi: 10.1097/ACM.0b013e31822203d8 | |
dc.identifier.citedreference | Geller G, Tambor ES, Chase GA, Holtzman NA. Measuring physicians’ tolerance for ambiguity and its relationship to their reported practices regarding genetic testing. Med Care. 1993; 31 ( 11 ): 989 - 1001. doi: 10.1097/00005650-199311000-00002 | |
dc.identifier.citedreference | Marshall RE. Measuring the medical school learning environment. J Med Educ. 1978; 53 ( 2 ): 98 - 104. doi: 10.1097/00001888-197802000-00003 | |
dc.identifier.citedreference | Park C, Lee YJ, Hong M, et al. A multicenter study investigating empathy and burnout characteristics in medical residents with various specialties. J Korean Med Sci. 2016; 31 ( 4 ): 590 - 597. doi: 10.3346/jkms.2016.31.4.590 | |
dc.identifier.citedreference | Passalacqua SA, Segrin C. The effect of resident physician stress, burnout, and empathy on patient-centered communication during the long-call shift. Health Commun. 2012; 27 ( 5 ): 449 - 456. doi: 10.1080/10410236.2011.606527 | |
dc.identifier.citedreference | Dyrbye LN, Satele D, West CP. Association of Characteristics of the learning environment and US medical student burnout, empathy, and career regret. JAMA Netw Open. 2021; 4 ( 8 ): e2119110. doi: 10.1001/jamanetworkopen.2021.19110 | |
dc.identifier.citedreference | Toto RL, Man L, Blatt B, Simmens SJ, Greenberg L. Do empathy, perspective-taking, sense of power and personality differ across undergraduate education and are they inter-related? Adv Health Sci Educ Theory Pract. 2015; 20 ( 1 ): 23 - 31. doi: 10.1007/s10459-014-9502-z | |
dc.identifier.citedreference | Paro HBMS, Silveira PSP, Perotta B, et al. Empathy among medical students: is there a relation with quality of life and burnout? PLoS One. 2014; 9 ( 4 ): e94133. doi: 10.1371/journal.pone.0094133 | |
dc.identifier.citedreference | McTighe AJ, DiTomasso RA, Felgoise S, Hojat M. Effect of medical education on empathy in osteopathic medical students. J am Osteopath Assoc. 2016; 116 ( 10 ): 668 - 674. doi: 10.7556/jaoa.2016.131 | |
dc.identifier.citedreference | Sergeant MJT, Dickins TE, Davies MNO, Griffiths MD. Aggression, empathy and sexual orientation in males. Pers Individ Dif. 2006; 40 ( 3 ): 475 - 486. doi: 10.1016/j.paid.2005.07.002 | |
dc.identifier.citedreference | Geller G, Grbic D, Andolsek KM, Caulfield M, Roskovensky L. Tolerance for ambiguity among medical students: patterns of change during medical school and their implications for professional development. Acad Med. 2021; 96 ( 7 ): 1036 - 1042. doi: 10.1097/ACM.0000000000003820 | |
dc.identifier.citedreference | Hojat M, Vergare M, Isenberg G, Cohen M, Spandorfer J. Underlying construct of empathy, optimism, and burnout in medical students. J Int Assoc Med Sci Educ. 2015; 6: 12 - 16. doi: 10.5116/ijme.54c3.60cd | |
dc.identifier.citedreference | Lamothe M, Boujut E, Zenasni F, Sultan S. To be or not to be empathic: the combined role of empathic concern and perspective taking in understanding burnout in general practice. BMC Fam Pract. 2014; 15 ( 1 ): 15. doi: 10.1186/1471-2296-15-15 | |
dc.identifier.citedreference | Demerouti E, Bakker AB, Nachreiner F, Schaufeli WB. The job demands-resources model of burnout. J Appl Psychol. 2001; 86 ( 3 ): 499 - 512. https://www.ncbi.nlm.nih.gov/pubmed/11419809 | |
dc.identifier.citedreference | Laird EP, Serrantino J, Culley JL. The process for determining disability accommodations. In: Meeks LM, Jain NR, Laird EP, eds. Equal Access for Students with Disabilities: The Guide for Health Science and Professional Education. Springer Publisher. https://books.google.com/books?hl=en&lr=&id=a1LSCgAAQBAJ&oi=fnd&pg=PA33&dq=The+process+for+determining+disability+accommodations&ots=uYndkv4qXa&sig=2me1XyfVNfa0VEr2WaYuX4cv2Xc | |
dc.identifier.citedreference | Stergiopoulos E, Fragoso L, Meeks LM. Cultural barriers to help-seeking in medical education. JAMA Intern Med. 2021; 181 ( 2 ): 155 - 156. doi: 10.1001/jamainternmed.2020.7567 | |
dc.identifier.citedreference | World Health Organization. World report on disability 2011. Accessed October 4, 2022. https://apps.who.int/iris/bitstream/handle/10665/44575/?sequence=4 | |
dc.identifier.citedreference | Iezzoni LI, Rao SR, Ressalam J, et al. Physicians’ perceptions of people with disability and their health care. Health Aff. 2021; 40 ( 2 ): 297 - 306. doi: 10.1377/hlthaff.2020.01452 | |
dc.identifier.citedreference | McMillan C, Lee J, Milligan J, Hillier LM, Bauman C. Physician perspectives on care of individuals with severe mobility impairments in primary care in southwestern Ontario, Canada. Health Soc Care Community. 2016; 24 ( 4 ): 463 - 472. doi: 10.1111/hsc.12228 | |
dc.identifier.citedreference | Aulagnier M, Verger P, Ravaud JF, et al. General practitioners’ attitudes towards patients with disabilities: the need for training and support. Disabil Rehabil. 2005; 27 ( 22 ): 1343 - 1352. doi: 10.1080/09638280500164107 | |
dc.identifier.citedreference | da Cunha MAO, Santos HF, de Carvalho MEL, et al. Health Care for People with disabilities in the unified health system in Brazil: a scoping review. Int J Environ Res Public Health. 2022; 19 ( 3 ): 1472. doi: 10.3390/ijerph19031472 | |
dc.identifier.citedreference | Meeks LM, Maraki I, Singh S, Curry RH. Global commitments to disability inclusion in health professions. Lancet. 2020; 395 ( 10227 ): 852 - 853. doi: 10.1016/S0140-6736(20)30215-4 | |
dc.identifier.citedreference | Shakespeare T, Iezzoni LI, Groce NE. Disability and the training of health professionals. Lancet. 2009; 374 ( 9704 ): 1815 - 1816. doi: 10.1016/s0140-6736(09)62050-x | |
dc.identifier.citedreference | Kelly-Blake K, Garrison NA, Fletcher FE, et al. Rationales for expanding minority physician representation in the workforce: a scoping review. Med Educ. 2018; 52 ( 9 ): 925 - 935. doi: 10.1111/medu.13618 | |
dc.identifier.citedreference | Elharake JA, Frank E, Kalmbach DA, Mata DA, Sen S. Racial and ethnic diversity and depression in residency programs: a prospective cohort study. J Gen Intern Med. 2020; 35 ( 4 ): 1325 - 1327. doi: 10.1007/s11606-019-05570-x | |
dc.identifier.citedreference | Guiton G, Chang MJ, Wilkerson L. Student body diversity: relationship to medical students’ experiences and attitudes. Acad Med. 2007; 82 ( 10 Suppl ): S85 - S88. doi: 10.1097/ACM.0b013e31813ffe1e | |
dc.identifier.citedreference | Silver JK, Bean AC, Slocum C, et al. Physician workforce disparities and patient care: a narrative review. Health Equity. 2019; 3 ( 1 ): 360 - 377. doi: 10.1089/heq.2019.0040 | |
dc.identifier.citedreference | Mulumba M, Nantaba J, Brolan CE, Ruano AL, Brooker K, Hammonds R. Perceptions and experiences of access to public healthcare by people with disabilities and older people in Uganda. Int J Equity Health. 2014; 13 ( 1 ): 76. doi: 10.1186/s12939-014-0076-4 | |
dc.identifier.citedreference | Stanford. Dehumanization, Dismissal, and disparities: an analysis of harmful trends in Healthcare providers’ interactions with Autistic Patients. westminstercollege.edu. https://westminstercollege.edu/student-life/the-myriad/dehumanization-dismissal-and-disparity.html | |
dc.identifier.citedreference | Alvarez-Galvez J, Salvador-Carulla L. Perceived discrimination and self-rated health in Europe: evidence from the European social survey (2010). PLoS One. 2013; 8 ( 9 ): e74252. doi: 10.1371/journal.pone.0074252 | |
dc.identifier.citedreference | du Mont J, Forte T. Perceived discrimination and self-rated health in Canada: an exploratory study. BMC Public Health. 2016; 16 ( 1 ): 742. doi: 10.1186/s12889-016-3344-y | |
dc.identifier.citedreference | Galvao TF, Baldin Tiguman GM, Antonio BVR, de Alencar RRFR, Garcia LP, Silva MT. Perceived discrimination in health services and associated factors in Manaus metropolitan region, Brazil: a cross-sectional population-based study. Ethn Health. 2022; 27 ( 4 ): 847 - 857. doi: 10.1080/13557858.2020.1817341 | |
dc.identifier.citedreference | Ali A, Scior K, Ratti V, Strydom A, King M, Hassiotis A. Discrimination and other barriers to accessing health care: perspectives of patients with mild and moderate intellectual disability and their carers. PLoS One. 2013; 8 ( 8 ): e70855. doi: 10.1371/journal.pone.0070855 | |
dc.identifier.citedreference | Hashemi G, Wickenden M, Bright T, Kuper H. Barriers to accessing primary healthcare services for people with disabilities in low and middle-income countries, a meta-synthesis of qualitative studies. Disabil Rehabil. 2022; 44 ( 8 ): 1207 - 1220. doi: 10.1080/09638288.2020.1817984 | |
dc.identifier.citedreference | Namkung EH, Carr D. Perceived interpersonal and institutional discrimination among persons with disability in the U.S.: do patterns differ by age? Soc Sci Med. 2019; 239: 112521. doi: 10.1016/j.socscimed.2019.112521 | |
dc.identifier.citedreference | McClintock HF, Kurichi JE, Barg FK, et al. Health care access and quality for persons with disability: patient and provider recommendations. Disabil Health J. 2018; 11 ( 3 ): 382 - 389. doi: 10.1016/j.dhjo.2017.12.010 | |
dc.identifier.citedreference | Maart S, Jelsma J. Disability and access to health care - a community based descriptive study. Disabil Rehabil. 2014; 36 ( 18 ): 1489 - 1493. doi: 10.3109/09638288.2013.807883 | |
dc.identifier.citedreference | Kuenburg A, Fellinger P, Fellinger J. Health care access among deaf people. J Deaf Stud Deaf Educ. 2016; 21 ( 1 ): 1 - 10. doi: 10.1093/deafed/env042 | |
dc.identifier.citedreference | Smeijers, Pfau. Towards a treatment for treatment: On communication between general practitioners and their deaf patients. sign lang transl interpret. https://dare.uva.nl/personal/pure/en/publications/towards-a-treatment-for-treatment-on-communication-between-general-practitioners-and-their-deaf-patients(5e912477-4614-4108-9ecb-b06d40f88121).html | |
dc.identifier.citedreference | Iezzoni LI. Make no assumptions: communication between persons with disabilities and clinicians. Assist Technol. 2006; 18 ( 2 ): 212 - 219. doi: 10.1080/10400435.2006.10131920 | |
dc.identifier.citedreference | Stergiopoulos E, Fernando O, Martimianakis MA. “Being on both sides”: Canadian medical students’ experiences with disability, the hidden curriculum, and professional identity construction. Acad Med. 2018; 93 ( 10 ): 1550 - 1559. doi: 10.1097/ACM.0000000000002300 | |
dc.identifier.citedreference | Meeks L, Jain NR. Accessibility, inclusion, and action in medical education: Lived experiences of learners and physicians with disabilities. Assocation of American Medical Colleges; 2018. https://play.google.com/store/books/details?id=HMOWtQEACAAJ | |
dc.identifier.citedreference | Chew-Graham CA, Rogers A, Yassin N. “I wouldn”t want it on my CV or their records’: medical students’ experiences of help-seeking for mental health problems. Med Educ. 2003; 37 ( 10 ): 873 - 880. doi: 10.1046/j.1365-2923.2003.01627.x | |
dc.identifier.citedreference | Woolf K, Cave J, McManus IC, Dacre JE. “It gives you an understanding you can”t get from any book.’ The relationship between medical students’ and doctors’ personal illness experiences and their performance: a qualitative and quantitative study. BMC Med Educ. 2007; 7 ( 1 ): 50. doi: 10.1186/1472-6920-7-50 | |
dc.identifier.citedreference | Rastogi S. Establishing equity in medical education—supporting clinical trainees with disabilities. N Engl J Med. 2021; 384 ( 10 ): 885 - 887. doi: 10.1056/NEJMp2035279 | |
dc.identifier.citedreference | Van Hentenryck M. Growing pains. Jama. 2020; 324 ( 8 ): 745 - 746. doi: 10.1001/jama.2020.13442 | |
dc.identifier.citedreference | Mogensen L, Hu W. “A doctor who really knows …”: a survey of community perspectives on medical students and practitioners with disability. BMC Med Educ. 2019; 19 ( 1 ): 288. doi: 10.1186/s12909-019-1715-7 | |
dc.identifier.citedreference | Jarus T, Bezati R, Trivett S, et al. Professionalism and disabled clinicians: the client’s perspective. Disability & Society. 2020; 35 ( 7 ): 1085 - 1102. doi: 10.1080/09687599.2019.1669436 | |
dc.identifier.citedreference | Hojat M. Empathy in patient care: antecedents, development, measurement, and outcomes. Springer Science & Business Media; 2007. https://play.google.com/store/books/details?id=Kj3NxGwZ9zkC | |
dc.identifier.citedreference | Seeberger A, Lönn A, Hult H, Weurlander M, Wernerson A. Can empathy be preserved in medical education? J Int Assoc Med Sci Educ. 2020; 11: 83 - 89. doi: 10.5116/ijme.5e83.31cf | |
dc.identifier.citedreference | Sulzer SH, Feinstein NW, Wendland CL. Assessing empathy development in medical education: a systematic review. Med Educ. 2016; 50 ( 3 ): 300 - 310. doi: 10.1111/medu.12806 | |
dc.identifier.citedreference | Hojat M, Mangione S, Nasca TJ, et al. An empirical study of decline in empathy in medical school. Med Educ. 2004; 38 ( 9 ): 934 - 941. doi: 10.1111/j.1365-2929.2004.01911.x | |
dc.identifier.citedreference | Steiner-Hofbauer V, Schrank B, Holzinger A. What is a good doctor? Wien Med Wochenschr. 2018; 168 ( 15–16 ): 398 - 405. doi: 10.1007/s10354-017-0597-8 | |
dc.identifier.citedreference | West CP, Huschka MM, Novotny PJ, et al. Association of perceived medical errors with resident distress and empathy: a prospective longitudinal study. Jama. 2006; 296 ( 9 ): 1071 - 1078. doi: 10.1001/jama.296.9.1071 | |
dc.identifier.citedreference | Hojat M, Vergare MJ, Maxwell K, et al. The devil is in the third year: a longitudinal study of erosion of empathy in medical school. Acad Med. 2009; 84 ( 9 ): 1182 - 1191. doi: 10.1097/ACM.0b013e3181b17e55 | |
dc.identifier.citedreference | Hojat M, Shannon SC, DeSantis J, Speicher MR, Bragan L, Calabrese LH. Does empathy decline in the clinical phase of medical education? A nationwide, multi-institutional, cross-sectional study of students at DO-granting medical schools. Acad Med. 2020; 95 ( 6 ): 911 - 918. doi: 10.1097/acm.0000000000003175 | |
dc.identifier.citedreference | Neumann M, Edelhäuser F, Tauschel D, et al. Empathy decline and its reasons: a systematic review of studies with medical students and residents. Acad Med. 2011; 86 ( 8 ): 996 - 1009. doi: 10.1097/acm.0b013e318221e615 | |
dc.identifier.citedreference | Dyrbye L, Shanafelt T. A narrative review on burnout experienced by medical students and residents. Med Educ. 2016; 50 ( 1 ): 132 - 149. doi: 10.1111/medu.12927 | |
dc.identifier.citedreference | Dyrbye LN, Massie FS Jr, Eacker A, et al. Relationship between burnout and professional conduct and attitudes among US medical students. Jama. 2010; 304 ( 11 ): 1173 - 1180. doi: 10.1001/jama.2010.1318 | |
dc.identifier.citedreference | Anagnostopoulos F, Liolios E, Persefonis G, Slater J, Kafetsios K, Niakas D. Physician burnout and patient satisfaction with consultation in primary health care settings: evidence of relationships from a one-with-many design. J Clin Psychol Med Settings. 2012; 19 ( 4 ): 401 - 410. doi: 10.1007/s10880-011-9278-8 | |
dc.identifier.citedreference | Halbesleben JRB, Rathert C. Linking physician burnout and patient outcomes: exploring the dyadic relationship between physicians and patients. Health Care Manage Rev. 2008; 33 ( 1 ): 29 - 39. doi: 10.1097/01.HMR.0000304493.87898.72 | |
dc.identifier.citedreference | Tawfik DS, Profit J, Morgenthaler TI, et al. Physician burnout, well-being, and work unit safety grades in relationship to reported medical errors. Mayo Clin Proc. 2018; 93 ( 11 ): 1571 - 1580. doi: 10.1016/j.mayocp.2018.05.014 | |
dc.identifier.citedreference | Shanafelt TD, Balch CM, Bechamps G, et al. Burnout and medical errors among American surgeons. Ann Surg. 2010; 251 ( 6 ): 995 - 1000. doi: 10.1097/SLA.0b013e3181bfdab3 | |
dc.identifier.citedreference | Brazeau CMLR, Schroeder R, Rovi S, Boyd L. Relationships between medical student burnout, empathy, and professionalism climate. Acad Med. 2010; 85 ( 10 Suppl ): S33 - S36. doi: 10.1097/ACM.0b013e3181ed4c47 | |
dc.identifier.citedreference | Thomas MR, Dyrbye LN, Huntington JL, Lawson KL, Novotny PJ, Sloan JA, Shanafelt TD. How do distress and well-being relate to medical student empathy? A multicenter study. J Gen Intern Med 2007; 22 (2): 177 – 183. 10.1007/s11606-006-0039-6 | |
dc.identifier.citedreference | Meeks LM, Case B, Stergiopoulos E, Evans BK, Petersen KH. Structural barriers to student disability disclosure in US-allopathic medical schools. J Med Educ Curric Dev. 2021; 8: 23821205211018696. doi: 10.1177/23821205211018696 | |
dc.identifier.citedreference | Meeks LM, Stergiopoulos E, Petersen KH. Institutional accountability for students with disabilities: a call for liaison committee on medical education action. Acad Med. 2022; 97 ( 3 ): 341 - 345. doi: 10.1097/ACM.0000000000004471 | |
dc.identifier.citedreference | Rajapuram N, Langness S, Marshall MR, Sammann A. Medical students in distress: the impact of gender, race, debt, and disability. PLoS One. 2020; 15 ( 12 ): e0243250. doi: 10.1371/journal.pone.0243250 | |
dc.identifier.citedreference | General Medical Council. Welcomed and valued: supporting disabled learners in medical education and training. Published online 2019. | |
dc.working.doi | NO | en |
dc.owningcollname | Interdisciplinary and Peer-Reviewed |
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