title: [Academic burnout and selection-optimization-compensation strategy in medical students].
abstract: OBJECTIVE
  This study was conducted to examine the relationship between academic demand, academic burnout, and the selection-optimization-compensation (SOC) strategy in medical students.
  
  
  METHODS
  A total of 317 students at Yeungnam University, comprising 90 premedical course students, 114 medical course students, and 113 graduate course students, completed a survey that addressed the factors of academic burnout and the selection-optimization-compensation strategy. We analyzed variances of burnout and SOC strategy use by group, and stepwise multiple regression analysis was conducted.
  
  
  RESULTS
  There were significant differences in emotional exhaustion and cynicism between groups and year in school. In the SOC strategy, there were no significant differences between groups except for elective selection. The second-year medical and graduate students experienced significantly greater exhaustion (p<0.001), and first-year premedical students experienced significantly higher cynicism (p<0.001). By multiple regression analysis, subfactors of academic burnout and emotional exhaustion were significantly affected by academic demand (p<0.001), and 46% of the variance was explained. Cynicism was significantly affected by elective selection (p<0.05), and inefficacy was significantly influenced by optimization (p<0.001).
  
  
  CONCLUSIONS
  To improve adaptation, prescriptive strategies and preventive support should be implemented with regard to academic burnout in medical school. Longitudinal and qualitative studies on burnout must be conducted.
authors: Department of Medical Humanities, Yeungnam University College of Medicine, Daegu, Korea.
authors: Kyung Hee
authors: KH
authors: Chun
authors: Department of Medical Education, Yeungnam University College of Medicine, Daegu, Korea.
authors: Young Soon
authors: YS
authors: Park
authors: Department of Medical Humanities, Yeungnam University College of Medicine, Daegu, Korea.
authors: Young Hwan
authors: YH
authors: Lee
authors: Department of Medical Education, Yeungnam University College of Medicine, Daegu, Korea.
authors: Seong Yong
authors: SY
authors: Kim
keywords: Academic burnout; Compensation; Elective selection; Loss-based selection; Optimization