title: Factors Modifying Burnout in Osteopathic Medical Students.
abstract: OBJECTIVE
  The purposes of the current study are to examine factors modifying burnout and identify which of these factors place osteopathic medical students at risk for developing burnout.
  
  
  METHODS
  The current study used a cross-sectional study design and an anonymous, web-based survey to assess burnout and depression in osteopathic medical students. The survey included Maslach Burnout Inventory, the Patient Health Questionnaire, the Stressors and their impact scale, students' sleeping and studying habits, and students' extracurricular involvement.
  
  
  RESULTS
  In total, 1294 osteopathic medical students completed the survey. Burnout was present in 516 (39.9%) osteopathic medical students, and 1006 (77.0%) met criteria for depression. Females were 1.5 times more likely to be burned out in comparison to males. For the burnout subscales, males had lower emotional exhaustion, slightly higher depersonalization, and lower personal accomplishment. Lesbian/gay/bisexual/asexual students were 2.62 times more likely to be burned out compared with heterosexual students. Depression and academic, personal, and family stressors were all strongly linked to overall burnout. Finally, for modifiable factors, average hours of sleep, average hours spent studying, and club involvement appeared to be linked to burnout.
  
  
  CONCLUSIONS
  The current study suggested that a variety of factors, including non-modifiable, situational, and modifiable, impact burnout in osteopathic medical students. Future research is necessary since burnout in physicians affects the quality of care provided to patients.
authors.affiliation: A.T. Still University, Kirksville, MO, USA. jlapinski@atsu.edu.
authors.forename: Jessica
authors.initials: J
authors.lastname: Lapinski
authors.affiliation: A.T. Still University, Kirksville, MO, USA.
authors.forename: Morgan
authors.initials: M
authors.lastname: Yost
authors.affiliation: A.T. Still University, Kirksville, MO, USA.
authors.forename: Patricia
authors.initials: P
authors.lastname: Sexton
authors.affiliation: A.T. Still University, Kirksville, MO, USA.
authors.forename: Richard J
authors.initials: RJ
authors.lastname: LaBaere
mesh_terms: D000293:Adolescent; D000328:Adult; D001008:Anxiety Disorders / Q000453:epidemiology; D002055:Burnout, Professional / Q000453:epidemiology* / Q000523:psychology; D003430:Cross-Sectional Studies; D003863:Depression / Q000453:epidemiology; D004504:Education, Medical, Undergraduate; D005260:Female; D006801:Humans; D020407:Internet; D007588:Job Satisfaction; D008297:Male; D008875:Middle Aged; D010021:Osteopathic Medicine / Q000193:education*; D012737:Sex Factors; D013315:Stress, Psychological; D013337:Students, Medical / Q000523:psychology*; D011795:Surveys and Questionnaires; D014481:United States; D055815:Young Adult
keywords: Burnout; Depression; Emotional problems; Medical students; Support