title: Burnout, quality of life, motivation, and academic achievement among medical students: A person-oriented approach.
abstract: BACKGROUND
  The aim of this study was to identify burnout and quality of life profiles of medical students and determine their associations with academic motivation and achievement on progress tests using a person-oriented approach.
  
  
  METHODS
  Medical students (n = 670) in Year 3 to Year 5 at the University of Auckland were classified into three different profiles as derived from a two-step cluster analysis using World Health Organization Quality of Life-BREF scores and Copenhagen Burnout Inventory scores. The profiles were used as independent variables to assess differences in academic motivation and achievement on progress tests using a multivariate analysis of co-variance and repeated measures analysis of co-variance methods.
  
  
  RESULTS
  The response rate was 47%. Three clusters were obtained: Higher Burnout Lower Quality of Life (n = 62, 20%), Moderate Burnout Moderate Quality of Life (n = 131, 41%), and Lower Burnout Higher Quality of Life (n = 124, 39%). After controlling for gender and year level, Higher Burnout Lower Quality of Life students had significantly higher test anxiety (p < 0.0001) and amotivation scores (p < 0.0001); and lower intrinsic motivation (p < 0.005), self-efficacy (p < 0.001), and progress test scores (p = 0.03) compared with the other profiles.
  
  
  CONCLUSIONS
  Burnout and Quality of Life profiles of medical students are associated with differences in academic motivation and achievement over time.
authors.affiliation: Ko Awatea, Counties Manukau Health, Auckland, New Zealand. mataroria.lyndon@auckland.ac.nz.|Department of Surgery, South Auckland Clinical Campus, The University of Auckland, Auckland, New Zealand. mataroria.lyndon@auckland.ac.nz.
authors.forename: Mataroria P
authors.initials: MP
authors.lastname: Lyndon
authors.affiliation: Centre for Medical & Health Sciences Education, The University of Auckland, Auckland, New Zealand.
authors.forename: Marcus A
authors.initials: MA
authors.lastname: Henning
authors.affiliation: Ko Awatea, Counties Manukau Health, Auckland, New Zealand.|Department of Surgery, South Auckland Clinical Campus, The University of Auckland, Auckland, New Zealand.
authors.forename: Hussain
authors.initials: H
authors.lastname: Alyami
authors.affiliation: Department of Surgery, South Auckland Clinical Campus, The University of Auckland, Auckland, New Zealand.
authors.forename: Sanjeev
authors.initials: S
authors.lastname: Krishna
authors.affiliation: Ko Awatea, Counties Manukau Health, Auckland, New Zealand.
authors.forename: Irene
authors.initials: I
authors.lastname: Zeng
authors.affiliation: Centre for Medical & Health Sciences Education, The University of Auckland, Auckland, New Zealand.
authors.forename: Tzu-Chieh
authors.initials: TC
authors.lastname: Yu
authors.affiliation: Ko Awatea, Counties Manukau Health, Auckland, New Zealand.|Department of Surgery, South Auckland Clinical Campus, The University of Auckland, Auckland, New Zealand.
authors.forename: Andrew G
authors.initials: AG
authors.lastname: Hill
keywords: Academic motivation; Burnout; Medical education; Progress testing; Quality of life