The medical profession is associated with high requirements and responsibilities, and high rates of burnout have been reported in the medical literature.

The aim of this study was to provide a detailed systematic review, focused on the impact of occupational burnout syndrome among medical students. A detailed perspective of existing instruments which are the psychometric properties and a meta-analysis of the average values of those three subscales of the most commonly applied tool - Maslach Burnout Inventory (MBI-HSS).

The meta-analysis was performed based on the available data on burnout rates in medical students measured by the Maslach Burnout Inventory (MBI-HSS) method. In order to define the eligibility criteria for finding the relevant literature, the PICO method - the “population-intervention-comparison-result” approach was used.

The sample sizes included ranged from n = 73 to 4050 students. Mean values (M) ranged from 12.94 to 28.26 for emotional exhaustion and from 7.30 to 13.43 for depersonalization. M for personal achievement ranged from 31.3 to 38.07. Weighted averages and standard deviations were M = 22.93 (SD = 10.25) for emotional exhaustion, M = 8.88 (SD = 5.64) for depersonalization, and M = 35.11 (SD = 8.03) for self-accomplishment. The included studies reported different prevalence rates with burnout rates ranging from 7.0% to 75.2%. The prevalence rate of burnout measured by MBI-HSS varied between 10.0% and 63.4%.

The meta-analytical aggregation of eligible studies showed high values of “emotional exhaustion”, “depersonalization” and “self-accomplishment”.

No significant relationships.

Work experience develops not only professional skills, but also affects people’s personal characteristics. A long period of intensive work usually promotes the development of professional deformations. Prolonged exposure in stressful conditions is a risk factor for developing professional deformations. Military service is intense and stressful. Armed forces personnel work is related to unquestioning execution of orders and extreme working conditions (Kozlova, 2013). These risk factors may cause professional deformations of personality. The study was supported by the RFBR #19-013-00799 А.

Influence of working activity on professional deformations development in military personnel.

The research involved 708 participants, the sample consisted only of men. Average age 20.3 years (min – 18, max – 32). They fulfilled 2 standardized questionnaires: Managerial stress survey — MSS (Leonova, 2007), The Sixteen Personality Factor Questionnaire (ed. Kapustina, 2001).

Based on the findings the following outcome can be seen: the high scores of the Acute stress (M=45,7; SD=5,2), medium level of Chronic stress (M=43,6; SD=6,5), and Professional deformations (M=43,4; SD=7,1). In particular it turned out that burnout syndrome (M=46,1; SD=6,9), neurotic reactions (M=45,4; SD=7,0) and behavioral risk factors (M=46,7; SD=8,7) are high.

In that way, we can assume that Professional deformations aren’t developed by military personnel in our research. That point of view confirms on Acute and Chronic stress level. Despite the fact that there are some behavioral risk factors. That can cause a reduction of work efficiency and a decline in the health level of military personnel.

Medical students are exposed to many stressors which may contribute to the onset of Burnout Syndrome (BS). It consists of a triad of emotional exhaustion, cynicism and low professional efficacy. As a result, BS may reduce academic performance, quality of life and damage future professional life.

Estimate the prevalence and recognize associated factors of BS among medical students from two different medical schools form the same Brazilian Public University with different teaching models: School 1, with a traditional model, and School 2, with Problem-Based Learning model.

A cross-sectional study was performed with randomly selected students between April and June 2019. A structured questionnaire on socio-demographic characteristics and the educational process in addition to The Maslach Burnout Inventory/Student Survey (MBI-SS) were used. Statistical evaluation of multiple variables was performed through backward stepwise logistic regression analysis.

Study included 213 students, with an average age of 23±3.77, 50,2% were male and 62,5% belong to School 1. Among this sample, 21,6% of the students fit tridimensional criteria for BS. Burnout levels were higher in those people who rarely get emotional support they need in the course (OR=3,98, CI 95%, 1,75-9,06), who considered abandoning the course (OR= 2,88, CI 95% 1,29-6,43) and who consider their academic performance regular or weak (OR= 12,1, CI 95%, 4-36,5).

Results suggest a high prevalence of BS with factors associated with the psychosocial and educational sphere of medical students. In our research, the teaching model was not a factor associated with BS.