{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,23]],"date-time":"2026-04-23T07:21:32Z","timestamp":1776928892060,"version":"3.51.2"},"reference-count":34,"publisher":"BMJ","issue":"7","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2019,6,10]]},"published-print":{"date-parts":[[2019,7]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To investigate Australian medical student burn-out during rural clinical placement. Second, to examine the association between perceived burn-out and rural career intent at the time of finishing their rural placement.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design, settings and participants<\/jats:title>\n                    <jats:p>The 2016 Federation of Rural Australian Medical Educators evaluation survey is a cross-sectional study of medical students from 17 Australian universities. Specifically, those medical students who completed a full academic year or more at a Rural Clinical School (RCS). Responses from 638 medical students from regional Australia were analysed in the study of all eligible 756 medical students (response rate 84.3%).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Primary and secondary outcome measures<\/jats:title>\n                    <jats:p>The primary objective was to determine self-reported burn-out (emotional exhaustion) in rural placements for medical students. Secondary outcome measures were designed to explore interactions with rural practice self-efficacy and rural intentions. Logistic regression models explored factors associated with burn-out.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      26.5% of students reported experiencing burn-out during a rural placement. Factors associated with burn-out were female gender, rural origin, low preference for RCS, stress in the year prior to a rural clinical placement, perceived social isolation during rural placement and lower rural practice self-efficacy. Burn-out was not associated with rural career intentions. Social isolation and low rural self-efficacy were independently associated with burn-out during rural placement and together explained 10% of variance in burn-out (Model Nagelkerke R\n                      <jats:sup>2<\/jats:sup>\n                      =0.23).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Burn-out during rural placement may be a consequence of stress prior to a medical school placement. Social isolation and rural self-efficacy are amendable factors to mitigate medical student burn-out during rural placements.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2019-029029","type":"journal-article","created":{"date-parts":[[2019,7,9]],"date-time":"2019-07-09T12:29:49Z","timestamp":1562675389000},"page":"e029029","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":18,"title":["Screening for burn-out in Australian medical students undertaking a rural clinical placement"],"prefix":"10.1136","volume":"9","author":[{"given":"Vivian","family":"Isaac","sequence":"first","affiliation":[{"name":"Flinders Rural Health South Australia, College of Medicine and Public Health, Flinders University, Renmark, South Australia, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Craig S","family":"McLachlan","sequence":"additional","affiliation":[{"name":"School of Health, Torrens University Australia, Sydney, New South Wales, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lucie","family":"Walters","sequence":"additional","affiliation":[{"name":"Adelaide Rural Clinical School, The University of Adelaide, Adelaide, South Australia, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jennene","family":"Greenhill","sequence":"additional","affiliation":[{"name":"Flinders Rural Health South Australia, College of Medicine and Public Health, Flinders University, Renmark, South Australia, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2019,7,9]]},"reference":[{"key":"2025121220264319000_9.7.e029029.1","first-page":"2991","article-title":"Outcomes of Australian rural clinical schools: a decade of success building the rural medical workforce through the education and training continuum","volume":"15","author":"Greenhill","year":"2015","journal-title":"Rural Remote Health"},{"key":"2025121220264319000_9.7.e029029.2","first-page":"2657","article-title":"Positive impacts on rural and regional workforce from the first seven cohorts of James Cook University medical graduates","volume":"14","author":"Sen Gupta","year":"2014","journal-title":"Rural Remote Health"},{"key":"2025121220264319000_9.7.e029029.3","unstructured":"Wu F , Ireland M , Hafekost K , et al . 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