{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T05:49:53Z","timestamp":1791352193864,"version":"4.3.1"},"reference-count":41,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T00:00:00Z","timestamp":1791331200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Psychol."],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Burnout during clinical internships may affect medical students\u2019 learning, professional development, and career choices. We examined the current status, associated factors, and experiential characteristics of burnout among medical interns.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This study was conducted at a large tertiary hospital in central China. During the quantitative phase, an online cross-sectional questionnaire survey was conducted using the Maslach Burnout Inventory to assess burnout among medical interns and identify factors associated with the total burnout score. During the qualitative phase, semi-structured interviews were conducted to explore the specific manifestations of burnout among medical interns. All interviewees were recruited using purposive sampling; we selected interns whose total burnout scores were at or above the 75th percentile, and the interview data were analyzed using thematic analysis. Finally, the quantitative and qualitative findings were integrated.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 1,054 medical interns participated, and 23 interns were enrolled for semi-structured interviews. The mean total burnout score was 64.40\u202f\u00b1\u202f18.52, while the mean scores for emotional exhaustion, depersonalization, and reduced personal accomplishment were 20.57\u202f\u00b1\u202f9.46, 7.75\u202f\u00b1\u202f5.65, and 36.08\u202f\u00b1\u202f8.71, respectively. All three dimensions were significantly positively correlated with the total burnout score, with emotional exhaustion showing the strongest correlation (\n                      <jats:italic>r<\/jats:italic>\n                      \u202f=\u202f0.849,\n                      <jats:italic>p<\/jats:italic>\n                      \u202f&amp;lt;\u202f0.01). Multiple linear regression analysis showed that institutional level, scholarship experience, having a fixed clinical preceptor during the internship, having clearly defined career goals, and experience of medical disputes were significantly associated with the total burnout score. Having clearly defined career goals had the largest standardized regression coefficient (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u202f=\u202f\u22120.241,\n                      <jats:italic>p<\/jats:italic>\n                      \u202f&amp;lt;\u202f0.001). The qualitative findings showed that emotional exhaustion was mainly manifested as physical fatigue, mental depletion, prolonged periods on duty, and insufficient rest. Depersonalization was mainly manifested as a limited understanding of patients, emotional detachment, and indifference toward clinical tasks. Reduced personal accomplishment was mainly manifested as repetitive work, a diminished sense of work-related value, and inadequate opportunities for professional growth.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Burnout among medical interns is distinctly multidimensional, involving physical and mental depletion, emotional detachment, and a diminished sense of professional value. Burnout is associated not only with individual and academic characteristics but also with career planning, preceptor support, and clinical experiences.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpsyg.2026.1922425","type":"journal-article","created":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T04:50:23Z","timestamp":1791348623000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Job burnout among medical interns: a mixed-methods study of current status, associated factors, and experiential characteristics"],"prefix":"10.3389","volume":"17","author":[{"given":"Zhiyong","family":"Sun","sequence":"first","affiliation":[{"name":"Department of Pharmacy, The First Affiliated Hospital of Zhengzhou University","place":["Zhengzhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhao","family":"Yin","sequence":"additional","affiliation":[{"name":"Department of Pharmacy, The First Affiliated Hospital of Zhengzhou University","place":["Zhengzhou, China"]},{"name":"Institute for Hospital Management of Henan Province","place":["Zhengzhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zheng","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Pharmacy, The First Affiliated Hospital of Zhengzhou University","place":["Zhengzhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yifan","family":"Song","sequence":"additional","affiliation":[{"name":"Department of Pharmacy, The First Affiliated Hospital of Zhengzhou University","place":["Zhengzhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaojing","family":"Lu","sequence":"additional","affiliation":[{"name":"Department of Pharmacy, The First Affiliated Hospital of Zhengzhou University","place":["Zhengzhou, China"]},{"name":"Henan Drug Clinical Comprehensive Evaluation Center","place":["Zhengzhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kefeng","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Pharmacy, The First Affiliated Hospital of Zhengzhou University","place":["Zhengzhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,10,7]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"90","DOI":"10.1186\/s12912-023-01240-w","article-title":"How to choose a preceptor: aspects to consider based on a grounded theory study","volume":"22","author":"Amaral","year":"2023","journal-title":"BMC Nurs."},{"key":"ref2","doi-asserted-by":"publisher","first-page":"695","DOI":"10.1080\/17437199.2022.2161594","article-title":"Is thematic analysis used well in health psychology? A critical review of published research, with recommendations for quality practice and reporting","volume":"17","author":"Braun","year":"2023","journal-title":"Health Psychol. Rev."},{"key":"ref3","doi-asserted-by":"publisher","first-page":"1230","DOI":"10.1111\/medu.15146","article-title":"The medical internship as a meaningful transition: a phenomenographic study","volume":"57","author":"Carlsson","year":"2023","journal-title":"Med. Educ."},{"key":"ref4","doi-asserted-by":"publisher","first-page":"360","DOI":"10.1186\/s12909-025-06914-4","article-title":"Links between medical interns\u2019 perceived stress, workaholism and personality: a cross-sectional study","volume":"25","author":"Chaillet","year":"2025","journal-title":"BMC Med. Educ."},{"key":"ref5","doi-asserted-by":"publisher","first-page":"42","DOI":"10.1186\/s12960-024-00915-y","article-title":"Social support, psychological capital, multidimensional job burnout, and turnover intention of primary medical staff: a path analysis drawing on conservation of resources theory","volume":"22","author":"Chen","year":"2024","journal-title":"Hum. Resour. Health"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"236","DOI":"10.1186\/s12909-024-05113-x","article-title":"Becoming a doctor: using social constructivism and situated learning to understand the clinical clerkship experiences of undergraduate medical students","volume":"24","author":"Cho","year":"2024","journal-title":"BMC Med. Educ."},{"key":"ref7","doi-asserted-by":"publisher","first-page":"199","DOI":"10.1093\/occmed\/kqad046","article-title":"Shift work characteristics and burnout among nurses: cross-sectional survey","volume":"73","author":"Dall\u2019Ora","year":"2023","journal-title":"Occup. Med."},{"key":"ref37","volume-title":"COREQ (Consolidated Criteria for Reporting Qualitative Research) Checklist","author":"Delgado-Galindo","year":"2023"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"575","DOI":"10.3390\/medicina60040575","article-title":"Is there a burnout epidemic among medical students? Results from a systematic review","volume":"60","author":"Di Vincenzo","year":"2024","journal-title":"Medicina"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"287","DOI":"10.69569\/jip.2024.0347","article-title":"Exploring the mediating role of internship experience to the self-efficacy and career aspirations of undergraduate students","volume":"2","author":"Dioquino","year":"2024","journal-title":"J. Interdiscip. Perspect."},{"key":"ref10","doi-asserted-by":"publisher","first-page":"4434","DOI":"10.1111\/jan.15690","article-title":"The impact of pandemics on healthcare providers' workloads: a scoping review","volume":"79","author":"Doleman","year":"2023","journal-title":"J. Adv. Nurs."},{"key":"ref11","doi-asserted-by":"publisher","first-page":"256","DOI":"10.1080\/10401334.2023.2209073","article-title":"A qualitative exploration of health profession students\u2019 experiences of resilience and burnout using the coping reservoir model during the COVID-19 pandemic","volume":"36","author":"El-Awaisi","year":"2024","journal-title":"Teach. Learn. Med."},{"key":"ref12","doi-asserted-by":"publisher","first-page":"2134","DOI":"10.1111\/1475-6773.12117","article-title":"Achieving integration in mixed methods designs\u2014principles and practices","volume":"48","author":"Fetters","year":"2013","journal-title":"Health Serv. Res."},{"key":"ref13","doi-asserted-by":"publisher","first-page":"6","DOI":"10.1136\/jme-2022-108814","article-title":"Responsibility and decision-making authority in using clinical decision support systems: an empirical-ethical exploration of German prospective professionals\u2019 preferences and concerns","volume":"50","author":"Funer","year":"2024","journal-title":"J. Med. Ethics"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.1186\/s12912-025-03266-8","article-title":"Global prevalence and contributing factors of nurse burnout: an umbrella review of systematic review and meta-analysis","volume":"24","author":"Getie","year":"2025","journal-title":"BMC Nurs."},{"key":"ref15","doi-asserted-by":"publisher","first-page":"554","DOI":"10.1370\/afm.1865","article-title":"Integrating quantitative and qualitative results in health science mixed methods research through joint displays","volume":"13","author":"Guetterman","year":"2015","journal-title":"Ann. Fam. Med."},{"key":"ref16","doi-asserted-by":"publisher","first-page":"579","DOI":"10.1080\/00221546.2023.2241330","article-title":"Designing effective internships: a mixed-methods exploration of the sociocultural aspects of intern satisfaction and development","volume":"95","author":"Hora","year":"2024","journal-title":"J. High. Educ."},{"key":"ref17","first-page":"236","article-title":"Burnout during residency training: a literature review","volume-title":"J. Grad. Med. Educ.","author":"Ishak","year":"2009"},{"key":"ref18","doi-asserted-by":"publisher","first-page":"676","DOI":"10.1186\/s12909-025-07199-3","article-title":"Investigating the status and influencing factors of professional identity formation among Chinese medical interns: a mixed methods study","volume":"25","author":"Jia","year":"2025","journal-title":"BMC Med. Educ."},{"key":"ref19","doi-asserted-by":"publisher","first-page":"191","DOI":"10.1097\/ACM.0000000000005892","article-title":"Sense of belonging among medical students, residents, and fellows: associations with burnout, recruitment retention, and learning environment","volume":"100","author":"Leep Hunderfund","year":"2025","journal-title":"Acad. Med."},{"key":"ref20","first-page":"2","article-title":"Evaluation of a patient-centered communication skills training for nurses (KOMPAT): study protocol of a randomized controlled trial","volume-title":"BMC Nurs.","author":"Lindig","year":"2024"},{"key":"ref21","doi-asserted-by":"publisher","first-page":"706","DOI":"10.1016\/j.annemergmed.2022.10.015","article-title":"Workplace mistreatment, career choice regret, and burnout in emergency medicine residency training in the United States","volume":"81","author":"Lu","year":"2023","journal-title":"Ann. Emerg. Med."},{"key":"ref22","doi-asserted-by":"publisher","first-page":"668","DOI":"10.1093\/bjsw\/bcad232","article-title":"The relationships between stress, burnout, mental health and wellbeing in social workers","volume":"54","author":"Maddock","year":"2024","journal-title":"Br. J. Soc. Work."},{"key":"ref23","doi-asserted-by":"publisher","first-page":"99","DOI":"10.1002\/job.4030020205","article-title":"The measurement of experienced burnout","volume":"2","author":"Maslach","year":"1981","journal-title":"J. Organ. Behav."},{"key":"ref24","doi-asserted-by":"publisher","first-page":"1298","DOI":"10.1097\/ACM.0000000000006175","article-title":"Association among professional identity, burnout, and mental health in medical students: a cross-sectional study","volume":"100","author":"Monti","year":"2025","journal-title":"Acad. Med."},{"key":"ref25","doi-asserted-by":"publisher","first-page":"01","DOI":"10.47626\/1679-4435-2024-1267","article-title":"Physical and mental fatigue in shift work and mitigation strategies: an integrative review","volume":"22","author":"Moreira","year":"2025","journal-title":"Rev. Bras. Med. Trab."},{"key":"ref26","doi-asserted-by":"publisher","first-page":"c4587","DOI":"10.1136\/bmj.c4587","article-title":"Three techniques for integrating data in mixed methods studies","volume":"341","author":"O\u2019Cathain","year":"2010","journal-title":"BMJ"},{"key":"ref27","doi-asserted-by":"publisher","first-page":"300","DOI":"10.4103\/aip.aip_42_22","article-title":"Burning bright or burning out: a cross-sectional study on burnout among postgraduate residents in an eastern Indian teaching hospital","volume":"8","author":"Priyam","year":"2024","journal-title":"Ann. Indian Psychiatry"},{"key":"ref28","doi-asserted-by":"publisher","first-page":"816","DOI":"10.4103\/idoj.IDOJ_262_20","article-title":"Burnout: the resident evil\u2014perspectives from the horses\u2019 mouth!","volume":"11","author":"Priyam","year":"2020","journal-title":"Indian Dermatol. Online J."},{"key":"ref29","doi-asserted-by":"publisher","first-page":"26","DOI":"10.32481\/djph.2024.03.05","article-title":"Social workers, burnout, and self-care: a public health issue","volume":"10","author":"Ratcliff","year":"2024","journal-title":"Delaware J. Public Health"},{"key":"ref30","doi-asserted-by":"publisher","first-page":"376","DOI":"10.1186\/s12889-024-17829-y","article-title":"A systematic review of parental burnout and related factors among parents","volume":"24","author":"Ren","year":"2024","journal-title":"BMC Public Health"},{"key":"ref31","doi-asserted-by":"publisher","first-page":"1133484","DOI":"10.3389\/fpubh.2023.1133484","article-title":"The relationship between physician burnout and depression, anxiety, suicidality and substance abuse: a mixed methods systematic review","volume":"11","author":"Ryan","year":"2023","journal-title":"Front. Public Health"},{"key":"ref32","doi-asserted-by":"publisher","first-page":"103437","DOI":"10.1016\/j.amsu.2022.103437","article-title":"Burnout among resident doctors: an observational study","volume":"76","author":"Shahi","year":"2022","journal-title":"Ann. Med. Surg. (Lond.)"},{"key":"ref33","first-page":"115","article-title":"Current perspective of metaverse application in medical education, research and patient care","volume-title":"Virt. World.","author":"Suh","year":"2023"},{"key":"ref34","first-page":"1270634","article-title":"The occupational burnout among medical staff with high workloads after the COVID-19 and its association with anxiety and depression","volume-title":"Front. Public Health","author":"Sun","year":"2023"},{"key":"ref35","doi-asserted-by":"publisher","first-page":"93","DOI":"10.1111\/medu.15162","article-title":"Medical competence as a multilayered construct","volume":"58","author":"Ten Cate","year":"2024","journal-title":"Med. Educ."},{"key":"ref36","doi-asserted-by":"publisher","first-page":"e2553989","DOI":"10.1001\/jamanetworkopen.2025.53989","article-title":"Stress and burnout in residency training\u2014striking a balance","volume":"9","author":"Tillou","year":"2026","journal-title":"JAMA Netw. Open"},{"key":"ref38","first-page":"508","article-title":"Job burnout and its influencing factors among newly graduated nurses: a cross-sectional study","volume-title":"J. Clin. Nurs.","author":"Xie","year":"2021"},{"key":"ref39","doi-asserted-by":"publisher","first-page":"6694491","DOI":"10.1155\/jonm\/6694491","article-title":"Burnout in transition: a qualitative study of nursing interns\u2019 experiences and implications for clinical management","volume":"2026","author":"Zhang","year":"2026","journal-title":"J. Nurs. Manag."},{"key":"ref40","doi-asserted-by":"publisher","first-page":"1671520","DOI":"10.3389\/fmed.2025.1671520","article-title":"Mechanism of career resilience formation during the role transition of medical interns: a grounded theory study","volume":"12","author":"Zhou","year":"2025","journal-title":"Front. Med."},{"key":"ref41","doi-asserted-by":"publisher","first-page":"104103","DOI":"10.1016\/j.nepr.2024.104103","article-title":"Exploration of undergraduate nursing students' perspectives on conducting specialized nursing education during internship: a phenomenological research study","volume":"80","author":"Zou","year":"2024","journal-title":"Nurse Educ. Pract."}],"container-title":["Frontiers in Psychology"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpsyg.2026.1922425\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T04:50:39Z","timestamp":1791348639000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpsyg.2026.1922425\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10,7]]},"references-count":41,"alternative-id":["10.3389\/fpsyg.2026.1922425"],"URL":"https:\/\/doi.org\/10.3389\/fpsyg.2026.1922425","relation":{},"ISSN":["1664-1078"],"issn-type":[{"value":"1664-1078","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10,7]]},"article-number":"1922425"}}