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A Tale of Two Curriculums: The Implications of Curriculum Design on Student Burnout
Jacqueline Sivahop1,2,3, Kirsten Broadfoot1,2,3, Jonathan Bowser1,2,3
1Jacqueline Sivahop, EdD, PA-C, is an associate professor for the Child Health Associate/Physician Assistant Program, University of Colorado Anschutz Medical Campus, in Aurora, Colorado.
Introduction:
The purpose of this study was to determine whether a difference exists in the 3 subconstructs of burnout between 2 cohorts of physician assistant (PA) students in different curricula, and the impact of 4 modifiable curricular factors on student experiences of burnout.
Methods:
Using a mixed-methods study design, 86 students completed the Maslach Burnout Inventory-General Survey for Students (MBI-GSS) 8 months postmatriculation. Focus group interviews expanded on the quantitative results and effects of the 4 modifiable factors.
Results:
No significant statistical difference was found in the emotional exhaustion ( p = 0.35), cynicism ( p = 0.29), or professional efficacy ( p = 0.23) scores between the 2 cohorts of PA students. Students did not describe the exact dimensions of burnout; however, qualitative data provided 5 emergent codes based on their experiences.
Discussion:
Despite curricular modifications to address student burnout in the Colorado Curriculum, a statistical difference in burnout scores was not found between the 2 student cohorts. Qualitative findings suggest that PA education programs should examine external factors and student-lived experiences that contribute to burnout in addition to curricular components.
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