{"id":3446,"date":"2019-05-04T14:23:19","date_gmt":"2019-05-04T05:23:19","guid":{"rendered":"http:\/\/163.180.4.222\/lab\/?p=3446"},"modified":"2019-05-04T14:23:19","modified_gmt":"2019-05-04T05:23:19","slug":"what-medicine-can-teach-academia-about-preventing-burnout","status":"publish","type":"post","link":"https:\/\/biochemistry.khu.ac.kr\/lab\/?p=3446","title":{"rendered":"What medicine can teach academia about preventing burnout"},"content":{"rendered":"<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<h5>The medical programmes we see in our training as physician-scientists are becoming more progressive and supportive of students. Here\u2019s what academia can learn from them, say Yoo Jung Kim and Erik Faber.<\/h5>\n<p>&nbsp;<\/p>\n<div class=\"article__body serif cleared\">\n<figure class=\"figure\">\n<div class=\"embed intensity--high\">\n<div class=\"embed intensity--high\"><img decoding=\"async\" class=\"figure__image\" src=\"https:\/\/media.nature.com\/w800\/magazine-assets\/d41586-019-01451-9\/d41586-019-01451-9_16689534.jpg\" alt=\"An overworked worker in a lab\" data-src=\"\/\/media.nature.com\/w800\/magazine-assets\/d41586-019-01451-9\/d41586-019-01451-9_16689534.jpg\" \/><\/div>\n<\/div><figcaption>\n<p class=\"figure__caption sans-serif\"><span class=\"mr10\">Many researchers experience burnout at some point in their career.<\/span>Credit: chabybucko\/Getty<\/p>\n<\/figcaption><\/figure>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>Burnout \u2014 work-related stress resulting in emotional and physical exhaustion \u2014 remains an expected rite of passage for many professions. However, the medical community has begun to place more emphasis on reducing burnout \u2014 and science academia would do well to learn from it.<\/p>\n<p>Despite the differences between medical and scientific training, stress is a common denominator for students in both fields. For example,\u00a0<a href=\"http:\/\/gradresources.org\/wp-content\/uploads\/2017\/06\/woodberry-study-2010.pdf\" data-track=\"click\" data-label=\"http:\/\/gradresources.org\/wp-content\/uploads\/2017\/06\/woodberry-study-2010.pdf\" data-track-category=\"body text link\">in a 2011 survey of graduate students<\/a>\u00a0at 26 major US universities, 37% of graduate students in the natural sciences and 41% in engineering or computer science reported experiencing \u201ca bit more\u201d or \u201ca lot more\u201d stress than they felt able to handle. Similarly, a 2010 cross-sectional study found that 52.8% of medical students at 7 US universities had experienced burnout<sup><a href=\"https:\/\/www.nature.com\/articles\/d41586-019-01451-9?utm_source=feedburner&amp;utm_medium=feed&amp;utm_campaign=Feed%3A+nature%2Frss%2Fcurrent+%28Nature+-+Issue%29#ref-CR1\">1<\/a><\/sup>.<\/p>\n<p>Graduate students must contend with juggling coursework and research, lack of external validation, perceived devaluation of their work by the public and anxiety over future job prospects. All of these stressors combine to create a toxic environment in which cynicism and pessimism can prevail. Many studies have shown that people who experience stress also experience decreased productivity<sup><a href=\"https:\/\/www.nature.com\/articles\/d41586-019-01451-9?utm_source=feedburner&amp;utm_medium=feed&amp;utm_campaign=Feed%3A+nature%2Frss%2Fcurrent+%28Nature+-+Issue%29#ref-CR2\">2<\/a><\/sup>\u00a0and creativity<sup><a href=\"https:\/\/www.nature.com\/articles\/d41586-019-01451-9?utm_source=feedburner&amp;utm_medium=feed&amp;utm_campaign=Feed%3A+nature%2Frss%2Fcurrent+%28Nature+-+Issue%29#ref-CR3\">3<\/a><\/sup>, compared with those who feel little or no stress \u2014 yet these two traits are key to being a successful scientist.<\/p>\n<p>&nbsp;<\/p>\n<p>Graduate programmes can help students to combat burnout. We propose that institutions take the following steps:<\/p>\n<p>&nbsp;<\/p>\n<p><b>1. Enable time away from the lab.\u00a0<\/b>In sectors such as the technology industry, flexible work policies have led to more-satisfied, more productive employees<sup><a href=\"https:\/\/www.nature.com\/articles\/d41586-019-01451-9?utm_source=feedburner&amp;utm_medium=feed&amp;utm_campaign=Feed%3A+nature%2Frss%2Fcurrent+%28Nature+-+Issue%29#ref-CR4\">4<\/a><\/sup><sup>,<\/sup><sup><a href=\"https:\/\/www.nature.com\/articles\/d41586-019-01451-9?utm_source=feedburner&amp;utm_medium=feed&amp;utm_campaign=Feed%3A+nature%2Frss%2Fcurrent+%28Nature+-+Issue%29#ref-CR5\">5<\/a><\/sup>. Although working from home or taking time off spontaneously is less feasible in medical and graduate training, some institutions have embraced trainee wellness, allowing students to take absences as needed.<\/p>\n<p>At Stanford University School of Medicine in California, medical students who are rotating in the clinic or the hospital can take up to two or three days of absence during every four- to- eight-week rotation, including for their well-being. This allows students to take care of themselves discreetly by attending health-services appointments and arranging counselling and psychological services as needed, without having to disclose what care they\u2019re seeking.<\/p>\n<p><b>2. Create external incentives and validation.\u00a0<\/b>Although many graduate students are self-driven, a reward system could help students to feel more valued by their research community. Some medical-residency training programmes have employed external reward systems to increase research productivity: for instance, at one residency programme at the University of Missouri in Columbia, trainees are awarded points for every major step they take in research-oriented endeavours, such as publishing a paper or presenting at conferences<sup><a href=\"https:\/\/www.nature.com\/articles\/d41586-019-01451-9?utm_source=feedburner&amp;utm_medium=feed&amp;utm_campaign=Feed%3A+nature%2Frss%2Fcurrent+%28Nature+-+Issue%29#ref-CR6\">6<\/a><\/sup>. The points are then converted into extra funding for career-related enrichment, such as personal medical equipment, books, travel to academic events and membership of professional organizations.<\/p>\n<p>&nbsp;<\/p>\n<aside class=\"recommended pull pull--left sans-serif\" data-label=\"Related\"><a href=\"https:\/\/www.nature.com\/collections\/pmlcrkkyyq\" data-track=\"click\" data-track-label=\"recommended article\"><img decoding=\"async\" class=\"recommended__image\" src=\"https:\/\/media.nature.com\/w400\/magazine-assets\/d41586-019-01451-9\/d41586-019-01451-9_16656230.jpg\" \/><\/a><\/p>\n<p class=\"recommended__title serif\">Collection: How to grow a healthy lab<\/p>\n<\/aside>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>To celebrate student accomplishments, PhD programmes could implement a similar reward system for progress made on a research project, or introduce a \u2018grad student of the month\u2019 award or incentives such as gift cards or funds.<\/p>\n<p><b>3. Connect graduate students with the public.<\/b>According to a\u00a0<a href=\"https:\/\/www.huffingtonpost.co.uk\/entry\/american-trust-scientists-partisan-split-survey_n_590a49dfe4b0bb2d0874fdb6\" data-track=\"click\" data-label=\"https:\/\/www.huffingtonpost.co.uk\/entry\/american-trust-scientists-partisan-split-survey_n_590a49dfe4b0bb2d0874fdb6\" data-track-category=\"body text link\">2017 survey conducted jointly by news organization HuffPost and global data company YouGov<\/a>, only 35% of US adults trust that \u201cwhat scientists say is accurate and reliable\u201d. Early in their training, medical students must learn how to communicate complex medical concepts to patients from all backgrounds. To help science trainees connect with the public and hone their communication skills, programmes should encourage students to engage and educate the lay audience. The Stanford neuroscience department, for example, organizes \u2018Brain Day\u2019 events, in which graduate students give hands-on demonstrations to students and adult learners using real human and animal brains. Outreach activities such as these can help graduate students to feel valued, and teach them how to communicate their work.<\/p>\n<p><b>4. Expose students to non-academic job opportunities.\u00a0<\/b>According to the\u00a0<a href=\"https:\/\/ncsesdata.nsf.gov\/doctoratework\/2017\/\" data-track=\"click\" data-label=\"https:\/\/ncsesdata.nsf.gov\/doctoratework\/2017\/\" data-track-category=\"body text link\">2017 Survey of Doctorate Recipients conducted by the US National Science Foundation<\/a>, the unemployment rate for doctoral scientists and engineers across all fields as of February 2017 was 2.1%, and the unemployment rate for those with a science doctorate in a field of biology was 2.4% \u2014 both better than the US national unemployment rate at the time of 4.7%.<\/p>\n<p>The perceived dearth of jobs could stem from an implicit belief in academia that tenure is the holy grail. This idea is perpetuated by the structure of academic science training: tenured or tenure-track professors are the gatekeepers who mentor, validate and fund graduate students and their work. These individuals are the science professionals whom graduate students often look up to most.<\/p>\n<p>By contrast, although many medical students and residents are trained in academic hospitals, they are exposed to many different potential career paths through rotations, informal mentoring and professional conferences, including in academia, private practice, administration and policy. Rather than promoting a uniform view of success, graduate programmes should elevate the many career options available outside academia early in their training, and encourage exploration in industry, government, communications, policy and education.<\/p>\n<p><b>5. Facilitate research into graduate-student wellness.\u00a0<\/b>\u201cThere remains a dire need to resolve our understanding of the mental health issues in the trainee population,\u201d reads a study of graduate-student well-being<sup><a href=\"https:\/\/www.nature.com\/articles\/d41586-019-01451-9?utm_source=feedburner&amp;utm_medium=feed&amp;utm_campaign=Feed%3A+nature%2Frss%2Fcurrent+%28Nature+-+Issue%29#ref-CR7\">7<\/a><\/sup>. For many years, the medical community has been conducting research on student, resident and physician wellness, not only for the sake of the profession, but also because the well-being of health-care providers can affect patient health and safety.<\/p>\n<p>Science might not have a comparable impetus for studying the wellness of its own students, but academia as a whole needs to collect and publish these data to optimize graduate training, reduce the emotional and psychological burden on trainees and help students to understand that they are not alone.<\/p>\n<p>Both medicine and academic science have a long way to go in terms of addressing trainee health, but academia can start by building on existing groundwork. A culture that promotes well-being and prevents burnout is necessary for producing the next generation of scientists \u2014 scientists who are not only happy, but also maximally creative and productive.<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<\/div>\n<div class=\"emphasis\">doi: 10.1038\/d41586-019-01451-9<\/div>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>(\uc6d0\ubb38: <a href=\"https:\/\/www.nature.com\/articles\/d41586-019-01451-9?utm_source=feedburner&amp;utm_medium=feed&amp;utm_campaign=Feed%3A+nature%2Frss%2Fcurrent+%28Nature+-+Issue%29\">\uc5ec\uae30<\/a>\ub97c \ud074\ub9ad\ud558\uc138\uc694~)<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>&nbsp; &nbsp; The medical programmes we see in our training as physician-scientists are becoming more progressive and supportive of students. Here\u2019s what academia can learn<a href=\"https:\/\/biochemistry.khu.ac.kr\/lab\/?p=3446\" class=\"more-link\">(more&#8230;)<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[32,29],"tags":[],"class_list":["post-3446","post","type-post","status-publish","format-standard","hentry","category-essays-on-science","category-lets-do-science"],"aioseo_notices":[],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"","jetpack-related-posts":[{"id":2237,"url":"https:\/\/biochemistry.khu.ac.kr\/lab\/?p=2237","url_meta":{"origin":3446,"position":0},"title":"Industry is more alarmed about reproducibility than academia","author":"biochemistry","date":"December 3, 2018","format":false,"excerpt":"\u00a0 \u00a0 The reproducibility crisis in biomedical science seems to have alarmed industry more than the academic community (see\u00a0C. 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Despite the advent of important new therapeutics, the number\u2026","rel":"","context":"In &quot;Essays on Science&quot;","block_context":{"text":"Essays on Science","link":"https:\/\/biochemistry.khu.ac.kr\/lab\/?cat=32"},"img":{"alt_text":"","src":"","width":0,"height":0},"classes":[]},{"id":1070,"url":"https:\/\/biochemistry.khu.ac.kr\/lab\/?p=1070","url_meta":{"origin":3446,"position":1},"title":"From an idea to a technology","author":"biochemistry","date":"July 9, 2018","format":false,"excerpt":"\u00a0 \u00a0 (\uc6d0\ubb38) \u00a0 \u00a0 Nature Nanotechnology\u00a0volume\u00a013,\u00a0pages\u00a0528\u2013530\u00a0(2018) \u00a0 Nature Nanotechnology\u00a0has asked Jong-Hyun Ahn, Yi Cui and Hagan Bayley, corresponding authors of the three papers published in the journal that have received the highest number of citations in the patent literature, to share their insights about doing applied research in academia\u2026","rel":"","context":"In &quot;Essays on Science&quot;","block_context":{"text":"Essays on Science","link":"https:\/\/biochemistry.khu.ac.kr\/lab\/?cat=32"},"img":{"alt_text":"","src":"","width":0,"height":0},"classes":[]},{"id":1593,"url":"https:\/\/biochemistry.khu.ac.kr\/lab\/?p=1593","url_meta":{"origin":3446,"position":2},"title":"New voices, at last","author":"biochemistry","date":"September 9, 2018","format":false,"excerpt":"\u00a0 \u00a0 (\uc6d0\ubb38: \uc5ec\uae30\ub97c \ud074\ub9ad\ud558\uc138\uc694~) \u00a0 \u00a0 Science\u00a0\u00a007 Sep 2018: Vol. 361, Issue 6406, pp. 953 DOI: 10.1126\/science.aav2338 \u00a0 Science academies are well placed to help strengthen national systems of research and innovation, drawing upon the knowledge of experienced scientists across fields. 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