2021
A Longitudinal Study Exploring Learning Environment Culture and Subsequent Risk of Burnout Among Resident Physicians Overall and by Gender
Dyrbye LN, West CP, Herrin J, Dovidio J, Cunningham B, Yeazel M, Lam V, Onyeador IN, Wittlin NM, Burke SE, Hayes SN, Phelan SM, van Ryn M. A Longitudinal Study Exploring Learning Environment Culture and Subsequent Risk of Burnout Among Resident Physicians Overall and by Gender. Mayo Clinic Proceedings 2021, 96: 2168-2183. PMID: 34218879, DOI: 10.1016/j.mayocp.2020.12.036.Peer-Reviewed Original Research
2020
A Comparison of Depression and Anxiety Symptoms Between Sexual Minority and Heterosexual Medical Residents: A Report from the Medical Trainee CHANGE Study
Wang K, Burke SE, Przedworski JM, Wittlin NM, Onyeador IN, Dovidio JF, Dyrbye LN, Herrin J, van Ryn M. A Comparison of Depression and Anxiety Symptoms Between Sexual Minority and Heterosexual Medical Residents: A Report from the Medical Trainee CHANGE Study. LGBT Health 2020, 7: 332-339. PMID: 32598215, PMCID: PMC7475081, DOI: 10.1089/lgbt.2020.0027.Peer-Reviewed Original ResearchConceptsAnxiety symptomsSexual minority mental healthSexual minority stressorsMinority mental healthSexual minoritiesSexual minority individualsSexual identityGrowth Evaluation StudyIdentity-based differencesMental health disparitiesCognitive habitsMental health impactMinority stressorsLow senseMedical residentsAnxietySuch stressorsMental healthTraining environmentMinority individualsHigh levelsHeterosexual residentsHeterosexual peersDepressionStressors
2019
The Value of Interracial Contact for Reducing Anti-Black Bias Among Non-Black Physicians: A Cognitive Habits and Growth Evaluation (CHANGE) Study Report
Onyeador IN, Wittlin NM, Burke SE, Dovidio JF, Perry SP, Hardeman RR, Dyrbye LN, Herrin J, Phelan SM, van Ryn M. The Value of Interracial Contact for Reducing Anti-Black Bias Among Non-Black Physicians: A Cognitive Habits and Growth Evaluation (CHANGE) Study Report. Psychological Science 2019, 31: 18-30. PMID: 31743078, PMCID: PMC6966250, DOI: 10.1177/0956797619879139.Peer-Reviewed Original ResearchMeSH KeywordsBlack or African AmericanCurriculumEducation, Medical, GraduateFemaleHealthcare DisparitiesHumansInternship and ResidencyInterprofessional RelationsLongitudinal StudiesMalePhysician-Patient RelationsPrejudiceRacismRegression AnalysisSchools, MedicalSocioeconomic FactorsStudents, MedicalUnited StatesConceptsAnti-Black biasNon-Black physiciansInterracial contactImplicit biasDiversity trainingImplicit racial biasQuality of contactPrejudice reductionBaseline biasCognitive habitsRacial biasLongitudinal studyRacial climateImpactful experiencesTrainingMedical school environmentBiasPrevious contactMedical residencySchoolsPrejudiceExperienceMedical schoolsInquiryThe Effects of Racism in Medical Education on Students' Decisions to Practice in Underserved or Minority Communities.
Phelan SM, Burke SE, Cunningham BA, Perry SP, Hardeman RR, Dovidio JF, Herrin J, Dyrbye LN, White RO, Yeazel MW, Onyeador IN, Wittlin NM, Harden K, van Ryn M. The Effects of Racism in Medical Education on Students' Decisions to Practice in Underserved or Minority Communities. Academic Medicine 2019, 94: 1178-1189. PMID: 30920443, DOI: 10.1097/acm.0000000000002719.Peer-Reviewed Original ResearchConceptsMedical schoolsManifestations of racismStudents' decisionsStudents' intentionPractice intentionsService-learning experienceU.S. medical schoolsUnderserved communitiesHigh-need communitiesMedical students' intentionsCulture/climateLearning experienceMinority studentsMedical educationSchoolsAttitudes/behaviorsStudentsExplicit racial attitudesMinority communitiesEffects of racismCurriculumMatriculationStructural racismRacismAttitudesAssociation of Racial Bias With Burnout Among Resident Physicians
Dyrbye L, Herrin J, West CP, Wittlin NM, Dovidio JF, Hardeman R, Burke SE, Phelan S, Onyeador IN, Cunningham B, van Ryn M. Association of Racial Bias With Burnout Among Resident Physicians. JAMA Network Open 2019, 2: e197457. PMID: 31348503, PMCID: PMC6661712, DOI: 10.1001/jamanetworkopen.2019.7457.Peer-Reviewed Original ResearchConceptsSymptoms of burnoutResident physiciansFT scoreRacial disparitiesDose-response associationHealth careDirect patient interactionResident physician trainingCohort studyBlack patientsMultivariable analysisPhysician respondentsHigh prevalenceMAIN OUTCOMEWhite raceMedical careBurnout itemsSymptomsPhysiciansPatient interactionsMaslach Burnout InventoryPhysician trainingTime pointsCareScarce evidenceA Prognostic Index to Identify the Risk of Developing Depression Symptoms Among U.S. Medical Students Derived From a National, Four-Year Longitudinal Study
Dyrbye LN, Wittlin NM, Hardeman RR, Yeazel M, Herrin J, Dovidio JF, Burke SE, Cunningham B, Phelan SM, Shanafelt TD, van Ryn M. A Prognostic Index to Identify the Risk of Developing Depression Symptoms Among U.S. Medical Students Derived From a National, Four-Year Longitudinal Study. Academic Medicine 2019, 94: 217-226. PMID: 30188367, DOI: 10.1097/acm.0000000000002437.Peer-Reviewed Original ResearchConceptsRisk groupsBaseline depression symptomsPrognostic indexDepression symptomsIndependent prognostic factorHigh-risk groupLow-risk groupSocial supportPrimary prevention approachReplication datasetU.S. medical studentsBaseline factorsPrognostic factorsC-statisticOdds ratioMedical studentsMultivariate analysisSymptomsBaseline individualDepressionPrevention approachesLongitudinal studyMedical schoolsRiskDiscovery dataset
2015
Medical School Experiences Associated with Change in Implicit Racial Bias Among 3547 Students: A Medical Student CHANGES Study Report
van Ryn M, Hardeman R, Phelan SM, PhD D, Dovidio JF, Herrin J, Burke SE, Nelson DB, Perry S, Yeazel M, Przedworski JM. Medical School Experiences Associated with Change in Implicit Racial Bias Among 3547 Students: A Medical Student CHANGES Study Report. Journal Of General Internal Medicine 2015, 30: 1748-1756. PMID: 26129779, PMCID: PMC4636581, DOI: 10.1007/s11606-015-3447-7.Peer-Reviewed Original ResearchMeSH KeywordsAdultAttitude of Health PersonnelBlack or African AmericanCurriculumEducation, Medical, UndergraduateFemaleHealthcare DisparitiesHumansInterprofessional RelationsLongitudinal StudiesMaleMiddle AgedPhysician-Patient RelationsRacismSchools, MedicalSocioeconomic FactorsStudents, MedicalYoung AdultConceptsMedical schoolsSelf-assessed skillsBlack-White Implicit Association TestSchool experiencesLast semesterMedical school experienceU.S. medical schoolsImplicit racial attitudesRole model behaviorsInformal curriculumRacial biasFormal curriculumStudent reportsFirst semesterMedical educationRacial attitudesRacial climateImplicit racial biasSchoolsAfrican American physiciansCultural competenceSemesterCurriculumNegative commentsStudents