Exploring Burnout in Medical Education: A Mixed-method Study Among University of Ibadan Medical Students

Abstract Introduction: Medical students face intense academic pressures leading to burnout, a critical yet overlooked challenge in medical education. This study explores burnout prevalence and its contributing factors among medical students at the University of Ibadan, Nigeria, examining its extent and broader implications. Methods: A mixed-method cross-sectional study combined a self-administered online survey and focus group discussions (FGD). The Oldenburg Burnout Inventory for Students (OLBI-S) measured burnout levels, while the Multidimensional Scale of Perceived Social Support (MSPSS) assessed perceived social support. Institutional support service availability was also evaluated. The survey achieved a 51% response rate (355 participants), with 11 randomly selected students participating in FGDs. SPSS analysed quantitative data, while FGD transcripts underwent thematic analysis. Results: The study revealed an 81.1% burnout prevalence rate, showing significant associations with gender (p<0.001) and academic year (p=0.004). Of the participants, 40.3% were unaware of the College of Medicine Support Service, while only 3.9% had utilised it. Major burnout contributors included overbearing workload, insufficient breaks, and physical stressors. Conclusion: The high burnout rates discovered at Nigeria's pioneering medical school have profound implications for medical education nationwide. These findings emphasise the need for culturally attuned, comprehensive interventions, including curriculum reforms and enhanced student support services, to mitigate burnout and improve student well-being.