«Generation Z» in medicine: the problem of burnout in the early stages of professional activity

  • Authors: Mingazova E.N.1,2,3, Sadykova R.N.4, Bezymyannyy A.S.5, Mingazov R.N.2,6
  • Affiliations:
    1. N. A. Semashko National Research Institute of Public Health, 105064, Moscow, Russian Federation
    2. Russian Medical Academy of Continuous Professional Education, Moscow, Russian Federation
    3. Kazan State Medical University, Kazan, Russian Federation
    4. Kazan (Volga Region) Federal University, Kazan, Russian Federation
    5. Directorate for the coordination of the activities of medical organizations of the Moscow Department of Health, Moscow, Russian Federation
    6. Research Institute for Healthcare and Medical Management of Moscow Healthcare Department, Moscow, Russian Federation
  • Issue: No 3 (2025)
  • Pages: 5-11
  • Section: Общественное здоровье и организация здравоохранения
  • URL: https://bulleten-nriph.ru/journal/article/view/2970
  • DOI: https://doi.org/10.69541/NRIPH.2025.03.001
  • Cite item

Abstract


Modern medicine is experiencing an influx of a younger generation, often referred to as “Generation Z” — people born between 1997 and 2010. This is the first generation to grow up in the era of the Internet, smartphones and mobile applications, which has shaped their unique perception of the world. Representatives of this generation are characterized by different views on privacy, trust and interaction in the digital space. They attach great importance to personal well-being, including financial stability, healthy eating, physical activity, quality sleep and stress management methods. Modern conditions of the healthcare system are associated with an increased risk of developing burnout syndrome among medical workers, including at the beginning of their professional activity, among residents of various specializations. It is estimated that up to 60% of residents face this condition, which causes justified concern about the well-being of young specialists and the stability of the healthcare system itself.

About the authors

Elmira Nurislamovna Mingazova

N. A. Semashko National Research Institute of Public Health, 105064, Moscow, Russian Federation; Russian Medical Academy of Continuous Professional Education, Moscow, Russian Federation; Kazan State Medical University, Kazan, Russian Federation

Email: elmira_mingazova@mail.ru

Romina Nailevna Sadykova

Kazan (Volga Region) Federal University, Kazan, Russian Federation

Email: sadykovaromina23@gmail.com

Alexey Sergeevich Bezymyannyy

Directorate for the coordination of the activities of medical organizations of the Moscow Department of Health, Moscow, Russian Federation

Email: dkd@zdrav.mos.ru

Rustem Nailevich Mingazov

Russian Medical Academy of Continuous Professional Education, Moscow, Russian Federation; Research Institute for Healthcare and Medical Management of Moscow Healthcare Department, Moscow, Russian Federation

Email: mrn85@mail.ru

References

  1. Elenga N., Krishnaswamy G. A new generation of physicians-The Generation Z. Are you ready to deal with it? Front Public Health. 2023;(10):1015584. doi: 10.3389/fpubh.2022.1015584
  2. Gardner E., Owens R. W., Fortenberry K. T., Pippitt K, Ose D. J., Cochella S. Evaluation of enhanced mental and behavioral health training for family medicine residents: a research protocol. BMC Prim. Care. 2024;25(1)434. doi: 10.1186/s12875-024-02656-2
  3. Shumba A. T., Montanaro T., Sergi I., Fachechi L., De Vittorio M., Patrono L. Leveraging IoT-Aware Technologies and AI Techniques for Real-Time Critical Healthcare Applications. Sensors (Basel). 2022;22(19):7675. doi: 10.3390/s22197675
  4. Falebita O. S., Kok, P. J. Strategic goals for artificial intelligence integration among STEM academics and undergraduates in African higher education: a systematic review. Discov Educ. 2024;3(151). doi: 10.1007/s44217-024-00252-1
  5. Joyce C. M. The medical workforce in 2025: what's in the numbers? Med J Aust. 2013;199(5):6—9. doi: 10.5694/mja11.11575
  6. Van Lith T., Cheshure A., Pickett S. M. et al. Mindfulness based art therapy study protocol to determine efficacy in reducing college stress and anxiety. BMC Psychol. 2021;9(1):134. doi: 10.1186/s40359-021-00634-2
  7. Ng I. K.S., Tham S. Z.L., Chong K. M., Goh W. G.W., Thong C., Teo K. S. H. Burnout among medical residents: key drivers and practical mitigating strategies. Postgrad Med J. 2024;179. doi: 10.1093/postmj/qgae179
  8. Jain A., Tabatabai R., Vo A., Riddell J. «I Have Nothing Else to Give»: A Qualitative Exploration of Emergency Medicine Residents' Perceptions of Burnout. Teach Learn Med. 2021;33(4):407—415. doi: 10.1080/10401334.2021.1875833
  9. Mıdık O., Demirören M., Baykan Z. Difficulties Faced by Residents and Clues for Solutions: A Qualitative Study. Inquiry. 2024;(61):469580241271313. doi: 10.1177/00469580241271313
  10. Zloto O., Henenfeld M., Weinstein, O. What really makes residents tick or burn out? Insights from a National survey. BMC Med Educ. 2024;24(1):1377. doi: 10.1186/s12909-024-06331-z
  11. Hanna K. F., Koo K. Professional Burnout and Career Choice Regret in Urology Residents. Curr Urol Rep. 2024;25(12):325—330. doi: 10.1007/s11934-024-01226-4
  12. Amini M. J., Shafiee A., Mirhoseini M. S., Mohammaditabar M, Salehi S. A., Abdarian G., Sadeghi D., Tajvidi M., Bakhtiyari M., Bahadorimonfared A. Prevalence of depression and anxiety in orthopedic residents: a systematic review and meta-analysis. BMC Med Educ. 2024;24(1):1261. doi: 10.1186/s12909-024-06213-4
  13. Verret C. I., Nguyen J., Verret C., Albert T. J., Fufa D. T. How Do Areas of Work Life Drive Burnout in Orthopaedic Attending Surgeons, Fellows, and Residents? Clin Orthop Relat Res. 2021;79(2):251—262. doi: 10.1097/CORR.0000000000001457
  14. Boden L. M., Rodriguez C., Kelly J. D. 4th, Khalsa A. S., Casper D. S. Mindfulness Applications: Can They Serve as a Stress, Anxiety, and Burnout Reduction Tool in Orthopaedic Surgery Training? A Randomized Control Trial. JB JS Open Access. 2023;8(3). doi: 10.2106/JBJS.OA.22.00114
  15. Dietrich L. G., Vögelin E., Deml M. J., Pastor T., Gueorguiev B., Pastor T. Quality of Life and Working Conditions of Hand Surgeons-A National Survey. Medicina (Kaunas). 2023;59(8):1450. doi: 10.3390/medicina59081450
  16. Petrie K., Crawford J., Shand F., Harvey S. B. (2021), Workplace stress, common mental disorder and suicidal ideation in junior doctors. Intern Med J. 2021;(51):1074—1080. doi: 10.1111/imj.15124
  17. Miguel-Puga J. A., Cooper-Bribiesca D., Avelar-Garnica F. J., Sanchez-Hurtado L. A., Colin-Martínez T., Espinosa-Poblano E. et al. Burnout, depersonalization, and anxiety contribute to post-traumatic stress in frontline health workers at COVID-19 patient care, a follow-up study. Brain Behav. 2021;11(3):e02007. doi: 10.1002/brb3.2007
  18. Green W., Gao X., Li K., Banz B. C., Wu J., Crowley M. J., Camenga D. R., Vaca F. E. The Association of Sleep Hygiene and Drowsiness with Adverse Driving Events in Emergency Medicine Residents. West J Emerg Med. 2020;21(6):219—224. doi: 10.5811/westjem.2020.8.47357
  19. Winkel A. F., Morgan H. K., Hammoud M. M., Schatzman-Bone S., Young O. M., Santen S., Banks E., George K. Burnout and Well-Being in Trainees: Findings from a National Survey of US Obstetrics and Gynecology Residents. J Grad Med Educ. 2024;16(5):572—580. doi: 10.4300/JGME-D-23-00554.1
  20. Amaral M. L.C., da Silva I. M., Bello A. F., da Silva F. C., Romão G. S., Trapani A. Prevalence and factors associated with anxiety, depression and burnout in gynecology and obstetrics residents during the COVID-19 pandemic. Rev Bras Ginecol Obstet. 2024;46. doi: 10.61622/rbgo/2024AO17
  21. Alanazy A. R.M., Alruwaili A. The Global Prevalence and Associated Factors of Burnout among Emergency Department Healthcare Workers and the Impact of the COVID-19 Pandemic: A Systematic Review and Meta-Analysis. Healthcare (Basel). 2023;11(15). doi: 10.3390/healthcare11152220
  22. Lu D. W., Zhan T., Bilimoria K. Y., Reisdorff E. J., Barton M. A., Nelson L. S., Beeson M. S., Lall M. D. Workplace Mistreatment, Career Choice Regret, and Burnout in Emergency Medicine Residency Training in the United States. Ann Emerg Med. 2023;81(6):706—714. doi: 10.1016/j.annemergmed.2022.10.015
  23. Kavaliauskas P., Kazlauskas E., Smailyte G. Suicide risk factors among Lithuanian medical doctors and residents. Arch Public Health. 2024;82(243). doi: 10.1186/s13690-024-01478-z
  24. Poli M., Russotto S., Fornaro M., Gonda X., Lopez-Castroman J., Madeddu F, Zeppegno P., Gramaglia C., Calati R. Suicide risk among residents and PhD students: A systematic review of the literature. J Psychiatr Res. 2024;(181):433—462. doi: 10.1016/j.jpsychires.2024.12.013
  25. Bernstein S. A., Hanson J. L., Slat E. A., Duncan J. G. Medical Resident Perceptions of Distress during Training. South Med J. 2024;117(12):719—724. doi: 10.14423/SMJ.0000000000001766
  26. Brunsberg K. A., Landrigan C. P., Garcia B. M., Petty C. R., Sectish T. C., Simpkin A. L., Spector N. D., Starmer A. J., West D. C., Calaman S. Association of Pediatric Resident Physician Depression and Burnout with Harmful Medical Errors on Inpatient Services. Acad Med. 2019;94(8):1150—1156. doi: 10.1097/ACM.0000000000002778
  27. Barak G., Foradori D., Fromme H. B., Zuniga L., Dean A. Balancing Honest Assessment and Compassion for Learners Experiencing Burnout: A Workshop and Feedback Tool for Clinical Teachers. MedEdPORTAL. 2024;(20):11449. doi: 10.15766/mep_2374—8265.11449
  28. Fanning J. E., Patel A., Janis J. E. The Current State of Plastic Surgery Residency Wellness Programs: Benefits and Barriers. Plast Reconstr Surg Glob Open. 2024;12(2):e5567. doi: 10.1097/GOX.0000000000005567
  29. Ogbeide S., Hamlett J. A., Cruz I. I. Resident Feedback on Incorporating Reflection Rounds into a Family Medicine Residency Wellness Curriculum: A Brief Report. HCA Healthc J Med. 2024;5(3):331—341. doi: 10.36518/2689—0216.1776
  30. Lundholm M. D., Simpson K. P., Ozark L. A medical escape room to build intern workplace social capital in an internal medicine residency program. Med Teach. 2022;44(5):546—550. doi: 10.1080/0142159X.2021.2005243
  31. Steiner-Hofbauer V., Katz H. W., Grundnig J. S., Holzinger A. Female participation or «feminization» of medicine. Wien Med Wochenschr. 2023;173(5—6):125—130. doi: 10.1007/s10354-022-00961-y

Statistics

Views

Abstract - 0

PDF (Russian) - 0

Cited-By


PlumX

Dimensions


Copyright (c) 2025 ФГБНУ Национальный НИИ Общественного здоровья имени Н.А. Семашко

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Mailing Address

Address: 105064, Moscow, st. Vorontsovo Pole, 12, building 1

Email: r.bulletin@yandex.ru

Phone: +7 (495) 917-90-41 add. 136



Principal Contact

Kuzmina Uliia Aleksandrovna
EXECUTIVE SECRETARY
FSSBI «N.A. Semashko National Research Institute of Public Health»

105064, Vorontsovo Pole st., 12, Moscow


Email: r.bulletin@yandex.ru

This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies