Bulletin of Semashko National Research Institute of Public HealthBulletin of Semashko National Research Institute of Public Health2415-84102415-8429FSSBI «N.A. Semashko National Research Institute of Public Health»297010.69541/NRIPH.2025.03.001Научная статья«Generation Z» in medicine: the problem of burnout in the early stages of professional activityMingazovaElmira Nurislamovnaelmira_mingazova@mail.ruSadykovaRomina Nailevnasadykovaromina23@gmail.comBezymyannyyAlexey Sergeevichdkd@zdrav.mos.ruMingazovRustem Nailevichmrn85@mail.ruN. A. Semashko National Research Institute of Public Health, 105064, Moscow, Russian FederationRussian Medical Academy of Continuous Professional Education, Moscow, Russian FederationKazan State Medical University, Kazan, Russian FederationKazan (Volga Region) Federal University, Kazan, Russian FederationDirectorate for the coordination of the activities of medical organizations of the Moscow Department of Health, Moscow, Russian FederationResearch Institute for Healthcare and Medical Management of Moscow Healthcare Department, Moscow, Russian Federation26092025351130092025Copyright © 2025,2025Modern 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.professional burnout, medical workers, residents, «generation Z».профессиональное выгорание, медицинские работники, ординаторы, «поколение Z».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.2022.1015584Gardner 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/s12875-024-02656-2Shumba 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/s22197675Falebita 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/s44217-024-00252-1Joyce C. M. The medical workforce in 2025: what's in the numbers? Med J Aust. 2013;199(5):6—9. DOI: 10.5694/mja11.11575Van 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/s40359-021-00634-2Ng 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/qgae179Jain 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: 10.1080/10401334.2021.1875833Mıdık O., Demirören M., Baykan Z. Difficulties Faced by Residents and Clues for Solutions: A Qualitative Study. Inquiry. 2024;(61):469580241271313. DOI: 10.1177/00469580241271313Zloto 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-zHanna K. F., Koo K. Professional Burnout and Career Choice Regret in Urology Residents. Curr Urol Rep. 2024;25(12):325—330. DOI: 10.1007/s11934-024-01226-4Amini 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/s12909-024-06213-4Verret 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.0000000000001457Boden 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.22.00114Dietrich 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/medicina59081450Petrie 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.15124Miguel-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/brb3.2007Green 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.2020.8.47357Winkel 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-23-00554.1Amaral 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/2024AO17Alanazy 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/healthcare11152220Lu 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.2022.10.015Kavaliauskas 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-zPoli 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.2024.12.013Bernstein 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.0000000000001766Brunsberg 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.0000000000002778Barak 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—8265.11449Fanning 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.0000000000005567Ogbeide 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—0216.1776Lundholm 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.2021.2005243Steiner-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