ACADEMIC CONSEQUENCES OF BURNOUT IN MEDICAL EDUCATION: A SYSTEMATIC REVIEW OF RECENT EVIDENCE

Introduction: Burnout has emerged as a pervasive issue among medical students, characterized by emotional exhaustion, depersonalization, and reduced personal accomplishment. The academic consequences of burnout are profound, impacting learning, performance, and professional development. Understanding this relationship is essential for the implementation of targeted interventions in medical education. Objective: The primary objective of this systematic review was to evaluate the academic consequences of burnout among medical students. Secondary objectives included identifying associated risk factors, examining the role of institutional environments, and highlighting evidence-based strategies to mitigate academic decline. Methods: A systematic search was conducted in PubMed, Scopus, Web of Science, Cochrane Library, LILACS, ClinicalTrials.gov, and ICTRP. Eligible studies were published in the last five years and included quantitative and qualitative designs addressing burnout and academic outcomes in undergraduate medical education. Inclusion criteria required validated burnout assessment tools and measurable academic performance indicators. Data extraction and quality assessment were conducted independently by two reviewers, with bias risk assessed through RoB 2, ROBINS-I, and GRADE. Results and Discussion: From 1,142 records identified, 26 studies met the eligibility criteria. Burnout was consistently associated with decreased academic performance, increased risk of exam failure, reduced engagement in clinical training, and lower academic satisfaction. Protective factors included supportive learning environments, mentorship programs, and institutional wellness initiatives. Conclusion: Burnout exerts significant negative consequences on the academic trajectory of medical students. Evidence supports the urgent need for preventive strategies, early identification, and institutional reforms aimed at promoting resilience and academic success. Multidisciplinary approaches are required to mitigate the dual impact on student well-being and professional formation. Keywords: Supracondylar fractures, Humerus, Vascular system injuries, Orthopedic procedures