Background: Medical resident burnout is a critical threat to healthcare workforce sustainability, with physical activity (PA) posited as a protective factor. This bibliometric analysis maps the global research landscape on this topic from 2005 to 2025. Methods: Systematic search of the Web of Science Core Collection identified 110 relevant English-language articles. Performance analysis and scientific mapping were conducted using R and VOSviewer. Results: The field saw an annual growth rate of 3.35%, with a peak of 16 publications in 2019. The United States was the dominant contributor, accounting for 68% of the total output. Analysis identified several major thematic areas, including stress and behavioral factors, occupational mental health, and institutional support mechanisms. The findings reveal a rapidly growing but geographically concentrated body of research, underscoring a significant gap in globally representative evidence. Conclusions: This analysis provides a foundational map for future research, underscoring the need for institutional wellness programs incorporating PA, international collaborative studies, and policy-level interventions. We conclude that integrating physical activity is not a luxury but a critical strategy for healthcare system sustainability.

Background: Burnout is a major problem for physical and mental health of medical residents. The key for maintaining well-being and quality of care of residents is the assessing tool. The study evaluated the psychometric properties of the Arabic version of the Maslach Burnout Inventory Human Services Survey (MBI-HSS) among Tunisian medical residents by assessing its factor structure, construct validity, reliability, and gender invariance. Methods: A total of 552 residents, aged 27.01 ± 1.92, 219 males (39.7%) and 333 females (60.3%) completed the Arabic version of the A-MBI-MR. The exploratory (EFA) and confirmatory factor (CFA) analyses were performed to identify the factor structure, with assessments of internal consistency of the model, including gender measurement invariance. Results: The results indicate a high average variance extracted (AVE > 0.50) and factor loading of the scale, signifying robust construct validity and clearly suggesting that the items serve as essential indicators for assessing several dimensions of burnout. The reliability analysis demonstrates excellent and acceptable internal consistency across all areas of emotional exhaustion, personal accomplishment, and depersonalization (Cronbach’s α = 0.95, 0.98, and 0.871) respectively. The CFA confirmed the three-factor structure of the A-MBI-MR, with fit indices indicating an adequate model fit: CFI = 0.945, TLI = 0.938, GFI = 0.951, RMSEA = 0.074, RMSEA CI (0.066, 0.081), RMSEA p-value= 0.000, SRMR = 0.044. Results from the measurement invariance analysis of the MBI scale demonstrated robust invariance between male and female participants. Conclusions: The MBI-MR in Arabic for medical residents is reliable, valid, and effective for measuring burnout levels in Arabic-speaking regions.

Background: Grounded in Self-Determination Theory (SDT) and the Dualistic Model (DM) of Passion, this study examined the motivational mechanisms underlying psychological well-being among Tunisian physical education teachers. The objectives were twofold: to examine validity evidence of the Arabic version of the Basic Psychological Need Satisfaction and Frustration Scale (BPNSFS) and to test an integrative structural model linking harmonious passion, need satisfaction and frustration, well-being, vitality, happiness, and perceived stress. Methods: A representative sample of physical education teachers (1238) completed standardized instruments to assess passion, basic psychological needs, and well-being. To conduct exploratory and confirmatory factor analyses, the group was randomly divided into two independent subgroups. Reliability and validity were assessed using additional psychometric indicators, and a structural equation model was used to test the hypothesized relationships. Results: The results support the multidimensional structure and psychometric validity of the scale in the Tunisian context. Harmonious passion appears to be a positive factor in the satisfaction of psychological needs and a negative factor in cases of frustration. The satisfaction of these needs is closely linked to a high level of well-being, whereas their dissatisfaction is associated with adverse consequences. Well-being is also associated with increased vitality, greater happiness, and reduced stress, reflecting adaptive psychological functioning. Conclusions: Harmonious passion and basic psychological need satisfaction emerge as central resources for sustaining teacher well-being, vitality, and resilience against stress in educational contexts.