Milstein Jay M, Raingruber Bonnie J, Bennett Stephen H, Kon Alexander A, Winn Cynthia A, Paterniti Debora A
Department of Pediatrics, University of California, Davis Health System, Sacramento, CA 95817, USA.
Med Teach. 2009 Apr;31(4):338-41. doi: 10.1080/01421590802208552.
Medical house officers are at increased risk for stress related symptoms leading to professional burnout.
Measure burnout in house officers and establish whether utilization of a psychotherapeutic tool individually by physicians reduces symptoms characteristic of burnout.
Two groups of pediatric house officers at the University of California Davis Health System completed a Maslach Burnout Survey (MBS) at the beginning and end of a three-month period in 2003. An Intervention group (7 of 15 enrolled) was trained in the use of a self-administered psychotherapeutic tool. Outcome Measures were MBS scores and a qualitative interview of intervention group members.
There were no significant differences between the two groups, prior to the study or over time. Qualitative interviews revealed that subjects experience stressors in relation to their professional activities, but already utilize some elements of the tool and were too busy to implement the entire tool systematically.
Pediatric trainees did not seem to manifest burnout symptoms based upon the MBS; interviews suggested that some do experience significant stress, although manifestations and responses were varied, some may be at risk. Methods identifying individuals at risk for burnout, and interventions to cope with stress may be valuable to their training.
住院医师面临与压力相关症状的风险增加，这可能导致职业倦怠。
测量住院医师的职业倦怠情况，并确定医生单独使用一种心理治疗工具是否能减轻职业倦怠的特征性症状。
2003年，加利福尼亚大学戴维斯分校医疗系统的两组儿科住院医师在三个月期间开始和结束时完成了马氏职业倦怠量表（MBS）。干预组（15名登记人员中的7名）接受了自我管理心理治疗工具使用的培训。结果测量指标为MBS评分以及对干预组成员的定性访谈。
在研究之前或随着时间推移，两组之间没有显著差异。定性访谈显示，受试者在其专业活动中经历压力源，但已经在使用该工具的一些要素，并且太忙而无法系统地实施整个工具。
根据MBS，儿科受训人员似乎没有表现出职业倦怠症状；访谈表明，一些人确实经历了重大压力，尽管表现和反应各不相同，有些人可能处于风险中。识别有职业倦怠风险的个体的方法以及应对压力的干预措施可能对他们的培训有价值。
