McAbee Joseph H, Ragel Brian T, McCartney Shirley, Jones G Morgan, Michael L Madison, DeCuypere Michael, Cheng Joseph S, Boop Frederick A, Klimo Paul
School of Medicine, Wake Forest University, Winston-Salem, North Carolina;
Department of Neurological Surgery, Oregon Health & Science University, Portland, Oregon;
J Neurosurg. 2015 Jul;123(1):161-73. doi: 10.3171/2014.12.JNS141348. Epub 2015 Feb 13.
OBJECT :The object of this study was to identify and quantify predictors of burnout and career satisfaction among US neurosurgeons.
All US members (3247) of the American Association of Neurological Surgeons (AANS) were invited to participate in a survey between September and December 2012. Responses were evaluated through univariate analysis. Factors independently associated with burnout and career satisfaction were determined using multivariable logistic regression. Subgroup analysis of academic and nonacademic neurosurgeons was performed as well.
The survey response rate was 24% (783 members). The majority of respondents were male, 40-60 years old, in a stable relationship, with children, working in a group or university practice, and trained in a subspecialty. More than 80% of respondents reported being at least somewhat satisfied with their career, and 70% would choose a career in neurosurgery again; however, only 26% of neurosurgeons believed their professional lives would improve in the future, and 52% believed it would worsen. The overall burnout rate was 56.7%. Factors independently associated with both burnout and career satisfaction included achieving a balance between work and life outside the hospital (burnout OR 0.45, satisfaction OR 10.0) and anxiety over future earnings and/or health care reform (burnout OR 1.96, satisfaction OR 0.32). While the burnout rate for nonacademic neurosurgeons (62.9%) was higher than that for academic neurosurgeons (47.7%), academicians who had practiced for over 20 years were less likely to be satisfied with their careers.
The rates of burnout and career satisfaction were both high in this survey study of US neurosurgeons. The negative effects of burnout on the lives of surgeons, patients, and their families require further study and probably necessitate the development of interventional programs at local, regional, and even national levels.
目的：本研究旨在识别并量化美国神经外科医生职业倦怠和职业满意度的预测因素。
2012年9月至12月期间，邀请美国神经外科医师协会（AANS）的所有美国会员（3247名）参与一项调查。通过单因素分析评估回复情况。使用多变量逻辑回归确定与职业倦怠和职业满意度独立相关的因素。同时对学术型和非学术型神经外科医生进行亚组分析。
调查回复率为24%（783名会员）。大多数受访者为男性，年龄在40至60岁之间，关系稳定，有子女，在团体或大学医疗机构工作，并接受过亚专业培训。超过80%的受访者表示至少对自己的职业有些满意，70%的人会再次选择神经外科职业；然而，只有26%的神经外科医生认为他们的职业生活在未来会有所改善，52%的人认为会恶化。总体职业倦怠率为56.7%。与职业倦怠和职业满意度均独立相关的因素包括在医院外实现工作与生活的平衡（职业倦怠比值比0.45，满意度比值比10.0）以及对未来收入和/或医疗改革的焦虑（职业倦怠比值比1.96，满意度比值比0.32）。虽然非学术型神经外科医生的职业倦怠率（62.9%）高于学术型神经外科医生（47.7%），但从业超过20年的院士对其职业的满意度较低。
在这项针对美国神经外科医生的调查研究中，职业倦怠率和职业满意度都很高。职业倦怠对外科医生、患者及其家庭生活的负面影响需要进一步研究，可能需要在地方、区域甚至国家层面制定干预计划。
