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burnout: 新英格兰地区放射科住院医师的流行率及其相关因素,与其他专业的美国住院医师进行比较。

Burnout: Prevalence and Associated Factors Among Radiology Residents in New England With Comparison Against United States Resident Physicians in Other Specialties.

机构信息

1 Department of Radiology, Brigham & Women's Hospital, Harvard Medical School, Boston, MA.

2 Department of Radiology, Division of Musculoskeletal Imaging and Intervention, Brigham & Women's Hospital, Harvard Medical School, 75 Francis St, Boston, MA 02115.

出版信息

AJR Am J Roentgenol. 2017 Jul;209(1):136-141. doi: 10.2214/AJR.16.17541.

Abstract

OBJECTIVE

The objective of our study was to establish burnout prevalence, associated demographic and program-related factors, and degree of burnout in New England radiology residents relative to residents in other specialties.

MATERIALS AND METHODS

A 31-item survey, including nine demographic and program-related questions and the 22-item Maslach Burnout Inventory-Health Services Survey, was sent to all resident members of the New England Roentgen Ray Society (20 programs, 472 residents). Emotional exhaustion (EE), depersonalization (DP), and personal accomplishment (PA) scores were calculated and stratified using published normative data. Multiple linear regression analysis was performed to identify burnout predictors. Chi-square testing with Bonferroni correction was performed to confirm predictors associated with high burnout. The EE, DP, and PA scores were compared with the results of residents from other specialties.

RESULTS

There were 94 responses. High EE, high DP, and low PA scores were reported by 37%, 48%, and 50% of respondents, respectively. EE, DP, and PA scores and rates were low relative to those reported across specialties. Increasing residency year correlated with high EE (p = 0.002) and high DP (p < 0.001). No other factor significantly correlated with burnout.

CONCLUSION

A high degree of burnout, increasing over the postgraduate years, was present in more than one-third of responding radiology residents but was present in a smaller percentage relative to residents across other specialties. Radiology residents score relatively poorly in PA and therefore addressing PA may be central to improving burnout symptoms overall.

摘要

目的

我们研究的目的是确定新英格兰放射科住院医师相对于其他专业住院医师的 burnout 患病率、相关人口统计学和项目相关因素以及 burnout 程度。

材料和方法

一项包含 31 个项目的调查,包括 9 个人口统计学和项目相关问题以及 22 项 Maslach Burnout Inventory-Health Services Survey,被发送给新英格兰伦琴射线学会的所有住院医师成员(20 个项目,472 名住院医师)。使用已发表的规范数据计算并分层计算情绪衰竭 (EE)、去人格化 (DP) 和个人成就感 (PA) 得分。进行多元线性回归分析以确定 burnout 的预测因素。使用 Bonferroni 校正的卡方检验来确认与高 burnout 相关的预测因素。将 EE、DP 和 PA 分数与其他专业的住院医师的结果进行比较。

结果

共有 94 名住院医师回复。37%、48%和 50%的受访者分别报告了高 EE、高 DP 和低 PA 分数。EE、DP 和 PA 分数和发生率均低于跨专业报告的分数。 residency 年限的增加与高 EE(p = 0.002)和高 DP(p < 0.001)相关。没有其他因素与 burnout 显著相关。

结论

超过三分之一的回应放射科住院医师存在高度 burnout,且随着研究生年限的增加而增加,但相对于其他专业的住院医师,其比例较小。放射科住院医师在 PA 方面的得分相对较低,因此解决 PA 问题可能是整体改善 burnout 症状的核心。

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