Department of Surgery, Good Samaritan Hospital, Cincinnati, Ohio.
Department of Surgery, Good Samaritan Hospital, Cincinnati, Ohio.
J Surg Educ. 2017 Nov-Dec;74(6):e138-e146. doi: 10.1016/j.jsurg.2017.09.018. Epub 2017 Oct 4.
The quality of working life of US surgical residents has not been studied, and given the complexity of interaction between work and personal life there is a need to assess this interaction. We utilized a validated Work Related Quality of Life (WRQoL) questionnaire to evaluate the perceived work-related quality of life of general surgery residents, using a large, nationally representative sample in the United States.
Between January 2016 and March 2016, all US general surgery residents enrolled in an ACGME general surgery training program were invited to participate. The WRQoL scale measures perceived quality of life covering six domains: General Well-Being (GWB), Home-Work Interface (HWI), Job and Career Satisfaction (JCS), Control at Work (CAW), Working Conditions (WCS) and Stress at Work (SAW).
After excluding for missing data, the final analysis included 738 residents. The average age was 30 (±3) years, of whom 287 (38.9%) were female, 272 (36.9%) were from a community hospital, and 477 (64.6%) were juniors (postgraduate year ≤ 3). Demographically, the respondents matched expected percentages. When male and female residents were compared, males had statistically better HWI (p<0.001), better GWB (p = 0.03), more CAW (p = 0.0003) and WCS (p = 0.001). Junior residents had a lower JCS (p = 0.002) and CAW (p = 0.04) compared to seniors. There were no differences between university and community residents in any of the domains of WRQoL. Although residents were more stressed than other professions but the overall WRQoL was comparable.
The nature of surgical residency and a surgical career may in fact be more "stressful" than other professions, yet may not translate into a worsened Quality of Life. Our findings suggest further study is needed to elucidate why female residents have or experience a lower perceived WRQoL than their male colleagues.
美国外科住院医师的工作生活质量尚未得到研究，鉴于工作和个人生活之间相互作用的复杂性，需要评估这种相互作用。我们利用经过验证的工作相关生活质量（WRQoL）问卷，使用美国大型全国代表性样本评估普通外科住院医师的工作相关生活质量。
在 2016 年 1 月至 2016 年 3 月期间，邀请所有参加 ACGME 普通外科培训计划的美国普通外科住院医师参加。WRQoL 量表衡量涵盖六个领域的感知生活质量：总体健康状况（GWB），家庭工作界面（HWI），工作和职业满意度（JCS），工作控制（CAW），工作条件（WCS）和工作压力（SAW）。
排除缺失数据后，最终分析包括 738 名住院医师。平均年龄为 30（±3）岁，其中 287 名（38.9％）为女性，272 名（36.9％）来自社区医院，477 名（64.6％）为初级住院医师（研究生≤3）。从人口统计学上看，受访者与预期百分比相符。在比较男性和女性住院医师时，男性在 HWI 方面具有统计学上的优势（p<0.001），在 GWB 方面更好（p = 0.03），CAW 和 WCS 更好（p = 0.0003 和 p = 0.001）。与高级住院医师相比，初级住院医师的 JCS（p = 0.002）和 CAW（p = 0.04）较低。在 WRQoL 的任何领域，大学和社区居民之间均无差异。尽管住院医师比其他职业承受更大的压力，但总体 WRQoL 是可比的。
外科住院医师和外科职业的性质实际上可能比其他职业“压力更大”，但这并不一定意味着生活质量更差。我们的研究结果表明，需要进一步研究，以阐明为什么女性住院医师的感知 WRQoL 低于其男性同事。
