Hwang John S, Ippolito Joseph A, Beebe Kathleen S, Benevenia Joseph, Berberian Wayne S
Department of Orthopaedic Surgery, Rutgers, The State University of New Jersey - New Jersey Medical School, Newark, NJ, USA.
Work. 2018;60(4):567-571. doi: 10.3233/WOR-182764.
Residents in all fields of medicine experience high levels of burnout and less job-related satisfaction due to the stress experienced during training. Reduced complement residency classes often experience increased workloads due to the need to compensate for the fewer number of classmates.
The goal of this study was to examine whether residency classes of reduced size experience higher levels of burnout.
The Maslach Burnout Inventory Survey was distributed to all orthopaedic residents at our institution for four consecutive years. Emotional exhaustion≥27 and depersonalization≥10 correlate with high levels of burnout. At our institution, two residents were lost during their second year of training. Group 1 (n = 56) consisted of residents with reduced-size classes, while group 2 (n = 60) consisted of residents with full complement classes.
Mean emotional exhaustion (29 vs. 30) and depersonalization (17 vs. 17) scores were comparable between reduced and full complement classes. The Maslach data from our study showed no statistical difference in burnout levels between classes of full complement and reduced complement.
When compared to a previous study on burnout conducted in large orthopaedic residency programs, our entire residency program did demonstrate similar levels of emotional exhaustion and depersonalization.
由于培训期间承受的压力，各个医学领域的住院医师都面临着高度的职业倦怠，且工作满意度较低。由于需要弥补同学数量减少的情况，班级规模缩减的住院医师往往工作量增加。
本研究的目的是检验班级规模缩减的住院医师培训班级是否经历更高水平的职业倦怠。
连续四年向我们机构的所有骨科住院医师发放马氏职业倦怠量表调查问卷。情绪衰竭≥27分和去个性化≥10分与高水平的职业倦怠相关。在我们机构，有两名住院医师在培训的第二年流失。第1组（n = 56）由班级规模缩减的住院医师组成，而第2组（n = 60）由班级满员的住院医师组成。
班级规模缩减组和班级满员组的平均情绪衰竭得分（29分对30分）和去个性化得分（17分对17分）相当。我们研究中的马氏数据显示，班级满员组和班级规模缩减组在职业倦怠水平上没有统计学差异。
与之前在大型骨科住院医师培训项目中进行的一项关于职业倦怠的研究相比，我们整个住院医师培训项目确实表现出类似水平的情绪衰竭和去个性化。
