Department of Surgery, University of Tennessee Graduate School of Medicine, Knoxville, Tennessee.
Department of Education Psychology, University of Tennessee, Knoxville, Tennessee.
J Surg Educ. 2019 May-Jun;76(3):628-636. doi: 10.1016/j.jsurg.2018.11.004. Epub 2019 Jan 16.
Surgery resident burnout rates are on the rise, ranging from 50% to 69%. Burnout is associated with increased risk of error and poorer patient satisfaction. Emotional intelligence (EI) is defined as the capacity to be aware of, control, and express one's emotions, and to handle interpersonal relationships judiciously and empathetically. We seek to evaluate the correlation between EI and burnout temporally as a potential target for education. This may allow us to utilize objective measures to reduce burnout among our residents.
A prospective study of general surgery residents at a single institution was performed via self-reporting assessments on personal demographics, the Maslach Burnout Inventory (MBI), and the Scale of Emotional Functioning: Health Service Provider at 3 separate time-points.
A medium sized academic medical center in Tennessee approved to graduate 6 chief residents per year.
All general surgery residents PGY1 to PGY5 including preliminary residents were given the assessment tools and the option of participating. Research residents were excluded.
A total of 86 assessments were completed, including 15 residents who completed all 3 assessments. Changes in the personal achievement (PA) portion of the MBI had the strongest correlation with temporal changes in EI with a Pearson correlation coefficient of 0.606 and 0.616 (p 0.017 and 0.015, respectively). Of the 3 subscales of the MBI, residents had moderate or severe emotional exhaustion for 62% of responses, 73% for depersonalization, and 37% for PA. All categories examined (emotional exhaustion, depersonalization, PA, and EI) saw improvement in scores across 3 administrations.
Improvements in burnout and EI scores were seen across 3 administrations of surveys without any intervention. In the future, assessing PA may have the highest potential to evaluate burnout indirectly. Designing a curriculum for EI may assist with preventing burnout.
手术住院医师的倦怠率正在上升，范围在 50%到 69%之间。倦怠与错误风险增加和患者满意度降低有关。情商（EI）被定义为能够意识到、控制和表达自己的情绪，并明智而富有同理心地处理人际关系的能力。我们试图评估 EI 与倦怠之间的时间相关性，作为教育的潜在目标。这可能使我们能够利用客观的措施来减少住院医师的倦怠。
对一家机构的普通外科住院医师进行了一项前瞻性研究，通过自我报告评估个人人口统计学资料、马斯拉赫倦怠量表（MBI）和情绪功能量表：卫生服务提供者，在 3 个不同的时间点进行。
田纳西州的一个中型学术医疗中心，每年批准毕业 6 名住院总医师。
所有普外科住院医师 PGY1 至 PGY5 包括预备住院医师都接受了评估工具，并可选择参与。研究住院医师被排除在外。
共完成了 86 项评估，包括 15 名完成了所有 3 项评估的住院医师。MBI 中个人成就（PA）部分的变化与 EI 的时间变化相关性最强，皮尔逊相关系数分别为 0.606 和 0.616（p 值分别为 0.017 和 0.015）。在 MBI 的 3 个分量表中，62%的反应存在中度或重度情绪耗竭，73%的反应存在去人格化，37%的反应存在 PA。所有检查的类别（情绪耗竭、去人格化、PA 和 EI）在 3 次管理中的得分都有所提高。
在没有任何干预的情况下，经过 3 次调查管理，倦怠和 EI 得分都有所提高。在未来，评估 PA 可能具有最高的潜力来间接评估倦怠。设计 EI 课程可能有助于预防倦怠。
