Department of General Internal Medicine, Peking Union Medical College Hospital (PUMCH), Chinese Academy of Medical Science (CAMS) and Peking Union Medical College (PUMC), Beijing, 100730, China.
Department of Internal Medicine, Peking Union Medical College Hospital (PUMCH), Chinese Academy of Medical Science (CAMS) and Peking Union Medical College (PUMC), Beijing, China.
BMC Med Educ. 2019 Jul 25;19(1):281. doi: 10.1186/s12909-019-1718-4.
The history of standardized residency training programs (SRTP) in China is not long. As one of the top medical colleges in China, Peking Union Medical College Hospital (PUMCH) has the history and experience of the oldest SRTP in the country. Understanding the job status of PUMCH residents would be conducive to a better development of the national resident training in the future.
This study analyzed the demographic information, job burnout scale, working time, and job status of postgraduate year 1-3 residents that took part in the SRTP of the Department of Internal Medicine of PUMCH in August 2017.
The survey data of 159 residents (including PUMCH residents, local-resident-trainees, and clinical postgraduates) were collected. The average working time was 11.38 ± 1.55 h per day and 83.28 ± 8.80 h per week. The average night shift frequency was 4.74 ± 0.59 days. There were 100 residents (62.2%) with symptoms of job burnout, which had a certain correlation with working time (p < 0.05). The self-evaluation of the clinical postgraduates about their working quality of life was lower than that of other residents (p < 0.05). There were various reasons for long working-time, great work pressure, and job burnout. Job burnout was independently associated with the average working time per day (OR = 2.35, 95% CI: 1.47-3.75, P < 0.001) and average length of duty period (OR = 1.52, 95% CI: 1.26-1.84, P < 0.001).
The job burnout of residents that took part in SRTP at the PUMCH could not be ignored, which had a certain correlation with work time and early training background.
中国标准化住院医师培训计划(SRTP)的历史并不长。作为中国顶尖的医学院之一,北京协和医学院医院(PUMCH)拥有该国历史最悠久的 SRTP 的经验。了解 PUMCH 住院医师的工作状况将有助于未来更好地发展全国住院医师培训。
本研究分析了 2017 年 8 月参加北京协和医学院内科 SRTP 的第 1-3 年住院医师的人口统计学信息、职业倦怠量表、工作时间和工作状况。
共收集了 159 名住院医师(包括 PUMCH 住院医师、本地住院医师和临床研究生)的调查数据。平均工作时间为每天 11.38±1.55 小时,每周 83.28±8.80 小时。平均夜班频率为 4.74±0.59 天。有 100 名(62.2%)住院医师出现职业倦怠症状,与工作时间有一定相关性(p<0.05)。临床研究生对自己工作生活质量的自我评价低于其他住院医师(p<0.05)。工作时间长、工作压力大、职业倦怠的原因各不相同。职业倦怠与每天平均工作时间(OR=2.35,95%CI:1.47-3.75,P<0.001)和平均值班时间(OR=1.52,95%CI:1.26-1.84,P<0.001)独立相关。
北京协和医学院参加 SRTP 的住院医师职业倦怠不容忽视,与工作时间和早期培训背景有一定相关性。