Robinson David B T, James Osian P, Hopkins Luke, Brown Chris, Bowman Chris, Abdelrahman Tarig, Pollitt Michael J, Egan Richard J, Bailey Damian M, Lewis Wyn G
Wales PGMDE School of Surgery, Health Education and Improvement Wales, Nantgarw, United Kingdom.
Wales PGMDE School of Surgery, Health Education and Improvement Wales, Nantgarw, United Kingdom.
J Surg Educ. 2020 Jan-Feb;77(1):e1-e8. doi: 10.1016/j.jsurg.2019.07.002. Epub 2019 Jul 31.
Burnout among trainee doctors is common with as many as two-thirds reporting poor health. This study aimed to assess burnout in a cohort of UK core and higher general surgical trainees.
The Maslach Burnout Inventory for Medical Personnel was distributed to 158 surgical trainees to evaluate emotional exhaustion (EE), depersonalization (DP), and personal accomplishment (PA). High EE (≥27) and DP (≥10), low PA (≤33) scores were taken to indicate burnout.
A single UK (Wales) Deanery.
One hundred responses were received; 65 core surgical trainees, 31 Higher Surgical Trainees (HST), and 4 not specified.
Median EE, DP, and PA scores were 22.0 (range 2-50), 7.5 (0-25), and 36.0 (19-47), respectively. High burnout by domain was: EE (n = 33), DP (n = 39), PA (n = 34), with 59% of trainees demonstrating burnout in ≥1 one domain, with strong interdomain correlation (EE:DP r = 0.351, p < 0.001; EE:PA r = -0.455, p < 0.001; DP:PA r = -0.446, p < 0.001). Female gender (p = 0.020), core surgical training grade (p = 0.012), and being childless (p = 0.033) were independently associated with higher levels of EE; whereas HST grade (p = 0.007), age >30 years (p = 0.010), married/partner status (p = 0.001), and parenthood (p = 0.015), were associated with lower levels of burnout with regard to DP. Binary logistic regression revealed lower burnout in all domains to be associated with HST status (hazard ratio 0.116, 95% confidence interval 0.014-0.980, p = 0.048) and male gender (hazard ratio 4.365, (1.246-15.293), p = 0.021).
Burnout among surgical trainees was common in at least 1 Maslach Burnout Inventory domain. Urgent counter measures are required to protect the health and wellbeing of trainees at risk, which ought to be associated with commensurate improvement in patient safety.
实习医生职业倦怠很常见，多达三分之二的人报告健康状况不佳。本研究旨在评估英国普通外科核心及高级实习医生群体中的职业倦怠情况。
向158名外科实习医生发放了医务人员职业倦怠量表，以评估情感耗竭（EE）、去人格化（DP）和个人成就感（PA）。EE得分≥27、DP得分≥10、PA得分≤33被视为职业倦怠。
英国（威尔士）的一个单一地区医疗培训中心。
共收到100份回复；其中65名普通外科实习医生，31名高级外科实习医生（HST），4名未明确说明。
EE、DP和PA得分的中位数分别为22.0（范围2 - 50）、7.5（0 - 25）和36.0（19 - 47）。各领域职业倦怠程度较高的情况为：EE（n = 33）、DP（n = 39）、PA（n = 34），59%的实习医生在至少一个领域表现出职业倦怠；各领域之间存在较强的相关性（EE与DP的相关系数r = 0.351，p < 0.001；EE与PA的相关系数r = -0.455，p < 0.001；DP与PA的相关系数r = -0.446，p < 0.001）。女性（p = 0.020）、普通外科培训级别（p = 0.012）以及无子女（p = 0.033）与较高水平的EE独立相关；而HST级别（p = 0.007）、年龄>30岁（p = 0.010）、已婚/有伴侣状态（p = 0.001）以及为人父母（p = 0.015）与较低水平的DP相关。二元逻辑回归显示，所有领域较低的职业倦怠与HST状态（风险比0.116，95%置信区间0.014 - 0.980，p = 0.048）和男性性别（风险比4.365，(1.246 - 15.293)，p = 0.021）相关。
外科实习医生的职业倦怠在至少一个医务人员职业倦怠量表领域中很常见。需要采取紧急应对措施来保护有风险的实习医生的健康和福祉，这应该与患者安全的相应改善相关联。
