Hôpital de la Pitié-Salpêtrière, Service de Médecine Interne 2, Sorbonne Université, Paris, France
Hôpital de la Pitié-Salpêtrière, Service de Médecine Interne 2, Sorbonne Université, Paris, France.
Postgrad Med J. 2020 Jan;96(1131):21-27. doi: 10.1136/postgradmedj-2019-136657. Epub 2019 Aug 29.
This work aimed to study the prevalence and risk factors associated with well-being and career satisfaction among French internal medicine physicians and residents.
A total of 1689 French internal medicine physicians or trainees were surveyed to evaluate their workload, well-being and career satisfaction during February 2018.
The response rate was 620/1689 (37%). The mean age of the participants was 37 years (±12); 49% of the participants were female, 27% worked in the Paris area, 74% worked in a university hospital and 49% were residents. Sixty-six per cent of the responders were satisfied with their work, and 66% would choose the internal medicine specialty again. However, 71% of the responders worked more than 50 hours a week, 21% worked more than 60 hours a week and 70% believed that they did not have enough time for personal/family activities. Twenty-five per cent of the responders had at least one sign of burnout (19% of the physicians in practice and 32% of the residents). Compared with the graduate physicians in practice, the residents worked more hours a week, had more activities at night, spent more time on administrative tasks, had a worse global appreciation of their work and felt that their work was less meaningful. In multivariate analysis, the factors associated with global satisfaction at work were autonomy and meaningful work.
French internal medicine physicians have a high rate of career satisfaction. However, residents have a higher workload, less time for personal/family activities and feel that their work is less meaningful.
本研究旨在探讨法国内科医生和住院医师的幸福感和职业满意度的流行情况及其相关危险因素。
2018 年 2 月，对 1689 名法国内科医生或住院医师进行调查，以评估他们的工作量、幸福感和职业满意度。
应答率为 620/1689（37%）。参与者的平均年龄为 37 岁（±12 岁）；49%为女性，27%在巴黎地区工作，74%在大学医院工作，49%为住院医师。66%的应答者对自己的工作感到满意，66%会再次选择内科专业。然而，71%的应答者每周工作超过 50 小时，21%每周工作超过 60 小时，70%认为他们没有足够的时间用于个人/家庭活动。25%的应答者至少有一个倦怠迹象（19%的执业医生和 32%的住院医师）。与执业的研究生医生相比，住院医师每周工作时间更长，夜间活动更多，花在行政任务上的时间更多，对工作的整体评价更差，并且觉得自己的工作意义不大。多变量分析显示，与工作整体满意度相关的因素是自主性和有意义的工作。
法国内科医生的职业满意度较高。然而，住院医师的工作量更大，用于个人/家庭活动的时间更少，并且觉得自己的工作意义不大。
