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美国高校放射科医生的职业倦怠。

Burnout in Academic Radiologists in the United States.

机构信息

Department of Abdominal Imaging, Unit 1473, The University of Texas MD Anderson Cancer Center, 1515 Holcombe Boulevard, Houston, TX 77030-4009.

NYU Langone Health, New York, New York.

出版信息

Acad Radiol. 2020 Sep;27(9):1274-1281. doi: 10.1016/j.acra.2019.12.029. Epub 2020 Feb 7.

DOI:10.1016/j.acra.2019.12.029
PMID:32037261
Abstract

RATIONALE AND OBJECTIVES

To assess the prevalence and associated factors of burnout among U.S. academic radiologists.

MATERIALS AND METHODS

An online survey was sent to the radiologists who were full members of the Association of University Radiologists in December 2018. Burnout was measured using the abbreviated Maslach Burnout Inventory Human Services Survey. Survey respondents were also requested to complete questions on demographics, potential professional stressors, sense of calling, and career satisfaction. Associations between survey participants' characteristics and burnout were tested using logistic regression model.

RESULTS

The survey response rate was 27% (228/831). Twenty-nine percent met all three criteria for high burnout, including high emotional exhaustion, high depersonalization, and low personal accomplishment. Seventy-nine percent had one or more symptoms of burnout. Numerous factors including work overload, inability to balance personal and professional life, lack of autonomy, lack of appreciation from patients and other medical staff were significantly associated (p < 0.05) with high burnout. Older age (OR, 0.95; 95%CI 0.92-0.98; p < 0.05), higher number of years of experience practicing as radiologists (OR, 0.95; 95%CI 0.92-0.98; p < 0.05), and holding academic rank of professor (OR, 0.25; 95%CI 0.11-0.56; p < 0.05) were factors associated with lower odds of experiencing burnout. Radiologists with high burnout were more likely to be dissatisfied with their career (OR, 2.28; 95%CI 1.70-3.07; p < 0.0001) and less likely to identify medicine as a calling.

CONCLUSION

Multiple factors contribute to high burnout in academic radiologists. Familiarity with these factors may help academic radiology departments to develop strategies to promote health and wellness of their faculty.

摘要

背景与目的

评估美国学术放射科医生中 burnout 的发生率和相关因素。

材料与方法

2018 年 12 月,向美国大学放射学家协会的全职成员发送了一份在线调查。使用简化的 Maslach 倦怠量表人力服务调查来衡量 burnout。调查对象还被要求完成关于人口统计学、潜在职业压力源、使命感和职业满意度的问题。使用逻辑回归模型测试调查参与者特征与 burnout 之间的关联。

结果

调查的回复率为 27%(228/831)。29%的人符合所有三个高 burnout 标准,包括情绪耗竭高、去人性化高和个人成就感低。79%的人有一个或多个 burnout 症状。工作负荷过重、无法平衡个人和职业生活、缺乏自主权、得不到患者和其他医务人员的赞赏等诸多因素与高 burnout 显著相关(p<0.05)。年龄较大(OR,0.95;95%CI 0.92-0.98;p<0.05)、从事放射科医生工作年限较长(OR,0.95;95%CI 0.92-0.98;p<0.05)和担任学术教授(OR,0.25;95%CI 0.11-0.56;p<0.05)是与 burnout 发生率较低相关的因素。高 burnout 的放射科医生更有可能对自己的职业不满意(OR,2.28;95%CI 1.70-3.07;p<0.0001),不太可能将医学视为一种使命。

结论

多种因素导致学术放射科医生 burnout 发生率高。熟悉这些因素可能有助于学术放射科系制定促进其教职员工健康和健康的策略。

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