Department of Radiology and Diagnostic Imaging, University of Alberta Hospital, Edmonton, Alberta, Canada.
Can Assoc Radiol J. 2020 Feb;71(1):40-47. doi: 10.1177/0846537119885672. Epub 2020 Jan 22.
To determine burnout prevalence in Canadian radiology residency and identify contributing factors.
A prospective 57-item survey, including the 22-item Maslach Burnout Inventory-Health Sciences Survey, was sent to all Canadian radiology residents, with a total resident population of 359. The association between emotional exhaustion (EE), depersonalization (DP), and personal achievement (PA) scores with items in the survey was performed. Continuous data were evaluated using the Student test for comparing the means between the 2 groups or the analysis of variance test for comparing the means between at least 3 groups. Spearman correlation coefficient was performed when evaluating ordinal categorical data.
Response rate is 40.1% (n = 144); 50.7% of residents demonstrate high EE, 48.6% demonstrate high DP, and 35.9% demonstrate low PA. Being unhappy with residency and with radiology as a career is associated with burnout ( < .001). Age, sex, marital status, and children have no impact on burnout. More hours worked is associated with higher EE ( = .025) and DP ( = .004). In all, 47.2% residents experienced intimidation or harassment. Feeling unsupported by staff radiologists is associated with higher EE ( < .001), higher DP ( = .001), and lower PA ( = .008). In all, 45.1% of residents have poor work-life balance, and those residents demonstrate higher EE ( < .001), higher DP ( = .006), and lower PA ( = .01). In all, 25% of residents identify poor education-service balance in their residency, and those residents have higher EE ( < .001), higher DP ( = .042), and lower PA ( = .005).
This study demonstrates significant burnout in Canadian radiology residents with major contributory factors identified.
确定加拿大放射科住院医师的 burnout 患病率，并确定促成因素。
一项前瞻性的 57 项调查，包括 22 项 Maslach 职业倦怠量表-健康科学量表，被发送给所有加拿大放射科住院医师，总住院医师人数为 359 人。对情感耗竭 (EE)、去人格化 (DP) 和个人成就 (PA) 评分与调查项目之间的关系进行了分析。连续数据采用学生 t 检验比较两组之间的平均值，或方差分析检验至少三组之间的平均值。对有序分类数据采用 Spearman 相关系数进行评估。
应答率为 40.1%（n = 144）；50.7%的住院医师表现出高 EE，48.6%表现出高 DP，35.9%表现出低 PA。对住院医师和放射科职业不满意与 burnout 相关（< 0.001）。年龄、性别、婚姻状况和子女对 burnout 无影响。工作时间越长，EE（= 0.025）和 DP（= 0.004）越高。共有 47.2%的住院医师经历过恐吓或骚扰。感到得不到工作人员放射科医生的支持与 EE（< 0.001）、DP（= 0.001）和 PA（= 0.008）升高相关。共有 45.1%的住院医师工作生活平衡不佳，这些住院医师的 EE（< 0.001）、DP（= 0.006）和 PA（= 0.01）较低。共有 25%的住院医师认为他们的住院医师教育服务平衡不佳，这些住院医师的 EE（< 0.001）、DP（= 0.042）和 PA（= 0.005）较低。
本研究表明加拿大放射科住院医师存在明显的 burnout，确定了主要促成因素。
