Bingemann Theresa, Sharma Hemant, Nanda Anil, Khan David A, Markovics Sharon, Sussman James, Murphy Andrew, Kalman Denise, Mosnaim Giselle
Division of Allergy and Immunology, Rochester General Hospital, and University of Rochester School of Medicine, Rochester, NY.
Division of Allergy and Immunology, Children's National Medical Center, Washington, DC.
J Allergy Clin Immunol Pract. 2020 Apr;8(4):1224-1229. doi: 10.1016/j.jaip.2020.01.023. Epub 2020 Feb 14.
Physician health and wellness can be negatively impacted by burnout, which, in turn, can lead to medical errors and early retirement. Burnout issues can start in medical school and progress during residency, fellowship, and throughout a physician's career. Previous studies have reported burnout rates between 45% and 54% for US physicians in general. However, there is currently little data regarding health and wellness specifically in the field of allergy and immunology.
This workgroup report was developed to assess health and wellness in our specialty.
The American Academy of Allergy, Asthma, and Immunology (AAAAI) electronically distributed an anonymous questionnaire using the validated mini-Z survey to a random sample of 1035 fellows and members. In addition to the mini-Z items, the survey queried personal and professional demographic characteristics, and included open-ended wellness questions.
A total of 138 fellows and members of the AAAAI completed the survey, yielding a 13% response rate. The burnout rate was 35%, which is lower than the national average among US physicians, and is overall encouraging. However, there is room for improvement. Limitations of the study include a small sample size as well as evolving definitions of burnout.
Our results identify specialty specific concerns and can be used to inform the development of tailored interventions to improve wellness and minimize burnout. However, future surveys with a larger sample size are needed to obtain a more robust data set on allergy and immunology specific wellness challenges.
职业倦怠会对医生的身心健康产生负面影响,进而可能导致医疗差错和提前退休。职业倦怠问题可能始于医学院阶段,并在住院医师培训、专科培训以及整个医生职业生涯中持续发展。此前的研究报告称,美国医生的职业倦怠率总体在45%至54%之间。然而,目前关于过敏和免疫学领域医生身心健康的具体数据很少。
编写本工作组报告以评估我们这个专业领域医生的身心健康状况。
美国过敏、哮喘与免疫学会(AAAAI)通过电子方式,使用经过验证的小型Z调查问卷,向1035名研究员和会员的随机样本发放了一份匿名问卷。除了小型Z调查问卷的项目外,该调查还询问了个人和职业人口统计学特征,并包含开放式的健康问题。
AAAAI共有138名研究员和会员完成了调查,回复率为13%。职业倦怠率为35%,低于美国医生的全国平均水平,总体情况令人鼓舞。然而,仍有改进空间。该研究的局限性包括样本量小以及职业倦怠的定义不断变化。
我们的研究结果确定了特定专业领域的问题,可用于为制定量身定制的干预措施提供参考,以改善健康状况并尽量减少职业倦怠。然而,需要未来进行更大样本量的调查,以获取关于过敏和免疫学特定健康挑战的更可靠数据集。