中国大陆骨科医生和神经外科医生培训人群的工作满意度、敬业度和倦怠感。

Job satisfaction, engagement, and burnout in the population of orthopedic surgeon and neurosurgeon trainees in mainland China.

机构信息

Departments of1International Medical Education and Cooperation.

2Harvard Medical School, Boston, Massachusetts.

出版信息

Neurosurg Focus. 2020 Mar 1;48(3):E3. doi: 10.3171/2019.12.FOCUS19830.

DOI:10.3171/2019.12.FOCUS19830

PMID:32114559

Abstract

OBJECTIVE

In China, orthopedics and neurosurgery are among the most desired majors for medical students. However, little is known about the working and living status of specialists in these two fields. This study was aimed at evaluating job satisfaction, engagement, and burnout in the population of Chinese orthopedist and neurosurgeon trainees.

METHODS

A nationwide online survey was administered in mainland China. Questionnaires were answered anonymously. Job satisfaction, engagement, and burnout were assessed using the Job Descriptive Index, the Utrecht Work Engagement Scale, and the Maslach Burnout Inventory, respectively.

RESULTS

Data were collected from 643 orthopedist trainees and 690 neurosurgeon trainees. Orthopedists and neurosurgeons showed no statistical difference in terms of age, sex, job titles, and preference for working in tertiary hospitals. Orthopedists had a higher marriage rate (p < 0.01), a lower divorce rate (p = 0.017), relatively shorter working hours (p < 0.01), and a higher annual income (p = 0.023) than neurosurgeons. Approximately 40% of respondents experienced workplace violence in the last 5 years. Less than 10% of respondents were satisfied with their pay, and over 70% would not encourage their offspring to become a doctor. Orthopedists were more satisfied with their careers than neurosurgeons (p < 0.01) and had a higher level of work engagement (p < 0.01). In addition, a higher proportion of orthopedists were burnt out (p < 0.01) than neurosurgeons, though the difference between the two groups was not significant (p = 0.088). Multivariate regressions suggested that younger age (≤ 25 years old), being a senior trainee, getting divorced, working in a regional hospital, long working hours (≥ 71 hrs/wk), a low annual income (<¥100,000), sleeping < 6 hrs/day, and experience with workplace violence were significantly related to burnout for both groups.

CONCLUSIONS

Chinese orthopedic surgical and neurosurgical trainees are under significant stress. Orthopedic surgeons showed relatively optimistic data in their assessments of job satisfaction, engagement, and burnout. This study may provide valuable information for orthopedic and neurosurgical candidates considering either specialty as a career.

摘要

目的

在中国，医学生最希望选择的专业之一是骨科和神经外科。然而，对于这两个领域的专业人员的工作和生活状况却知之甚少。本研究旨在评估中国骨科和神经外科住院医师培训人群的工作满意度、投入度和倦怠感。

方法

在中国内地进行了一项全国性的在线调查。问卷回答是匿名的。使用职业描述指标、乌得勒支工作投入量表和马斯拉赫倦怠量表分别评估工作满意度、投入度和倦怠感。

结果

数据来自 643 名骨科住院医师培训者和 690 名神经外科住院医师培训者。骨科医生和神经外科医生在年龄、性别、职称以及在三级医院工作的偏好方面没有统计学差异。骨科医生的结婚率较高（p<0.01），离婚率较低（p=0.017），工作时间相对较短（p<0.01），年收入较高（p=0.023）。在过去 5 年中，约有 40%的受访者经历过工作场所暴力。不到 10%的受访者对自己的薪酬满意，超过 70%的人不会鼓励自己的子女成为医生。骨科医生对自己的职业比神经外科医生更满意（p<0.01），工作投入度更高（p<0.01）。此外，骨科医生倦怠感的比例较高（p<0.01），尽管两组之间的差异无统计学意义（p=0.088）。多变量回归表明，年龄较小（≤25 岁）、是高级培训生、离婚、在地区医院工作、工作时间长（≥71 小时/周）、年收入较低（<¥100,000）、睡眠<6 小时/天、以及经历过工作场所暴力，与两组的倦怠感显著相关。