儿科急诊医学住院医师职业倦怠的患病率及危险因素

Prevalence and Risk Factors for Burnout in Pediatric Emergency Medicine Fellows.

作者信息

Feeks Caitlin, Chao Jennifer, Sinert Richard

机构信息

From the State University of New York Downstate Medical Center, Brooklyn, NY.

出版信息

Pediatr Emerg Care. 2020 May;36(5):236-239. doi: 10.1097/PEC.0000000000002093.

DOI:10.1097/PEC.0000000000002093

PMID:32229786

Abstract

UNLABELLED

Burnout among emergency medicine (EM) physicians (57%) is significantly greater than among pediatricians (39%). Pediatric EM (PEM) providers are a unique population in that the majority first complete a pediatric residency and then a fellowship in pediatric emergency medicine. We sought to evaluate the prevalence and risk factors for burnout in PEM fellows.

METHODS

An e-mail survey that included the Maslach Burnout Inventory (MBI) Health Services Survey was sent to fellows in PEM programs. Anonymous surveys were scored using the MBI subscales of emotional exhaustion and depersonalization. Fellows with scores of moderate to high in both emotional exhaustion and depersonalization were considered to have burnout. The data were compared with demographic information, including fellowship year, sex, and relationship status. Participants were also asked to list items in their life they felt were burnout contributors. The burnout rate was reported as a percentage with 95% confidence intervals (95% CI), based on the Agresti-Coull method. Associations between categorical variables and burnout were tested with Fisher exact test, alpha = 0.05 (2 tails).

RESULTS

Of 463 PEM fellows, 146 responses were received (30% response rate), and 139 surveys were scored. Over half (65%) of the respondents were female. The burnout prevalence of PEM fellows was 30.9% (95% CI, 24%-39%). The burnout rate was significantly (P = 0.002) lower for men (13%) (95% CI, 6%-26%) than for women (39.8%) (95% CI, 30%-50%). Fellows who were single (50%) or divorced (66.7%) had significantly (P = 0.008) higher rates of burnout compared with married (27%) fellows. Current training year was not a significant burnout risk. Major contributors to burnout were work environment (52.5%), academic responsibilities of fellowship (36%), schedule (35.3%), work-life balance (33.8%), and career / occupational stress (33.1%).

CONCLUSIONS

Pediatric emergency medicine fellows had a 30.9% prevalence of burnout. Risk factors for burnout were similar for PEM fellows and EM physicians. Women were more likely to suffer from burnout, as well as fellows who were single or divorced.

摘要

未标注

急诊医学（EM）医生的职业倦怠率（57%）显著高于儿科医生（39%）。儿科急诊医学（PEM）从业者是一个独特的群体，因为大多数人首先完成儿科住院医师培训，然后再进行儿科急诊医学专科培训。我们试图评估PEM专科培训学员职业倦怠的患病率及风险因素。

方法

向PEM项目的学员发送了一份包含马氏职业倦怠量表（MBI）健康服务调查的电子邮件调查问卷。使用MBI的情感耗竭和去个性化分量表对匿名调查问卷进行评分。情感耗竭和去个性化得分均为中度到高度的学员被认为存在职业倦怠。将数据与人口统计学信息进行比较，包括专科培训年份、性别和恋爱状况。参与者还被要求列出他们认为导致职业倦怠的生活中的事项。根据阿格雷斯蒂-库尔方法，职业倦怠率以百分比形式报告，并给出95%置信区间（95%CI）。分类变量与职业倦怠之间的关联通过费舍尔精确检验进行测试，α = 0.05（双侧）。

结果

在463名PEM学员中，共收到146份回复（回复率30%），其中139份调查问卷进行了评分。超过一半（65%）的受访者为女性。PEM学员的职业倦怠患病率为30.9%（95%CI，24%-39%）。男性（13%）（95%CI，6%-26%）的职业倦怠率显著低于女性（39.8%）（95%CI，30%-50%）（P = 0.002）。单身（50%）或离婚（66.7%）的学员职业倦怠率显著高于已婚学员（27%）（P = 0.008）。当前培训年份不是职业倦怠的显著风险因素。职业倦怠的主要促成因素包括工作环境（52.5%）、专科培训的学术职责（36%）、日程安排（35.3%）、工作与生活平衡（33.8%）以及职业/工作压力（33.1%）。