Hart Alexandra M, Crowley Connor, Janis Jeffrey E, Losken Albert
From the Division of Plastic and Reconstructive Surgery, Emory University School of Medicine, Atlanta, GA.
Department of Plastic Surgery, Ohio State University Medical Center, Columbus, OH.
Ann Plast Surg. 2020 Sep;85(3):215-220. doi: 10.1097/SAP.0000000000002353.
The purpose of this study was to analyze the rates of burnout and contributory factors among US plastic surgery residents.
The Maslach Burnout Inventory Human Services Survey was emailed to program coordinators of American College of Graduate Medical Education-accredited plastic surgery residencies. Scores are provided for 3 subscales: emotional exhaustion (EE), depersonalization (DP), and personal accomplishment. Normative scoring tables (low, average, high) were used for comparison. Residents were asked questions relating to their personal life (age, postgraduate year, marital status, and program characteristics).
One hundred thirteen residents responded. The average age was 31.6 years (range, 25-43 years) and postgraduate year of 4.6 (range, 1-10). There were equal male and female respondents. Most were from integrated-only residencies (n = 59, 52.2%). On average, the majority reported working 50 to 80 hours per week (n = 93, 82.3%), spending the majority of time in tertiary referral centers (n = 107, 94.7%). Most received and took 3 weeks of vacation per year (n = 68, 60.7%). Furthermore, 65.5% met the definition of burnout by their scores from at least 1 subscale.The number of hours worked per week significantly correlated with increased scores in the EE and DP subscales. Residents who worked more than 80 hours per week had significantly higher scores in the EE and DP categories. Residents who had less than 2 weeks of vacation per year trended toward experiencing more EE (EE; 46.0, P = 0.077). The type of program (independent vs integrated), sex, having a significant other outside of the home, kids, and local family support did not significantly affect burnout scores for any subscales.
Burnout exists among plastic surgery residents especially in the DP subscale. Working longer hours and less vacation correlates with increased rates of burnout among residents.
本研究旨在分析美国整形外科住院医师的职业倦怠率及促成因素。
将马氏职业倦怠量表（人类服务调查版）通过电子邮件发送给美国毕业后医学教育认证委员会认可的整形外科住院医师培训项目的协调员。提供3个分量表的得分：情感耗竭（EE）、去个性化（DP）和个人成就感。使用标准评分表（低、中、高）进行比较。向住院医师询问有关其个人生活的问题（年龄、研究生年级、婚姻状况和项目特征）。
113名住院医师回复。平均年龄为31.6岁（范围25 - 43岁），研究生年级为4.6（范围1 - 10）。男女回复者人数相等。大多数来自仅综合培训的项目（n = 59，52.2%）。平均而言，大多数人报告每周工作50至80小时（n = 93，82.3%），大部分时间在三级转诊中心度过（n = 107，94.7%）。大多数人每年有3周的假期并休假（n = 68，60.7%）。此外，65.5%的人至少在1个分量表上的得分符合职业倦怠的定义。每周工作小时数与EE和DP分量表得分增加显著相关。每周工作超过80小时的住院医师在EE和DP类别中的得分显著更高。每年休假少于2周的住院医师有经历更多EE的趋势（EE；46.0，P = 0.077）。项目类型（独立型与综合型）、性别、家外有重要他人、孩子和当地家庭支持对任何分量表的职业倦怠得分均无显著影响。
整形外科住院医师中存在职业倦怠，尤其是在DP分量表中。工作时间延长和休假减少与住院医师职业倦怠率增加相关。
