Division of Plastic Surgery, Baylor College of Medicine, Houston, TX, USA.
Division of Plastic Surgery, Baylor College of Medicine and Texas Children's Hospital, Houston, TX, USA.
Aesthet Surg J. 2021 Jul 14;41(8):969-977. doi: 10.1093/asj/sjaa185.
Physician and resident wellness has been increasingly emphasized as a means of improving patient outcomes and preventing physician burnout. Few studies have been performed with a focus on wellness in plastic surgery training.
The aim of this study was to systematically review what literature exists on the topic of wellness in plastic surgery training and critically appraise it.
A PubMed search was performed to identify journal articles related to wellness in plastic surgery residency. Seventeen studies (6 cohort and 11 cross-sectional) met inclusion criteria and were appraised with the Newcastle-Ottawa Quality Assessment Scale (NOQAS) to determine the quality of the studies based on selection, comparability, and outcome metrics.
Critical assessment showed that the studies were highly variable in focus. Overall, the quality of the data was low, with an average NOQAS score of 4.1. Only 2 studies focused on plastic surgery residents, examining work hours and social wellness, respectively; they were awarded NOQAS scores of 3 and 4 out of 10.
The results of this systematic review suggest that little research has been devoted to wellness in surgery training, especially in regard to plastic surgery residents, and what research that has been performed is of relatively low quality. The available research suggests a relatively high prevalence of burnout among plastic surgery residents. Evidence suggests some organization-level interventions to improve trainee wellness. Because outcomes-based data on the effects of such interventions are particularly lacking, further investigation is warranted.
越来越强调医生和住院医师的健康状况，以此作为改善患者预后和预防医生倦怠的一种手段。很少有研究关注整形手术培训中的健康问题。
本研究旨在系统地回顾整形手术培训中关于健康的文献，并对其进行批判性评价。
通过 PubMed 搜索与整形手术住院医师的健康相关的期刊文章。符合纳入标准的 17 项研究（6 项队列研究和 11 项横断面研究），并使用纽卡斯尔-渥太华质量评估量表（NOQAS）进行评估，根据选择、可比性和结果指标来确定研究的质量。
批判性评估显示，这些研究的重点非常多样化。总体而言，数据质量较低，平均 NOQAS 评分为 4.1。只有 2 项研究专注于整形手术住院医师，分别研究工作时间和社会健康；它们分别获得了 10 分中的 3 分和 4 分。
这项系统评价的结果表明，很少有研究致力于手术培训中的健康问题，特别是针对整形手术住院医师的研究，而且已经进行的研究质量相对较低。现有研究表明，整形手术住院医师中倦怠的发生率相对较高。有证据表明一些组织层面的干预措施可以改善学员的健康状况。由于缺乏关于此类干预措施效果的基于结果的数据，因此需要进一步调查。
