Department of Engineering, University of Cambridge, Cambridge, UK
Department of Medicine, National University of Singapore, Singapore.
BMJ Open Gastroenterol. 2020 Jul;7(1). doi: 10.1136/bmjgast-2020-000401.
The scale of burnout in UK gastroenterology trainees and the feasibility to determine its prevalence using the validated Maslach Burnout Inventory-Human Services Survey (MBI-HSS) tool are unknown. The primary objective of this region-wide pilot study was to evaluate the response rate to a 31-item questionnaire. The secondary objectives were to estimate the prevalence of burnout in gastroenterology trainees within the East of England deanery (EoE) and identify common stressors that trainees experience.
This was a cross-sectional study involving gastroenterology trainees from 16 hospitals across the EoE using a 31-item questionnaire. The questionnaire consisted of the 22-item MBI-HSS and nine additional free-text questions. All gastroenterology trainees in the EoE were invited to complete the anonymised survey online. Data were analysed quantitatively and qualitatively.
The response rate for the survey was acceptable: 44.0% (40/91). 57.5% (23/40) of gastroenterology trainees reported emotional exhaustion. 23.5% (8/34) had depersonalisation and 63.9% (23/36) experienced low professional accomplishment. Burnout prevalence was 35.3% (12/34). 48.4% (15/31) of gastroenterology trainees were aware of professional support services within EoE. Stressors related to service requirements (eg, workload, staffing levels) and professional relationships with colleagues and patients were commonly reported: 65.6% and 25.0%, respectively.
It is feasible to use a 31-item questionnaire in a national cohort of UK gastroenterology trainees for future burnout studies. Burnout in EoE gastroenterology trainees was high and this may reflect a national prevalence within the specialty. More extensive studies, greater awareness of burnout and improved access to professional support services are required.
英国胃肠病学受训者的倦怠程度及其使用经过验证的 Maslach 倦怠量表-人类服务调查（MBI-HSS）工具来确定其流行率的可行性尚不清楚。这项全区域试点研究的主要目的是评估对 31 项问卷调查的回复率。次要目标是估计东安格利亚教务区（EoE）内胃肠病学受训者的倦怠流行率，并确定受训者经历的常见压力源。
这是一项涉及东安格利亚教务区 16 家医院的胃肠病学受训者的横断面研究，使用了 31 项问卷调查。问卷包括 22 项 MBI-HSS 和 9 项额外的自由文本问题。东安格利亚教务区的所有胃肠病学受训者都被邀请在线匿名完成调查。数据进行了定量和定性分析。
调查的回复率可以接受：44.0%（40/91）。57.5%（23/40）的胃肠病学受训者报告情绪疲惫。23.5%（8/34）出现人格解体，63.9%（23/36）经历职业成就感低。倦怠流行率为 35.3%（12/34）。48.4%（15/31）的胃肠病学受训者了解东安格利亚教务区的专业支持服务。与服务需求（如工作量、人员配置水平）和与同事及患者的职业关系相关的压力源经常被报告：分别为 65.6%和 25.0%。
在英国胃肠病学受训者的全国队列中使用 31 项问卷进行未来的倦怠研究是可行的。EoE 胃肠病学受训者的倦怠程度较高，这可能反映了该专业的全国流行率。需要进行更广泛的研究、提高对倦怠的认识以及改善获得专业支持服务的机会。
