Armstrong Misha, Reynolds Kimberly
University of Miami Miller School of Medicine, Miami, FL, USA.
Department of Pediatrics, University of Miami Miller, School of Medicine, Miami, FL, USA.
J Natl Med Assoc. 2020 Dec;112(6):597-601. doi: 10.1016/j.jnma.2020.05.019. Epub 2020 Jul 14.
Our study aims to build on existing literature by assessing factors that may be associated with an increased risk of burnout amongst medical students, particularly students of color.
Our cross-sectional survey included the Copenhagen Burnout Inventory (CBI) and additional de novo questions. Surveys were administered electronically in June 2017 using a convenience sampling method.
A total of 162 survey results were recorded. Of those, 159 completed demographic information with 43% of respondents being non-White, 64% women, 50% reported not having a mentor in medicine, 30% having an immediate family member in medicine, and 71% being concerned about the financial burden associated with medical school. Black students were more likely to be the first in their family to attend college, not have a physician family member, and have financial concerns. The average CBI burnout scores (n = 138) indicated that overall students are not experiencing burnout. However, nearly 50% of students experience personal, 42% work, and 12% client related burnout based on their individual scores. Women were significantly more likely to experience work related burnout (p = 0. 028) and had significantly higher personal burnout scores (p = 0.017). Additionally, Black students have significantly higher personal burnout scores (p = 0.013) compared to all other reported races.
Although factors assessed during this study showed no significant effect, the data trends suggest that both women and Black students experienced higher rates of burnout. Further discussion regarding solutions to burnout is required in order to intervene early on in training for those at highest risk.
我们的研究旨在基于现有文献，评估可能与医学生尤其是有色人种学生职业倦怠风险增加相关的因素。
我们的横断面调查包括哥本哈根职业倦怠量表（CBI）和其他新增问题。2017年6月采用便利抽样法通过电子方式进行调查。
共记录了162份调查结果。其中，159份完成了人口统计学信息，43%的受访者为非白人，64%为女性，50%的受访者表示没有医学导师，30%的受访者有直系亲属从事医学工作，71%的受访者担心医学院的经济负担。黑人学生更有可能是其家庭中第一个上大学的，没有医生家庭成员，并且有经济方面的担忧。CBI职业倦怠平均得分（n = 138）表明总体学生未经历职业倦怠。然而，根据个人得分，近50%的学生经历个人层面的职业倦怠，42%经历工作层面的职业倦怠，12%经历与客户相关的职业倦怠。女性经历与工作相关职业倦怠的可能性显著更高（p = 0.028），且个人职业倦怠得分显著更高（p = 0.017）。此外，与所有其他报告的种族相比，黑人学生的个人职业倦怠得分显著更高（p = 0.013）。
尽管本研究评估的因素未显示出显著影响，但数据趋势表明女性和黑人学生经历职业倦怠的比例更高。需要进一步讨论职业倦怠的解决方案，以便对高危人群在培训早期进行干预。
