Department of Obstetrics, Gynecology and Reproductive Biology, Harvard Medical School, Boston, MA.
Female Pelvic Med Reconstr Surg. 2021 Feb 1;27(2):e326-e332. doi: 10.1097/SPV.0000000000000920.
The objective of this study was to determine the prevalence of burnout among active practicing members of the American Urogynecologic Society (AUGS).
This was an anonymous electronic survey of AUGS nontrainee physician members. Basic demographic, personal, and professional characteristics were collected. Levels of emotional exhaustion, depersonalization and personal accomplishment, as defined by the Maslach Burnout Inventory-Human Services Survey, were utilized to categorize participants into burnout profiles and to determine 2 alternative burnout definitions. Descriptive statistics and models were used to summarize provider characteristics and to explore differences among the burnout profiles.
Of the 1039 active members of AUGS, 280 (26.9%) responded to the survey. Burnout profiles were delineated using the Maslach Burnout Inventory-Human Services Survey. Forty-three percent fit the Engaged profile, whereas 13% fit the Burnout profile. Significant differences were seen in the distribution of the burnout profiles for physicians who take call (P=0.015), have a current mentor (P=0.016), screen positive for major depression (P < 0.001), experience suicidal ideation (P=0.018), have a feeling of control regarding their schedule (P < 0.001) and those who would become a physician again (P < 0.001). The overall rate of burnout in female pelvic medicine and reconstructive surgery providers was significantly different depending on the definition utilized (P < 0.01) and ranged from as low as 6.5% to as high as 51.9%.
There were some differences in respondent characteristics seen among the burnout profiles. The chosen definition of burnout significantly affected the purported rate of burnout, complicating comparisons among provider populations.
本研究旨在确定美国妇科泌尿协会（AUGS）在职会员中倦怠的流行率。
这是对 AUGS 非受训医师会员进行的匿名电子调查。收集了基本的人口统计学、个人和专业特征。使用 Maslach 倦怠量表-人类服务调查来衡量情绪衰竭、去人性化和个人成就感的水平，将参与者分为倦怠型，并确定了 2 种替代的倦怠定义。使用描述性统计和模型来总结提供者的特征，并探讨倦怠型之间的差异。
在 1039 名 AUGS 活跃会员中，有 280 名（26.9%）对调查做出了回应。使用 Maslach 倦怠量表-人类服务调查来描绘倦怠型。43%的人符合“投入型”，而 13%的人符合“倦怠型”。在轮班医生（P=0.015）、有当前导师（P=0.016）、有重大抑郁筛查阳性（P < 0.001）、有自杀意念（P=0.018）、对日程安排有控制感（P < 0.001）和再次成为医生（P < 0.001）的医生中，倦怠型的分布存在显著差异。女性盆底医学和重建手术提供者的整体倦怠率因所使用的定义而异（P < 0.01），范围从低至 6.5%到高至 51.9%。
在倦怠型中观察到了一些回应者特征的差异。所选择的倦怠定义显著影响了所谓的倦怠率，使得在提供者人群之间进行比较变得复杂。
