Department of Surgery, Baylor College of Medicine, Texas Children's Hospital, Houston, TX, USA.
Department of Surgery, Stanford University, Palo Alto, CA, USA.
J Pediatr Surg. 2021 May;56(5):841-848. doi: 10.1016/j.jpedsurg.2021.01.001. Epub 2021 Jan 8.
Although pediatric surgeons have lower rates of burnout compared to other surgical subspecialists, they still struggle with work-home conflict, depersonalization, and emotional exhaustion. Prior surveys have measured career satisfaction and burnout, but none have identified factors that contribute to physician well-being or provided potential solutions.
Members of the American Pediatric Surgical Association were surveyed regarding sources of distress and institutional practices intended to promote well-being. Responses were analyzed using content analysis.
There was a 31.5% response rate to the survey. The most frequently cited sources of distress were administrative issues (45.2%), work/life balance (42.3%), personal issues (18.8%), and relationships with coworkers (17.9%). In open-ended questions, other sources of distress included poor leadership, loss of autonomy, lack of support and mentorship, and patient complications. Successful wellness strategies included relief from clinical burden, substantive wellness programming, surgeon inclusion in administrative decision making, support after adverse events, appropriate compensation and benefits, and opportunities for career development in research, teaching, and clinical care.
Pediatric surgeons are affected by multiple sources of distress. Interventions that ameliorate stress in pediatric surgeons were identified and should be considered by local institutions and national organizations to promote well-being.
n/a.
尽管与其他外科专业相比，儿科外科医生的倦怠率较低，但他们仍面临工作与家庭冲突、去人性化和情绪疲惫等问题。先前的调查已经衡量了职业满意度和倦怠程度，但没有一项调查确定了导致医生幸福感的因素或提供了潜在的解决方案。
美国小儿外科学会的成员接受了有关困扰来源和旨在促进幸福感的机构实践的调查。使用内容分析法对回复进行分析。
调查的回复率为 31.5%。最常被引用的困扰来源是行政问题（45.2%）、工作/生活平衡（42.3%）、个人问题（18.8%）和与同事的关系（17.9%）。在开放式问题中，其他困扰来源包括领导不佳、自主权丧失、缺乏支持和指导以及患者并发症。成功的健康策略包括减轻临床负担、实质性的健康计划、让外科医生参与行政决策、在不良事件后提供支持、适当的补偿和福利以及在研究、教学和临床护理方面的职业发展机会。
儿科外科医生受到多种困扰来源的影响。确定了可以减轻儿科外科医生压力的干预措施，当地机构和国家组织应考虑这些措施以促进幸福感。
无。
