Carrau Diana, Janis Jeffrey E
Department of Plastic and Reconstructive Surgery, The Ohio State University, Columbus, Ohio.
Plast Reconstr Surg Glob Open. 2021 Feb 16;9(2):e3418. doi: 10.1097/GOX.0000000000003418. eCollection 2021 Feb.
Burnout in medicine has become a national epidemic, affecting greater than one third of physicians, and yet physicians, departments, and institutions remain ill equipped to address it. Burnout is a syndrome characterized by emotional exhaustion, depersonalization, and a reduced sense of accomplishment that occurs as a response to one's environment. We have a moral and ethical imperative to address physician burnout, as it has immense implications within healthcare. Solutions have historically focused on changing the behavior of the individual, but research has demonstrated that long-lasting change is brought about by intervening at the organizational level, which requires that leadership champion these efforts. Departmental and hospital leadership play a critical role in addressing the drivers of burnout. Here, we outline evidence-based strategies to combat physician burnout at both the individual and organizational levels and review what has been explored within the field of plastic surgery.
医学领域的职业倦怠已成为一种全国性的流行病，影响着超过三分之一的医生，然而医生、科室和机构在应对这一问题时仍准备不足。职业倦怠是一种综合征，其特征是情感耗竭、去人格化以及成就感降低，它是对个人所处环境的一种反应。我们在道德和伦理上有责任应对医生的职业倦怠，因为它在医疗保健领域有着巨大影响。历史上的解决方案一直侧重于改变个人行为，但研究表明，通过在组织层面进行干预才能带来持久的改变，而这需要领导层支持这些努力。科室和医院领导在应对职业倦怠的驱动因素方面发挥着关键作用。在此，我们概述了在个人和组织层面对抗医生职业倦怠的循证策略，并回顾了整形外科学领域已探索的内容。
