Department of Anesthesiology and Pain Medicine, University of Toronto, Toronto, ON, Canada.
Department of Anesthesiology and Pain Medicine, University Health Network, Toronto Western Hospital, Toronto, ON, Canada.
Anaesthesia. 2021 Apr;76 Suppl 4(Suppl 4):24-31. doi: 10.1111/anae.15360.
Physician burnout and poor mental health are prevalent and often stigmatised. Anaesthetists may be at particular risk and this is further increased for women anaesthetists due to biases and inequities within the specialty. However, gender-related risk factors for and experiences of burnout and poor mental health remain under-researched and under-reported. This negatively impacts individual practitioners, the anaesthesia workforce and patients and carries significant financial implications. We discuss the impact of anaesthesia and gender on burnout and mental health using the COVID-19 pandemic as an example illustrating how women and men differentially experience stressors and burnout. COVID-19 has further accentuated the gendered effects of burnout and poor mental health on anaesthetists and brought further urgency to the need to address these issues. While both personal and organisational factors contribute to burnout and poor mental health, organisational changes that recognise and acknowledge inequities are pivotal to bolster physician mental health.
医生倦怠和心理健康不良普遍存在，且往往受到污名化。麻醉师可能面临特殊风险，而由于专业内部的偏见和不平等，女性麻醉师的风险更高。然而，与性别相关的倦怠和心理健康不良的风险因素及其体验仍未得到充分研究和报告。这对个体从业者、麻醉师队伍和患者产生了负面影响，并带来了重大的财务影响。我们使用 COVID-19 大流行为例，讨论了麻醉和性别对倦怠和心理健康的影响，说明了女性和男性如何不同地体验压力源和倦怠。COVID-19 进一步加剧了倦怠和心理健康不良对麻醉师的性别影响，并使解决这些问题的紧迫性进一步增加。虽然个人和组织因素都会导致倦怠和心理健康不良，但认识和承认不平等的组织变革对于支持医生的心理健康至关重要。
