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放射科住院医师倦怠亚成分的预测因素。

Predictors Between the Subcomponents of Burnout Among Radiology Trainees.

机构信息

Rochester General Hospital, Rochester, New York.

UF Health Jacksonville, Jacksonville, Florida.

出版信息

J Am Coll Radiol. 2021 May;18(5):654-660. doi: 10.1016/j.jacr.2021.01.024. Epub 2021 Mar 20.

Abstract

OBJECTIVE

The aim of this study was to investigate the effect of various predictors on burnout among radiology residents during their training.

METHODS

In this cross-sectional analysis, we distributed the Maslach Burnout Index for Medical Personnel (MBI-HSS [MP]) to eligible United States (US) radiology residents. Covariates of interest included age, child status, debt burden, partner status, and self-identified gender. Primary outcomes include MBI-HSS (MP) subcomponent scores - emotional exhaustion (EE), depersonalization (DP), and personal accomplishment (PA). Mann-Whitney tests were used to compare averages between groups.

RESULTS

Out of the 770 of 2823 residents (27.3%) who responded, 488 of 770 completed the MBI-HSS (MP). During the R1 year, male sex was associated with marginally higher PA scores (36.5 versus 33.5; P = .029). Having children or a partner was associated with lower EE scores (18.7 versus 26.8, P = .012; 22 versus 28.9, P = .022, respectively) and higher PA scores (37 vs 32.7, P = .024; 35 versus 31.3, P = .039, respectively) among the R3 cohort. Reporting debt < $200,000 was associated with lower EE scores among the R3 (21.2 versus 27.3, P = .028) and R4 (16.4 versus 21.9, P = .033) cohort.

DISCUSSION

There are several predictors of burnout that transiently impact residents at different years of training and primarily impact EE or PA, but not DP scores. R3 residents' scores are most sensitive to these covariates.

摘要

目的

本研究旨在探讨各种预测因素对放射科住院医师培训期间倦怠的影响。

方法

在这项横断面分析中,我们向符合条件的美国放射科住院医师发放了医务人员 Maslach 倦怠量表(MBI-HSS [MP])。感兴趣的协变量包括年龄、子女状况、债务负担、伴侣状况和自我认定的性别。主要结局包括 MBI-HSS(MP)子量表评分-情绪耗竭(EE)、去人格化(DP)和个人成就感(PA)。使用 Mann-Whitney 检验比较组间平均值。

结果

在 2823 名住院医师中,有 770 名(27.3%)回复,其中 488 名(770 名)完成了 MBI-HSS(MP)。在 R1 年,男性的 PA 评分略高(36.5 与 33.5;P =.029)。有子女或伴侣的住院医师的 EE 评分较低(18.7 与 26.8,P =.012;22 与 28.9,P =.022),PA 评分较高(37 与 32.7,P =.024;35 与 31.3,P =.039),在 R3 队列中。报告债务<20 万美元与 R3(21.2 与 27.3,P =.028)和 R4(16.4 与 21.9,P =.033)队列的 EE 评分较低有关。

讨论

有几个与倦怠有关的预测因素,它们在不同的培训年限对住院医师产生短暂的影响,主要影响 EE 或 PA,但不影响 DP 评分。R3 住院医师的分数对这些协变量最敏感。

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