Primary Resident, PGY-2, St. Vincent Hospital Podiatric Residency Program, Worcester, MA.
Fellow, Orthopedic Foot & Ankle Center, Worthington, OH.
J Foot Ankle Surg. 2021 Jul-Aug;60(4):747-752. doi: 10.1053/j.jfas.2021.02.007. Epub 2021 Mar 6.
Medical student burnout is a significant problem, which has led to the introduction of institutional intervention initiatives to combat the phenomenon. However, the incidence of burnout among podiatric medical students has not been previously assessed. The purpose of this cross-sectional study was to determine the perceptions of burnout, anxiety, depression, and personal achievement among podiatric medical students. A 50-question anonymous survey containing the Maslach Burnout Inventory-Human Services Survey and the Hospital Anxiety and Depression Scale was distributed to all students of eight US podiatric medical schools. Demographic and personal information regarding the student's free time, study time, family support, class or exam failures, loan debt, and previous work experience were recorded. Four hundred and eighty students completed the survey, and 479 responses were eligible for inclusion (response rate of 22.2%). Overall, 65.1% reported moderate or high self-perceived rates of burnout, a rate comparable to allopathic and osteopathic medical students. Respondents also reported high levels of emotional exhaustion and anxiety, but low levels of personal achievement. A predisposition for burnout was identified for third-year students between the ages of 26 to 35 years with borderline or abnormal levels of reported anxiety. The present study contributes to the growing body of literature regarding burnout with respect to the podiatric profession. Despite inherent limitations, the findings suggest institutional interventions for the promotion and development of protective factors may be warranted.
医学生 burnout 是一个严重的问题，这导致了机构干预措施的引入，以对抗这一现象。然而，足医学学生 burnout 的发生率尚未得到评估。本横断面研究的目的是确定足医学学生对 burnout、焦虑、抑郁和个人成就感的看法。一项包含 Maslach 职业倦怠量表-人类服务调查和医院焦虑和抑郁量表的 50 个问题的匿名调查被分发给八所美国足医学院的所有学生。记录了学生的业余时间、学习时间、家庭支持、班级或考试失败、贷款债务和以前工作经验等方面的人口统计学和个人信息。有 480 名学生完成了调查，其中 479 份回复符合纳入标准（回复率为 22.2%）。总体而言，65.1%的学生报告自我感知 burnout 程度为中度或高度，这一比例与全医学和骨医学学生相当。受访者还报告了高水平的情绪疲惫和焦虑，但个人成就感较低。在年龄在 26 至 35 岁的三年级学生中，存在焦虑程度为边缘或异常的 burnout 倾向。本研究为足科职业 burnout 相关文献的不断增加做出了贡献。尽管存在固有局限性，但研究结果表明，可能需要对促进和发展保护因素的机构干预措施进行研究。
