Acevedo Joseph R, Schlacter Jamie A, Chambers Tamara N, Jacobson Lia K, Yalamanchili Ronica, Clark Bhavishya, Pan Dorothy, Kokot Niels C, Johns Michael M
USC Caruso Department of Otolaryngology, Head and Neck Surgery, University of Southern California, Los Angeles, CA, USA.
5116University of Southern California, Los Angeles, CA, USA.
Ear Nose Throat J. 2021 Apr 13:1455613211009139. doi: 10.1177/01455613211009139.
Investigate the effect of a targeted wellness program on burnout in Otolaryngology residents.
Residents and faculty collaboratively developed a program aimed at improving resident wellness. Program implementation began in July of 2018 and after 1 year, residents evaluated the program's effects on burnout. We used the Maslach Burnout Inventory (MBI) and a Likert scale to evaluate the effects of the program.
After 1 year of the resident wellness program, the MBI results showed an increase in the number of residents in the "engaged" category and a decrease in those rated as "burnout." Residents rated favorably initiatives grouped into the following themes: time away from work, faculty engaging with residents outside of the hospital environment, efforts to enhance residents' self-efficacy, fostering a positive culture among residents, and providing easy access to physical activity. The majority of initiatives were targeted to the "culture of wellness" domain, as defined by the Stanford Well MD framework. Our program targeted to a lesser extent the other 2 domains, "efficiency of practice" and "personal resilience."
After 1 year, the wellness program resulted in a trend toward improving burnout. Future efforts should be focused on targeting the multidimensional drivers of burnout as defined by established wellness frameworks. Realizing new stressors brought on by the COVID-19 pandemic will also be an area of active effort and research.
调查一项针对性的健康计划对耳鼻喉科住院医师职业倦怠的影响。
住院医师和教员共同制定了一项旨在改善住院医师健康状况的计划。该计划于2018年7月开始实施，1年后，住院医师对该计划对职业倦怠的影响进行了评估。我们使用马氏职业倦怠量表（MBI）和李克特量表来评估该计划的效果。
在实施住院医师健康计划1年后，MBI结果显示，处于“投入”类别的住院医师人数增加，被评为“职业倦怠”的人数减少。住院医师对以下主题的倡议评价良好：工作之余的时间、教员在医院环境之外与住院医师的互动、增强住院医师自我效能感的努力、在住院医师中营造积极文化以及提供便捷的体育活动途径。大多数倡议针对的是斯坦福健康MD框架所定义的“健康文化”领域。我们的计划在较小程度上针对另外两个领域，即“执业效率”和“个人复原力”。
1年后，健康计划呈现出改善职业倦怠的趋势。未来的努力应集中在针对既定健康框架所定义的职业倦怠的多维度驱动因素。认识到2019冠状病毒病大流行带来的新压力源也将是积极努力和研究的一个领域。
