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早期职业普通外科医生向独立外科实践的转变与职业倦怠

Transition to Independent Surgical Practice and Burnout Among Early Career General Surgeons.

作者信息

Firdouse Mohammed, Chrystoja Caitlin, de Montbrun Sandra, Escallon Jaime, Cil Tulin

机构信息

12366University of Toronto, Toronto, ON, Canada.

60329Department of Surgery, Toronto, ON, Canada.

出版信息

Surg Innov. 2022 Apr;29(2):249-257. doi: 10.1177/15533506211039682. Epub 2021 Aug 31.

Abstract

: The transition from surgical residency to independent practice is a challenging period that has not been well studied. : An email invitation to complete a 55-item survey and the Maslach Burnout Inventory-Human Services Survey (MBI-HSS) was sent to early career general surgeons across Canada. The chi-square test or Fisher's exact test was used to compare demographic and survey characteristics with burnout. Multivariable logistic regression was performed. : Of the 586 surgeons contacted, 88 responded (15%); 51/88 surgeons (58.0%) were classified as burnt out according to the MBI-HSS. Most surgeons (68.2%) were not confident in their abilities to handle the business aspect of practice. The majority (60.2%) believed that a transition to independent practice program would be beneficial to recent surgical graduates. : Our data showed high prevalence of burnout among recently graduated general surgeons across Canada. Further, respondents were not confident in their managerial and administrative skills required to run a successful independent practice.

摘要

从外科住院医师到独立执业的转变是一个充满挑战的时期,尚未得到充分研究。向加拿大各地的早期职业普通外科医生发送了一封电子邮件邀请,要求他们完成一项包含55个项目的调查以及马氏职业倦怠量表-人类服务调查(MBI-HSS)。使用卡方检验或费舍尔精确检验来比较人口统计学和调查特征与职业倦怠情况。进行了多变量逻辑回归分析。在586名被联系的外科医生中,88人回复(15%);根据MBI-HSS,51/88名外科医生(58.0%)被归类为职业倦怠。大多数外科医生(68.2%)对自己处理执业业务方面的能力缺乏信心。大多数人(60.2%)认为向独立执业项目的转变对近期的外科毕业生有益。我们的数据显示,加拿大近期毕业的普通外科医生中职业倦怠的发生率很高。此外,受访者对成功开展独立执业所需的管理和行政技能缺乏信心。

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