From the Department of Surgery, Tulane University School of Medicine, New Orleans, Louisiana (Sedhom); Department of Epidemiology, Colorado School of Public Health, Aurora, Colorado (Patnaik); Department of Ophthalmology, University of Colorado, Aurora, Colorado (McCourt, Liao, Subramanian, Davidson, Palestine, Kahook, Patnaik, Seibold).
J Cataract Refract Surg. 2022 Jun 1;48(6):723-729. doi: 10.1097/j.jcrs.0000000000000837.
To determine the prevalence of physician burnout among ophthalmologists in the United States and identify associated risks.
All practice types within the United States.
Cross-sectional study.
A survey was distributed through email listservs to several national ophthalmology societies. Participants completed a modified Mini Z Burnout Survey, a 10-item questionnaire measured in 5-point Likert scales, followed by demographic questions. The Mini Z Burnout survey assessed 3 main outcomes: stress, burnout, and work satisfaction. The percentage of subgroups experiencing burnout were presented and comparisons made with odds ratios from logistic regression modeling.
Of the 592 ophthalmologists responding to the survey, 37.8% (224) self-reported symptoms of burnout with a low of 30.8% (12/39) for vitreoretinal specialists to a high of 45.4% (30/66) for uveitis specialists. Most of those reporting burnout were categorized as mild (65.2% [146/224]), followed by moderate (29.5% [66/224]) and severe (5.4% [12/224]). Women had almost twice the odds of reporting burnout (odds ratio [OR] = 1.9 [95% CI: 1.3-2.7]; P = .0005). Physicians employed in academic (OR = 2.0 [95% CI: 1.2-3.2]; P = 0.007) and hospital facilities (OR = 2.4 [95% CI: 1.3-4.6]; P = .008) reported higher rates of burnout compared with those in large private groups. Burnout was associated with self-reported low work control, insufficient time for documentation, and misalignment with departmental leaders (P < .0001).
Ophthalmologists exhibited a high degree of self-reported burnout in the U.S. This study highlights sex, employment autonomy, and practice type as major factors associated with burnout.
确定美国眼科医生中医生倦怠的流行率，并确定相关风险。
美国所有类型的医疗机构。
横断面研究。
通过电子邮件列表向多个国家眼科协会发送了一项调查。参与者完成了一项改良的 Mini Z 倦怠调查，这是一项由 10 个项目组成的问卷，采用 5 点 Likert 量表进行测量，然后是人口统计学问题。Mini Z 倦怠调查评估了 3 个主要结果：压力、倦怠和工作满意度。报告了出现倦怠症状的亚组的百分比，并与逻辑回归模型的比值比进行了比较。
在 592 名对调查做出回应的眼科医生中，有 37.8%（224 人）报告出现倦怠症状，其中从事玻璃体视网膜专业的医生最低，为 30.8%（12/39），从事葡萄膜炎专业的医生最高，为 45.4%（30/66）。大多数报告倦怠的人被归类为轻度（65.2%[146/224]），其次是中度（29.5%[66/224]）和重度（5.4%[12/224]）。女性报告倦怠的可能性几乎是男性的两倍（优势比[OR] = 1.9 [95% CI：1.3-2.7]；P =.0005）。在学术（OR = 2.0 [95% CI：1.2-3.2]；P =.007）和医院（OR = 2.4 [95% CI：1.3-4.6]；P =.008）机构工作的医生报告的倦怠率高于在大型私人团体工作的医生。倦怠与自我报告的工作控制不足、文档记录时间不足以及与部门领导的不一致有关（P <.0001）。
美国眼科医生表现出高度的自我报告倦怠。这项研究强调了性别、就业自主权和实践类型是与倦怠相关的主要因素。
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