Drudi Laura M, Mitchell Erica L, Chandra Venita, Coleman Dawn M, Hallbeck M Susan, Mannoia Kristyn, Money Sam R, Brown Kellie R
Division of Vascular Surgery, Centre Hospitalier de l'Université de Montréal, Montreal, Quebec, Canada.
Division of Vascular Surgery, Regional One Health Medical Center, Memphis, Tenn.
J Vasc Surg. 2022 Apr;75(4):1422-1430. doi: 10.1016/j.jvs.2021.09.035. Epub 2021 Oct 8.
Surgeons report higher burnout and suicidal ideation (SI) rates than the general population. This study sought to identify the prevalence and gender-specific risk factors for burnout and SI among men and women vascular surgeons to guide future interventions.
In 2018, active Society for Vascular Surgery members were surveyed confidentially using the Maslach Burnout Index embedded in a questionnaire that captured demographic and practice-related characteristics. Results were stratified by gender. Univariate and multivariate logistic regression models were developed to identify predictors for the end points of burnout and SI.
Overall survey response rate was 34.3% (N = 878) of practicing vascular surgeons. A higher percentage of women responded (19%) than compose membership in the Society for Vascular Surgery (13.7%). Women respondents were significantly younger, with fewer years in practice, and were less likely to be in private practice than the men who responded. Women were also less likely to be married/partnered, or to have children. The prevalence of burnout was similar for women and men (42.3% and 40.9%; P = nonsignificant); however, the prevalence of SI was significantly higher in women (12.9% vs 6.6%; P < .007). Whereas there was no difference in mean hours worked or call taken, women were more likely to have had a recent conflict between work and home responsibilities and to have resolved this conflict in favor of work. Although men and women had the same incidence of reported recent medical errors, women were less likely to self-report a recent malpractice suit or to think that a fair resolution was reached. There was no gender difference in reported work-related pain. Multivariable analysis revealed that not enough family time and work-related pain were predictors for burnout in both men and women. Additional factors were associated with burnout in men, such as malpractice and electronic medical record dissatisfaction. Multivariable analysis revealed that work-related pain was an independent predictor for SI for the entire cohort.
The prevalence of burnout among vascular surgeons is high. Women vascular surgeons have double the rates of SI compared with male vascular surgeons. Taken together, this study demonstrated that many of the same factors are associated with burnout in women and men, which include not enough family time, conflict between work and personal life, and work-related pain. Additional factors in men included conflict between work and family, work-related pain, and electronic medical record dissatisfaction.
外科医生报告的职业倦怠和自杀意念（SI）发生率高于普通人群。本研究旨在确定血管外科男、女医生职业倦怠和自杀意念的患病率及性别特异性风险因素，以指导未来的干预措施。
2018年，对血管外科学会的在职会员进行保密调查，使用嵌入问卷中的马氏职业倦怠量表，该问卷还收集了人口统计学和与执业相关的特征。结果按性别分层。建立单变量和多变量逻辑回归模型，以确定职业倦怠和自杀意念终点的预测因素。
执业血管外科医生的总体调查回复率为34.3%（N = 878）。女性回复者的比例（19%）高于血管外科学会会员中女性的比例（13.7%）。女性回复者明显更年轻，执业年限更少，与男性回复者相比，从事私人执业的可能性更小。女性结婚/有伴侣或有孩子的可能性也更小。女性和男性的职业倦怠患病率相似（42.3%和40.9%；P = 无显著性差异）；然而，女性的自杀意念患病率显著更高（12.9%对6.6%；P <.007）。虽然平均工作时长或值班次数没有差异，但女性近期更有可能在工作和家庭责任之间发生冲突，并且更倾向于为了工作而解决这种冲突。尽管男性和女性报告近期医疗差错的发生率相同，但女性不太可能自我报告近期发生医疗事故诉讼，也不太认为得到了公平的解决。在报告的与工作相关的疼痛方面没有性别差异。多变量分析显示，家庭时间不足和与工作相关的疼痛是男性和女性职业倦怠的预测因素。其他因素与男性的职业倦怠相关，如医疗事故和对电子病历的不满。多变量分析显示，与工作相关的疼痛是整个队列自杀意念的独立预测因素。
血管外科医生中职业倦怠的患病率很高。与男性血管外科医生相比，女性血管外科医生的自杀意念发生率高出一倍。综合来看，本研究表明，许多相同的因素与男性和女性的职业倦怠有关，包括家庭时间不足、工作与个人生活之间的冲突以及与工作相关 的疼痛。男性的其他因素包括工作与家庭之间的冲突、与工作相关的疼痛以及对电子病历的不满。
