University of Texas Southwestern Medical Center, Dallas, TX, USA.
Acad Psychiatry. 2022 Dec;46(6):718-722. doi: 10.1007/s40596-021-01562-4. Epub 2021 Nov 29.
Burnout in academic medicine has been widely studied, but most work has been conducted among physicians. Psychologists in academic medicine have unique burnout factors. Therefore, investigating the prevalence and predictors of burnout among psychologists in academic medicine during the COVID-19 pandemic represents an important addition to the literature.
Sixty-two psychologists responded to burnout-related items in a larger, 40-item Psychiatry Department climate survey conducted from October to November 2020. Five items from the MINI-Z survey were administered to examine control over workload and sufficiency of documentation time as predictors of both continuous and dichotomously defined burnout. Linear and logistic regression was employed with years as a faculty member entered as a covariate.
Slightly less than half (48.4%) of respondents met dichotomous criteria for burnout. Faculty with fewer years of experience scored higher on their level of continuous burnout. Both control over workload and sufficiency of time for documentation were independent predictors of continuous burnout, but only control over workload remained a statistically significant predictor in a simultaneous model. Control over workload was a significant predictor in dichotomous models but did not remain so once sufficiency of documentation time was also added.
Burnout prevalence among psychologists was comparable to rates among physicians at other institutions, even when examined during the COVID-19 pandemic. Academic medicine administrators and organizational leaders should consider policies and programming to increase control over workload, especially among junior psychologist faculty.
burnout 在学术医学中已被广泛研究，但大多数研究都是针对医生进行的。学术医学中的心理学家有独特的 burnout 因素。因此，调查 COVID-19 大流行期间学术医学心理学家的 burnout 患病率和预测因素，是对文献的一个重要补充。
62 名心理学家对 2020 年 10 月至 11 月进行的一项更大的 40 项精神病学部门气候调查中的 burnout 相关项目做出了回应。MINI-Z 调查中的 5 项被用于检查工作量控制和文档时间充足性作为连续和二分定义 burnout 的预测因素。使用作为协变量的作为教员的年限，进行线性和逻辑回归。
略低于一半（48.4%）的受访者符合 burnout 的二分标准。经验较少的教员在连续 burnout 水平上的得分更高。工作量控制和文档时间充足性都是连续 burnout 的独立预测因素，但只有在同时考虑工作量控制时，它才是统计学上的显著预测因素。工作量控制是二分模型中的一个显著预测因素，但一旦加入文档时间充足性，它就不再如此。
即使在 COVID-19 大流行期间进行检查，心理学家的 burnout 患病率也与其他机构的医生相当。学术医学管理人员和组织领导者应考虑增加工作量控制的政策和方案，特别是在初级心理学家教员中。
