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新冠疫情期间影响千禧一代医学生倦怠感的因素!

Factors influencing burnout in millennial medical students during the COVID-19 pandemic!

机构信息

Drexel University College of Medicine, Wyomissing, Reading, PA, USA.

Kentucky College of Osteopathic Medicine, Pikeville, KY, USA.

出版信息

Ir J Med Sci. 2023 Apr;192(2):513-519. doi: 10.1007/s11845-022-03016-8. Epub 2022 May 4.

Abstract

BACKGROUND

Burnout among millennial medical students is an important health issue with a possibility of potential professional dissatisfaction. The reason for burnout is multifactorial. The gender of the medical student may play a significant role when choosing a residency specialty and making a career choice. Gender may also influence while establishing the burnout seen in students. Here we tested the association between burnout in medical students based on gender and residency specialty choice during COVID-19.

METHODS

A multicentric cross-sectional study, using a questionnaire-based survey on the items related to gender, educational interest, status, residency aspiration, changes to career aspiration based on gender, and COVID-19 and an indigenous burnout assessment tool that was administered to all the medical students in the study. Reliability and validity of the tool were assessed, and the burnout was calculated for emotional exhaustion, personal achievement, and depersonalization domain.

RESULTS

A total of 487 medical students (42.5% males, 57.2% females) completed the survey. A higher number of female participants felt that COVID-19 affected their energy levels (68.9%), interest in education (53.2%), and developed reservations about residency specialty of choice (46%); emotional and physical exhaustion (2.88 ± 0.69 & 2.34 ± 0.76) was higher than the male participants (3.16 ± 0.67 & 2.75 ± 0.85).

CONCLUSION

More female participants experienced emotional distress, depersonalization or professional disengagement, and psychological and physical stress and exhaustion due to the COVID-19 pandemic. An important association observed in the study was between residency choice and burnout.

摘要

背景

千禧一代医学生的倦怠是一个重要的健康问题,可能导致潜在的职业不满。倦怠的原因是多方面的。医学生的性别在选择住院医师专业和职业选择时可能起重要作用。性别也可能影响学生中出现的倦怠现象。在这里,我们检测了 COVID-19 期间基于性别的医学生倦怠与住院医师专业选择之间的相关性。

方法

这是一项多中心横断面研究,使用基于问卷的调查,调查与性别、教育兴趣、地位、住院医师愿望、基于性别的职业愿望变化以及 COVID-19 相关的项目,并对所有医学生进行了本土倦怠评估工具。评估了工具的可靠性和有效性,并计算了情感衰竭、个人成就感和去人格化领域的倦怠程度。

结果

共有 487 名医学生(42.5%男性,57.2%女性)完成了调查。更多的女性参与者认为 COVID-19 影响了她们的能量水平(68.9%)、对教育的兴趣(53.2%),并对选择的住院医师专业产生了保留意见(46%);情感和身体疲惫(2.88 ± 0.69 和 2.34 ± 0.76)高于男性参与者(3.16 ± 0.67 和 2.75 ± 0.85)。

结论

由于 COVID-19 大流行,更多的女性参与者经历了情绪困扰、去人性化或职业脱节以及心理和身体压力和疲惫。研究中观察到的一个重要关联是住院医师选择和倦怠之间的关联。

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