Han Rachel, Hahn Elan, Done Susan J, Pun Cherry, Shivji Sameer, Lu Fang-I
From the Department of Laboratory Medicine and Pathobiology, University of Toronto, Toronto, Ontario, Canada (Han, Hahn, Done, Pun, Lu).
The Laboratory Medicine Program, University Health Network, Toronto, Ontario, Canada (Done).
Arch Pathol Lab Med. 2023 Mar 1;147(3):368-375. doi: 10.5858/arpa.2021-0501-EP.
CONTEXT.—: Resident physicians face a higher rate of burnout and depression than the general population. Few studies have examined burnout and depression in Canadian laboratory medicine residents, and none during the COVID-19 pandemic.
OBJECTIVE.—: To identify the prevalence of burnout and depression, contributing factors, and the impact of COVID-19 in this population.
DESIGN.—: An electronic survey was distributed to Canadian laboratory medicine residents. Burnout was assessed using the Oldenburg Burnout Inventory. Depression was assessed using the Patient Health Questionnaire 9.
RESULTS.—: Seventy-nine responses were collected. The prevalence of burnout was 63% (50 of 79). The prevalence of depression was 47% (37 of 79). Modifiable factors significantly associated with burnout included career dissatisfaction, below average academic performance, lack of time off for illness, stress related to finances, lack of a peer or staff physician mentor, and a high level of fatigue. Modifiable factors significantly associated with depression further included a lack of access to wellness resources, lack of time off for leisure, and fewer hours of sleep. Fifty-five percent (41 of 74) of participants reported direct impacts to their personal circumstances by the COVID-19 pandemic.
CONCLUSIONS.—: Burnout and depression are significant issues affecting Canadian laboratory medicine residents. As the COVID-19 pandemic continues, we recommend the institution of flexible work arrangements, protected time off for illness and leisure, ongoing evaluation of career satisfaction, formal and informal wellness programming with trainee input, formal mentorship programming, and a financial literacy curriculum as measures to improve trainee wellness.
住院医师面临着比普通人群更高的职业倦怠和抑郁发生率。很少有研究调查加拿大检验医学住院医师的职业倦怠和抑郁情况，在新冠疫情期间则没有相关研究。
确定该人群中职业倦怠和抑郁的患病率、影响因素以及新冠疫情的影响。
对加拿大检验医学住院医师进行电子问卷调查。使用奥尔登堡职业倦怠量表评估职业倦怠。使用患者健康问卷9评估抑郁。
共收集到79份回复。职业倦怠的患病率为63%（79人中的50人）。抑郁的患病率为47%（79人中的37人）。与职业倦怠显著相关的可改变因素包括对职业不满意、学业成绩低于平均水平、生病时没有休假时间、经济压力、缺乏同行或带教医生指导以及高度疲劳。与抑郁显著相关的可改变因素还包括无法获得健康资源、没有休闲休假时间以及睡眠时间较少。74名参与者中有55%（41人）报告新冠疫情对其个人情况产生了直接影响。
职业倦怠和抑郁是影响加拿大检验医学住院医师的重要问题。随着新冠疫情的持续，我们建议采取灵活的工作安排、保障生病和休闲时的休假时间、持续评估职业满意度、根据学员意见开展正式和非正式的健康项目、正式的导师指导项目以及金融知识课程等措施，以改善学员的健康状况。
