Purdy R R, Lemkau J P, Rafferty J P, Rudisill J R
Fam Med. 1987 May-Jun;19(3):203-8.
Sixty-seven family practice residents and 18 faculty members completed the Maslach Burnout Inventory and listed three factors they believed most responsible for resident burnout. In addition, faculty rated residents and residents rated themselves on overall burnout. Mean resident scores on the Maslach ranged from moderate to high, while global self-ratings indicated moderate burnout. Patterns did not vary across programs surveyed, postgraduate year, or gender. Faculty did not appear to be modeling burnout, since they scored in the low to moderate ranges on all Maslach subscales. Residents and faculty overwhelmingly cited time demands as the factor most responsible for resident burnout. Residency directors were more accurate than psychologist faculty in identifying which residents saw themselves as most burned out. Directors significantly underestimated the absolute level of burnout, but psychologists did not. Combined assessments of both faculty groups resulted in significantly better identification than either alone. The prevalence and patterns of burnout and difficulties in identifying affected residents are discussed in terms of the demands of residency training programs and the investment of residents and faculty in current models of medical education.
67名家庭医学住院医师和18名教员完成了马氏职业倦怠量表，并列出了他们认为导致住院医师职业倦怠的三个最主要因素。此外，教员对住院医师进行评分，住院医师也对自己的整体职业倦怠情况进行评分。住院医师在马氏量表上的平均得分从中度到高度不等，而整体自我评分显示为中度职业倦怠。在所调查的项目、研究生年级或性别中，模式没有差异。教员似乎没有表现出职业倦怠，因为他们在马氏量表所有子量表上的得分都处于低到中度范围。住院医师和教员绝大多数都认为时间需求是导致住院医师职业倦怠的最主要因素。住院医师培训项目主任在识别哪些住院医师认为自己职业倦怠程度最高方面比心理学教员更准确。主任显著低估了职业倦怠的绝对水平，但心理学家没有。两个教员群体的综合评估在识别方面比单独评估有显著更好的效果。从住院医师培训项目的要求以及住院医师和教员对当前医学教育模式的投入等方面讨论了职业倦怠的患病率、模式以及识别受影响住院医师的困难。
