Orthopedics. 2022 Nov-Dec;45(6):333-339. doi: 10.3928/01477447-20220907-06. Epub 2022 Sep 13.
Burnout among physicians is a syndrome of emotional exhaustion, de-personalization, and reduced sense of personal accomplishment that can negatively affect personal relationships, physician well-being, and patient outcomes. Although burnout rates of up to 50% to 60% among orthopedic surgeons have been reported, no studies have evaluated burnout among orthopedic generalists and subspecialists. The primary goal of this study was to examine the prevalence of burnout among orthopedic disciplines. We conducted a multicenter study from March 2019 through December 2019 involving 149 orthopedists. An abbreviated Maslach Burnout Inventory-Human Services Survey was used to measure burnout. Demographic information, personal characteristics, professional characteristics, family life and spousal support, and depression were also assessed. The mean rate of burnout among all respondents was 62%, whereas 16.77% screened positive for depression. Subspecialties with the highest rates of burnout were oncology (100%), sports medicine (68%), and trauma (63%). Similarly, trauma (50.00%), oncology (40.00%), and general orthopedics (20.00%) had the highest positive depression screening rates. In contrast, shoulder and elbow (50%), pediatric (52%), and foot and ankle (54%) specialists had the lowest rates of burnout, whereas shoulder and elbow (0.00%), spine (0.00%), and sports medicine (6.50%) specialists had the lowest rates of positive depression screening. Older age, higher debt load, and oncology subspecialty were associated with increased burnout risk. This study sought to determine burnout rates within each orthopedic discipline, with a secondary aim of disclosing contributing factors. Trauma and oncology had the highest rates of burnout and positive depression screening. Because this study represents a small orthopedic cohort, larger studies are needed to appropriately manage burnout in the future. [. 2022;45(6):333-339.].
医生职业倦怠是一种情感耗竭、去人性化和成就感降低的综合征，可能会对人际关系、医生健康和患者结局产生负面影响。尽管有报道称骨科医生的倦怠率高达 50%至 60%，但尚无研究评估骨科普通医生和亚专科医生的倦怠情况。本研究的主要目的是评估骨科各专业的倦怠发生率。我们进行了一项多中心研究，纳入了 149 名骨科医生，研究时间为 2019 年 3 月至 2019 年 12 月。采用简化的马斯拉赫职业倦怠量表（Maslach Burnout Inventory-Human Services Survey）评估倦怠情况。同时评估了人口统计学信息、个人特征、职业特征、家庭生活和配偶支持以及抑郁情况。所有受访者的倦怠平均发生率为 62%，而抑郁筛查阳性率为 16.77%。倦怠发生率最高的亚专科是肿瘤学（100%）、运动医学（68%）和创伤（63%）。同样，创伤（50.00%）、肿瘤学（40.00%）和普通骨科（20.00%）的抑郁筛查阳性率最高。相比之下，肩肘（50%）、儿科（52%）和足踝（54%）专科医生的倦怠发生率最低，而肩肘（0.00%）、脊柱（0.00%）和运动医学（6.50%）专科医生的抑郁筛查阳性率最低。年龄较大、债务负担较重和肿瘤学亚专科与倦怠风险增加相关。本研究旨在确定每个骨科专业的倦怠率，并揭示相关因素。创伤和肿瘤学的倦怠率和抑郁筛查阳性率最高。由于本研究代表了一个小型骨科队列，因此需要更大规模的研究来更好地管理未来的倦怠问题。[2022；45(6):333-339.]。
