Department of Anesthesiology, The Warren Alpert Medical School of Brown University, Providence, RI. United States.
Department of Anesthesiology, The Warren Alpert Medical School of Brown University, Providence, RI. United States.
J Clin Anesth. 2023 Feb;84:110990. doi: 10.1016/j.jclinane.2022.110990. Epub 2022 Nov 11.
A high prevalence of burnout, depression and suicidal ideation has been reported among anesthesiology trainees. Over the last decade, there has been a significant emphasis on the development of wellness programs in academic departments to mitigate the prevalence and effects of burnout during anesthesiology training. Therefore, we aimed to reevaluate the prevalence of burnout and depression in anesthesiology trainees in the United States.
Cross-sectional survey.
Anesthesiology Department.
A nationally representative sample of 1000 anesthesiology trainees in the United States.
A 33-item questionnaire consisting of 1) burnout, 2) depression, 3) job satisfaction, 4) family support, 5) work characteristics, 6) demographic factors, 7) self-reported errors, and 8) impact of COVID-19 pandemic.
We received 384 responses. Twenty-four percent (91/384) of the respondents met the criteria for high burnout risk and 58/384 (15%) of the respondents screened positive for depression. Multivariable analysis revealed that: (1) hours per week > 70, (odds ratio [OR; 95% confidence interval {CI}] = 3.1 [1.4-6.8], P=0.005 and (2) overnight calls per month > 7 (OR [95% CI] = 2.5 [1.0- 6.0], P=0.03 were independent factors for increased odds of burnout whereas the presence of (3) married/domestic partnership (OR [95% CI} = 0.52 [0.32-0.85], P=0.01 was associated with lower odds of burnout and/or depression. Ten percent (4/40) of high burnout/depression residents reported that they often times fall short in the quality of care provided to patients compared to 0.36% (1/275) residents with low burnout/depression scores, P < 0.001. Similarly, 22% (9/40) of high burnout/depression residents reported that they often times did not have enough attention to their patients compared to 4% (11/275) residents with low burnout/depression scores, P < 0.001.
We report a still concerning but significantly lower rate of burnout and depression in anesthesiology trainees than previously reported a decade ago. This suggests that efforts on wellness implemented by academic programs have positively impacted the work experience of anesthesia trainees.
麻醉科住院医师中报告了较高的倦怠、抑郁和自杀意念发生率。在过去十年中，学术部门非常重视制定健康计划，以减轻麻醉科培训期间倦怠的发生率和影响。因此，我们旨在重新评估美国麻醉科住院医师的倦怠和抑郁发生率。
横断面调查。
麻醉科。
美国 1000 名麻醉科住院医师的全国代表性样本。
由 1）倦怠，2）抑郁，3）工作满意度，4）家庭支持，5）工作特征，6）人口统计学因素，7）自我报告的错误和 8）COVID-19 大流行的影响组成的 33 项问卷。
我们收到了 384 份回复。24%（91/384）的受访者符合高风险倦怠标准，58/384（15%）的受访者筛查出抑郁阳性。多变量分析显示：（1）每周工作时间＞70 小时（比值比[OR；95%置信区间{CI}] = 3.1[1.4-6.8]，P=0.005）和（2）每月夜班次数＞7 次（OR[95%CI] = 2.5[1.0-6.0]，P=0.03）是倦怠发生率增加的独立因素，而（3）已婚/伴侣关系（OR[95%CI] = 0.52[0.32-0.85]，P=0.01）与较低的倦怠和/或抑郁几率相关。10%（4/40）的高倦怠/抑郁住院医师报告称，与低倦怠/抑郁评分的住院医师（0.36%（1/275）相比，他们经常在为患者提供的护理质量方面存在不足，P＜0.001。同样，22%（9/40）的高倦怠/抑郁住院医师报告称，与低倦怠/抑郁评分的住院医师（4%（11/275）相比，他们经常没有足够的关注患者，P＜0.001。
与十年前相比，我们报告的麻醉科住院医师的倦怠和抑郁发生率仍然令人担忧，但显著降低。这表明学术计划实施的健康计划努力对麻醉科住院医师的工作经验产生了积极影响。
