Department of Urology, University of Kentucky Medical Center, Lexington, Kentucky.
Lexington VA Medical Center, Lexington, Kentucky.
J Urol. 2023 Mar;209(3):573-579. doi: 10.1097/JU.0000000000003108. Epub 2023 Jan 4.
We hypothesize burnout has failed to improve and certain demographics may be disproportionately affected.
The AUA Workforce Workgroup examined work from the annual AUA Census over the past several years. Particular to this study, relevant burnout-related data were examined from the past 5 years.
In 2021, 36.7% of urologists reported burnout compared to 36.2% in 2016. Burnout in men decreased from 36.3% to 35.2%, but increased in women from 35.3% to 49.2%. When examined by age, the largest increases in burnout were seen in those <45 years old, increasing from 37.9% to 44.8%, followed by 45-54 years old, increasing from 43.4% to 44.6%. When asked about the effect of COVID-19 on burnout, 54% of urologists didn't feel COVID-19 impacted burnout. Beyond burnout, only 25.0% of men and 4.6% of women reported no conflict between work and personal responsibilities, while 25.7% of men and 44.7% of women resolved these conflicts in favor of work or were unable to resolve them. Of respondents, 22.5% of men and 37.1% of women were "dissatisfied" with work-life balance. Similarly, 33.6% of men reported their work schedule does not leave enough time for personal/family life, compared to 57.5% of women.
Overall, urologists have higher burnout now when compared to 2016. The gender discrepancy has vastly widened with women experiencing burnout at an increased rate of 14% compared to 2016, while burnout in men decreased by 1%. Burnout has increased the most in those <45 years old. Further action is needed to substantiate the causes of burnout.
我们假设倦怠问题并未得到改善,某些人群可能受到不成比例的影响。
AUA 劳动力工作组研究了过去几年 AUA 普查的年度工作报告。本研究特别关注过去 5 年与倦怠相关的数据。
2021 年,36.7%的泌尿科医生报告存在倦怠问题,而 2016 年这一比例为 36.2%。男性的倦怠比例从 36.3%降至 35.2%,而女性则从 35.3%增至 49.2%。按年龄来看,<45 岁人群的倦怠比例增幅最大,从 37.9%增至 44.8%,其次是 45-54 岁人群,从 43.4%增至 44.6%。当被问及 COVID-19 对倦怠的影响时,54%的泌尿科医生表示 COVID-19 并未影响倦怠。除了倦怠问题,只有 25.0%的男性和 4.6%的女性表示工作与个人责任之间没有冲突,而 25.7%的男性和 44.7%的女性则更倾向于工作或无法解决这些冲突。在受访者中,22.5%的男性和 37.1%的女性对工作与生活的平衡“不满意”。同样,33.6%的男性表示其工作安排没有足够的时间用于个人/家庭生活,而女性的这一比例为 57.5%。
总体而言,与 2016 年相比,泌尿科医生现在的倦怠程度更高。男女之间的差距大幅扩大,女性的倦怠率比 2016 年增加了 14%,而男性则减少了 1%。<45 岁人群的倦怠问题增幅最大。需要进一步采取行动,以确定倦怠的原因。