J Am Dent Assoc. 2023 Jul;154(7):633-642.e4. doi: 10.1016/j.adaj.2022.11.011. Epub 2023 Jan 21.
The authors sought to identify the prevalence of burnout in oral medicine (OM) and orofacial pain (OFP) residents and investigate potential contributing factors.
A cross-sectional questionnaire-based study was conducted. An anonymous 22-item online survey was emailed to the residents of all Commission on Dental Accreditation-accredited OM and OFP residency programs in the United States. Abbreviated Maslach Burnout Inventory was included to gauge the following details of burnout: emotional exhaustion (EE), depersonalization (DP), and personal accomplishment. Questions also addressed the impact of residency program characteristics, work-life balance, and possible discrimination or abuse on burnout.
Six OM and 12 OFP programs (72 residents) were contacted, and 46 residents responded (response rate, 64%). Overall prevalence of burnout was 35% (29% in OM residents, 40% in OFP residents). High EE burnout was noted in 57% of residents, high DP burnout in 11% of residents, and high personal accomplishment burnout in 59% of residents. Working for fewer than 40 hours per week was significantly associated with low DP burnout (P < .05). Moderate to high DP burnout was more prevalent in men and unmarried residents (whether in a relationship or not) were more likely to experience moderate to high EE burnout (P < .05).
Burnout among OM and OFP residents is an emerging concern due to its detrimental effect on the physical and mental well-being of the residents. To the authors' knowledge, this study is the first to report burnout prevalence in the 2 most recent dental specialties recognized by the American Dental Association in 2020.
Early detection of signs of burnout among residents would allow program faculty and administrators to provide required support and resources.
本研究旨在确定口腔医学（OM）和口面痛（OFP）住院医师中 burnout 的流行情况，并探讨潜在的影响因素。
采用横断面问卷调查研究。向美国所有经牙科认证委员会认可的 OM 和 OFP 住院医师培训项目的住院医师发送电子邮件匿名 22 项在线调查。采用缩短版 Maslach 倦怠量表来评估 burnout 的以下细节：情绪疲惫（EE）、去人格化（DP）和个人成就感。问题还涉及住院医师培训项目的特点、工作与生活的平衡以及可能的歧视或虐待对 burnout 的影响。
联系了 6 个 OM 和 12 个 OFP 项目（共 72 名住院医师），有 46 名住院医师做出回应（回应率为 64%）。整体 burnout 发生率为 35%（OM 住院医师为 29%，OFP 住院医师为 40%）。57%的住院医师存在高度 EE 倦怠，11%的住院医师存在高度 DP 倦怠，59%的住院医师存在高度个人成就感倦怠。每周工作少于 40 小时与 DP 倦怠程度低显著相关（P <.05）。在男性中，DP 倦怠程度中度至高度更为普遍，无论是否处于恋爱关系，已婚或未婚的住院医师更有可能经历中度至高度的 EE 倦怠（P <.05）。
由于 burnout 对住院医师身心健康的不利影响，OM 和 OFP 住院医师中 burnout 是一个新出现的问题。据作者所知，这项研究是首次报告美国牙科协会在 2020 年认可的 2 个最新牙科专业中 burnout 的流行情况。
早期发现住院医师的 burnout 迹象将使项目教职员工和管理人员能够提供必要的支持和资源。
