Consultant in Critical Care and Anaesthesia at the Queen Elizabeth University Hospital, Glasgow, and Honorary Professor at the University of Glasgow, UK.
Clinical Teaching Fellow in Intensive Care Medicine at the Queen Elizabeth University Hospital, Glasgow, UK.
Perspect Med Educ. 2023 Jun 15;12(1):228-236. doi: 10.5334/pme.1036. eCollection 2023.
International Medical Graduates (IMGs) have lower educational attainment and a higher rate of complaints against them compared to Domestic Medical Graduates (DMG). The aim of this study was to investigate the potential role of burnout on these adverse outcomes experienced by IMGs.
Every year, the General Medical Council (GMC) conducts the National Training Survey of all doctors in the United Kingdom which includes optional questions on work-related burnout from the Copenhagen Burnout Inventory (CBI). Work-related burnout data for doctors in training, linked to country of Primary Medical Qualification were obtained from the GMC for the years 2019 and 2021. Burnout scores of IMGs and DMGs were compared using Chi.
The total number of eligible participants in 2019 and 2021 was 56,397 and 61,313 respectively. The response rates for all doctors in training to the CBI were 35,739 (63.4%) in 2019, and 28,310 (46.2%) in 2021. IMGs were at a lower risk of burnout compared to DMGs, 2,343 (42.9%) vs 15,497 (51.2%), Odds Ratio (OR) 0.72 (CI 0.68-0.76, P < 0.001) in 2019; and 2,774 (50.2%) vs 13,000 (57.1%), OR 0.76 (CI 0.71-0.80, P < 0.001) in 2021.
IMGs, as a group, appear to be at a lower risk of work-related burnout compared to DMGs. Burnout is unlikely to be contributing to lower educational attainment and higher rates of complaints experienced by IMGs compared to DMGs.
与国内医学毕业生（DMG）相比，国际医学毕业生（IMG）的教育程度较低，投诉率较高。本研究旨在探讨倦怠在IMG 经历的这些不良结果中的潜在作用。
每年，英国医学总会（GMC）都会对英国所有医生进行国家培训调查，其中包括来自哥本哈根倦怠量表（CBI）的与工作相关的倦怠的可选问题。从 GMC 获得了与初级医疗资格国家相关的医学生培训中的医生的与工作相关的倦怠数据，这些数据来自 2019 年和 2021 年。使用 Chi 比较 IMG 和 DMG 的倦怠得分。
2019 年和 2021 年符合条件的合格参与者总数分别为 56397 人和 61313 人。2019 年，所有医学生对 CBI 的回应率为 35739（63.4％），而 2021 年为 28310（46.2％）。与 DMG 相比，IMG 发生倦怠的风险较低，2019 年为 2343（42.9％）比 15497（51.2％），优势比（OR）为 0.72（CI 0.68-0.76，P <0.001）；2021 年为 2774（50.2％）比 13000（57.1％），OR 0.76（CI 0.71-0.80，P <0.001）。
作为一个群体，IMG 似乎比 DMG 面临较低的工作相关倦怠风险。倦怠不太可能导致 IMG 比 DMG 获得较低的教育程度和较高的投诉率。
