Shadid Asem M, Aldosari Batal M, Dawari Sakhr, Baabdullah Ahmed, AlKheraiji Asma, AlBassam Abdulatif Majed, Altalhab Saad, Alharithy Ruaa
Department of Dermatology, King Fahad Medical City, Riyadh.
Department of Dermatology, King Saud Medical City, Riyadh.
Dermatol Reports. 2023 Apr 21;15(3):9655. doi: 10.4081/dr.2023.9655. eCollection 2023 Sep 12.
A cross-sectional study was conducted between March and August 2021; an electronic survey was administered to all dermatology residents (n=79) in all centers with the Saudi Board Dermatology Training Program in the western, eastern and southern regions. Participation was voluntary, and written informed consent was obtained before the study. The survey was completed by 70 dermatology residents, for an 88.61% response rate. All the participants were aware of the study's aims, and their informed consent was obtained. The study design complied with the Declaration of Helsinki ethical standards and was approved by the Institutional Review Board at Imam Muhammad Ibn Saud Islamic University in Saudi Arabia. A total of 70 respondents completed the questionnaire. High emotional exhaustion (EE) was present in 47.1% of respondents, low personal accomplishment (PA) was present in 65.7%, and high depersonalization (DP) was the least prevalent (24.3%) across all burnout dimensions of dermatology residents. Overall burnout was present in 21.4% of the dermatology residents. Multivariate analysis showed that the odds of EE were significantly lower in males than females [odds ratio (OR)=0.2, P=0.016] and the higher number of patients seen per clinic (OR=1.09, P=0.032) was associated with higher odds of having a high risk of EE, while higher satisfaction with work-life balance was associated with lower odds of a high risk of EE (OR=0.47, P=0.005). A higher number of study hours/week was associated with lower odds of low PA (OR=0.95, P=0.02). Similarly, higher satisfaction with career was associated with lower odds of low PA (OR=0.35, P=0.042). Multivariate analysis showed that only exercise (OR=0.21, P=0.05) and satisfaction with work-life balance (OR=0.42, P=0.008) were associated with a lower risk of burnout. Our study adds the burnout rates among dermatology residents in Saudi Arabia, in addition to possible risk factors that can predict burnout, to the literature. These findings can be applied to improve training programs and reduce the burnout rate among residents.
2021年3月至8月开展了一项横断面研究；对沙特阿拉伯西部、东部和南部地区所有参与沙特皮肤科委员会培训项目的中心的所有皮肤科住院医师（n = 79）进行了电子调查。参与是自愿的，在研究前获得了书面知情同意书。70名皮肤科住院医师完成了调查，回复率为88.61%。所有参与者都知晓研究目的，并获得了他们的知情同意。该研究设计符合《赫尔辛基宣言》的伦理标准，并获得了沙特阿拉伯伊玛目穆罕默德·本·沙特伊斯兰大学机构审查委员会的批准。共有70名受访者完成了问卷。47.1%的受访者存在高度情绪耗竭（EE），65.7%的受访者存在低个人成就感（PA），在皮肤科住院医师的所有职业倦怠维度中，高度去个性化（DP）最为少见（24.3%）。21.4%的皮肤科住院医师存在总体职业倦怠。多因素分析显示，男性EE的发生几率显著低于女性[比值比（OR）=0.2，P = 0.016]，每个诊所看诊的患者数量越多（OR = 1.09，P = 0.032），发生高风险EE的几率越高，而对工作与生活平衡的满意度越高，发生高风险EE的几率越低（OR = 0.47，P = 0.005）。每周学习时间越多，发生低PA的几率越低（OR = 0.95，P = 0.02）。同样，对职业的满意度越高，发生低PA的几率越低（OR = 0.35，P = 0.042）。多因素分析显示，只有运动（OR = 0.21，P = 0.05）和对工作与生活平衡的满意度（OR = 0.42，P = 0.008）与较低的职业倦怠风险相关。我们的研究为沙特阿拉伯皮肤科住院医师的职业倦怠率以及可能预测职业倦怠的风险因素增添了文献资料。这些研究结果可用于改进培训项目并降低住院医师的职业倦怠率。
