Department of Radiology, Virginia Commonwealth University School of Medicine, 1200 East Broad Street, Box 980470, Richmond, Virginia 23298, USA.
Department of Radiology, Virginia Commonwealth University School of Medicine, 1200 East Broad Street, Box 980470, Richmond, Virginia 23298, USA.
Acad Radiol. 2024 Aug;31(8):3448-3456. doi: 10.1016/j.acra.2024.02.046. Epub 2024 Mar 19.
Burnout is a serious problem during medical residency and can contribute to poorer resident and patient health. A thorough understanding of factors associated with burnout can provide insight into supporting resident well-being. The purpose of this study is to assess the prevalence of burnout and ascertain its associated factors among radiology residents in the U.S.
This cross-sectional study involved sending an anonymous survey to radiology program directors, coordinators, and residents across the U.S. Data regarding demographics, burnout levels, and burnout-associated factors were collected in the month of August 2023. Multivariable linear regression models evaluated the association of demographic and burnout-associated variables with burnout scores in the dimensions of Emotional Exhaustion, Depersonalization, and Personal Accomplishment. Chi-square analyses with Bonferroni correction and Kruskal-Wallis analyses were used to assess associations between program types and burnout as well as between program type and program effectiveness in managing burnout. Resident suggestions on addressing burnout were qualitatively assessed.
147 radiology residents responded to the survey. Emotional Exhaustion was positively associated with seeking social support (p = .03) and negatively associated with perceived program effectiveness in addressing burnout (p < .001). Respondents who identified as male experienced greater Depersonalization (p = .02). Increased frequency of physical activity was associated with higher Personal Accomplishment scores (p = .04). The most common resident suggestions related to Work Burden, Program Support, and Protected Wellness Time.
Radiology programs should consider designing interventions addressing burnout, such as enhancing avenues for feedback and tailoring resident training based on individual preferences for remote work. Understanding the unique challenges faced by radiology residents is essential to tackle burnout and improve wellness.
在医学住院医师培训期间,倦怠是一个严重的问题,可能会导致住院医师和患者的健康状况恶化。深入了解与倦怠相关的因素可以深入了解支持住院医师健康的方法。本研究的目的是评估美国放射科住院医师倦怠的发生率,并确定其相关因素。
本横断面研究向美国各地的放射科项目主任、协调员和住院医师发送了匿名调查。在 2023 年 8 月收集了有关人口统计学、倦怠水平和与倦怠相关因素的数据。多变量线性回归模型评估了人口统计学和与倦怠相关变量与倦怠评分在情绪衰竭、去人性化和个人成就感维度的相关性。使用卡方检验和 Bonferroni 校正以及 Kruskal-Wallis 分析评估了项目类型与倦怠之间的关系,以及项目类型与管理倦怠的项目效果之间的关系。定性评估了住院医师对解决倦怠的建议。
147 名放射科住院医师对调查做出了回应。情绪衰竭与寻求社会支持呈正相关(p = 0.03),与感知项目在解决倦怠方面的有效性呈负相关(p < 0.001)。认为自己是男性的受访者经历了更大的去人性化(p = 0.02)。增加体育活动的频率与更高的个人成就感得分相关(p = 0.04)。最常见的住院医师建议与工作负担、项目支持和受保护的健康时间有关。
放射科项目应考虑设计针对倦怠的干预措施,例如增强反馈途径,并根据远程工作的个人偏好定制住院医师培训。了解放射科住院医师面临的独特挑战对于解决倦怠和改善健康至关重要。