Pitman Jenifer, Atallah Juliana, Lu Connie, Verzani Zoe, Schweitzer Andrew, Min Robert J, Belfi Lily
Weill Cornell Medicine/New York Presbyterian Hospital, United States of America; Johns Hopkins University School of Medicine, The Russell H. Morgan Department of Radiology and Radiological Sciences, 601 North Caroline Street, 5th Floor, Baltimore, MD 21287, United States of America.
Weill Cornell Medicine/New York Presbyterian Hospital, United States of America; Memorial Sloan Kettering Cancer Center, United States of America.
Clin Imaging. 2024 Jul;111:110184. doi: 10.1016/j.clinimag.2024.110184. Epub 2024 May 16.
Increasing rates of physician burnout over recent years have resulted in the need for formal tools and programming dedicated to physician well-being. The Accreditation Council for Graduate Medical Education (ACGME) has taken measures to prioritize trainee well-being by revising its common program requirements. Widespread departmental initiatives have been developed in line with these changes. At the authors' institution, a committee was developed to design and implement a holistic wellness curriculum for radiology trainees.
The objective of this study was to assess overall well-being in a cohort of radiology residents at a training program with a dedicated wellness curriculum.
A wellness curriculum for radiology residents was developed and implemented. Over a 3-year period, data was collected using the Maslach Burnout Inventory (MBI), Brief Resilience Scale (BRS).
Rates amongst respondents were low, compared to average, for emotional exhaustion (below 17, average 25.2), depersonalization (6, average 10), and of personal accomplishment were moderate to high (37.5, average 32.9). PGY-4 level residents had the highest rates of burnout (p = 0.042 for depersonalization, p = 0.006 for emotional exhaustion). PGY-4 residents also had the lowest rates of resilience based on the BRS, and PGY-3 the highest (p = 0.037). There were no statistically significant differences between gender or differing relationship status for MBI or BRS. The most commonly cited barriers to wellness practices included fatigue, competing responsibilities, and not knowing where to start.
Radiology residents at a single institution with a dedicated wellness curriculum demonstrated overall lower rates of burnout compared to their peers.
近年来，医生职业倦怠率不断上升，因此需要专门用于医生身心健康的正式工具和计划。毕业后医学教育认证委员会（ACGME）已采取措施，通过修订其通用计划要求，将学员的身心健康放在首位。各部门已根据这些变化开展了广泛的举措。在作者所在的机构，成立了一个委员会，为放射科住院医师设计并实施全面的健康课程。
本研究的目的是评估在一个设有专门健康课程的培训项目中，一组放射科住院医师的整体身心健康状况。
为放射科住院医师制定并实施了一项健康课程。在3年时间里，使用马氏职业倦怠量表（MBI）、简易复原力量表（BRS）收集数据。
与平均水平相比，受访者的情绪耗竭率较低（低于17，平均为25.2），去个性化率较低（6，平均为10），个人成就感率为中度到高度（37.5，平均为32.9）。PGY-4级住院医师的职业倦怠率最高（去个性化p = 0.042，情绪耗竭p = 0.006）。根据BRS，PGY-4级住院医师的复原力率也最低，PGY-3级最高（p = 0.037）。MBI或BRS在性别或不同恋爱状况之间没有统计学上的显著差异。健康实践中最常提到的障碍包括疲劳、责任冲突以及不知道从哪里开始。
与同行相比，在一个设有专门健康课程的单一机构中，放射科住院医师的整体职业倦怠率较低。
