Ochoa Brielle, Lai Krista, Eldredge R Scott, Velazco Cristine S, Weidler Erica M, van Leeuwen Kathleen
Phoenix Children's Hospital, Phoenix, Arizona.
Phoenix Children's Hospital, Phoenix, Arizona.
J Surg Res. 2024 Sep;301:482-491. doi: 10.1016/j.jss.2024.06.037. Epub 2024 Jul 22.
Pediatric surgeons are experiencing burnout at similar rates to other subspecialists; however, little is known about the prevalence of burnout in pediatric general surgery fellows. This study aims to determine the prevalence of burnout in pediatric general surgery trainees.
The Maslach Burnout Inventory and a survey of personal and training characteristics were distributed to current and recently graduated pediatric surgery fellows. Higher Maslach Burnout Inventory subscores of emotional exhaustion (EE) and depersonalization (DP) indicate higher levels of burnout. Descriptive statistics were used to describe respondent characteristics. Burnout, as a dichotomous variable, was compared by chi-square test, and subscale scores werecompared by nonparametric tests for a variety of factors.
The response rate was 41% (52/126); 15% were first-year fellows, 54% were second-year fellows, and 31% were recent graduates. The majority were 30-39 y old (83%) and female (71%). The median [IQR] scores for EE, DP, and personal accomplishment were 23 [17-36], 8 [2-12.3], and 38 [34-41], respectively, with no significant differences by training year. Eighteen percent of respondents met burnout criteria based on high-risk EE subscores in combination with high-risk DP subscores, and 44% and 23.1% of respondents had high-risk EE and DP subscores, respectively. Factors associated with higher EE subscores were fewer hours of sleep and taking home call.
Pediatric surgery fellows experience high levels of burnout along with a high frequency of high-risk EE and DP scores. Lack of sleep and home call may be contributory, and efforts to combat burnout should specifically address these factors.
小儿外科医生职业倦怠的发生率与其他亚专科医生相似；然而，对于小儿普通外科住院医师职业倦怠的患病率知之甚少。本研究旨在确定小儿普通外科住院医师职业倦怠的患病率。
向现任及近期毕业的小儿外科住院医师发放了马氏职业倦怠量表以及一份关于个人和培训特征的调查问卷。马氏职业倦怠量表中情感耗竭（EE）和去个性化（DP）得分越高，表明职业倦怠程度越高。使用描述性统计来描述受访者特征。作为二分变量的职业倦怠通过卡方检验进行比较，子量表得分通过非参数检验针对各种因素进行比较。
回复率为41%（52/126）；15%为一年级住院医师，54%为二年级住院医师，31%为近期毕业生。大多数人年龄在30 - 39岁（83%）且为女性（71%）。EE、DP和个人成就感的中位数[四分位间距]得分分别为23[17 - 36]、8[2 - 12.3]和38[34 - 41]，不同培训年份之间无显著差异。18%的受访者根据高风险EE子得分与高风险DP子得分符合职业倦怠标准，分别有44%和23.1%的受访者有高风险EE和DP子得分。与较高EE子得分相关的因素是睡眠时间较少和承担家庭值班。
小儿外科住院医师经历高水平的职业倦怠，同时高风险EE和DP得分的频率也很高。睡眠不足和家庭值班可能是促成因素，应对职业倦怠的努力应具体针对这些因素。
