Department of Orthopaedic Surgery, The Johns Hopkins Hospital, Baltimore, Maryland.
Department of Radiology, University of Maryland Medical Center, Baltimore, Maryland.
J Surg Educ. 2024 Oct;81(10):1383-1393. doi: 10.1016/j.jsurg.2024.07.017. Epub 2024 Aug 22.
Our study investigated the effects of surgical training on residents' personal relationships. It aimed to address the gaps in understanding of how the surgical training commitment can influence relationship stability, decision-making, and life planning within this unique professional group.
We used cross-sectional survey methodology to gather data on the intricacies of relationship dynamics amid the rigors of surgical training. The survey focused on marital status, relationship dynamics, personal life choices, the challenges and rewards of dual-healthcare relationships, and the support networks that individuals and couples rely on.
All surgical departments at The Johns Hopkins Hospital.
The study comprised 111 participants, including residents, fellows, and attending surgeons. Of those reporting sex, 56/105 (53%) were female, and the predominant age category was 25 to 34 years, making up 61/104 (59%) of respondents.
The majority (73/105, 70%) of respondents were or had been married, and 50/96 (52%) had partners in the medical field. Among those in a dual-healthcare relationship, 38/46 (83%) reported that their relationship was strengthened through understanding and empathy, yet 37/46 (80%) acknowledged complications in work-life balance. However, women were significantly more likely than men to report at least one negative effect of a dual-healthcare relationship (84% [16/19] versus 22% [6/27], p = .003). Among those with partners outside medicine, 39/46 (85%) acknowledged that their partner had to adjust their lifestyle significantly. A considerable number (73/92, 79%) postponed life events such as starting a family, and 57/85 (67%) experienced relationship strain due to long working hours.
Residents in dual-healthcare couples derived support from their relationships, but surgical training placed a significant strain on residents' personal relationships and often prompted residents to postpone major life events such as starting a family. Enhanced support systems and targeted interventions are needed to assist surgical professionals in navigating the complexities of balancing a demanding career with personal life.
本研究旨在探讨外科培训对住院医师人际关系的影响。旨在解决对外科培训承诺如何影响这一独特专业群体中关系稳定性、决策制定和生活规划的理解差距。
我们使用横断面调查方法收集了外科培训紧张环境中关系动态的复杂性数据。该调查侧重于婚姻状况、关系动态、个人生活选择、双重医疗保健关系的挑战和回报，以及个人和夫妇依赖的支持网络。
约翰霍普金斯医院的所有外科部门。
该研究包括 111 名参与者，包括住院医师、研究员和主治外科医生。在报告性别的人群中，56/105（53%）为女性，年龄主要在 25 至 34 岁之间，占 61/104（59%）的应答者。
大多数（73/105，70%）参与者已婚或曾已婚，50/96（52%）的伴侣在医疗领域。在双重医疗保健关系中，38/46（83%）报告说他们的关系通过理解和同理心得到了加强，但 37/46（80%）承认在工作与生活平衡方面存在并发症。然而，女性报告至少有一种双重医疗保健关系负面影响的可能性明显高于男性（84%[16/19]比 22%[6/27]，p=0.003）。在与医学无关的伴侣中，39/46（85%）承认他们的伴侣必须大幅调整生活方式。相当多的人（73/92，79%）推迟了家庭等生活事件，57/85（67%）因工作时间长而导致关系紧张。
处于双重医疗保健关系中的住院医师从他们的关系中获得支持，但外科培训对外科住院医师的人际关系造成了重大压力，经常促使住院医师推迟家庭等重大生活事件。需要增强支持系统和有针对性的干预措施，以帮助外科专业人员应对平衡高要求职业和个人生活的复杂性。
