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是什么真正让住院医师充满动力或疲惫不堪?全国调查的新发现。

What really makes residents tick or burn out? Insights from a National survey.

机构信息

Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Israel.

Goldschleger Eye Institute, Sheba Medical Center, Tel-Hashomer, Israel.

出版信息

BMC Med Educ. 2024 Nov 26;24(1):1377. doi: 10.1186/s12909-024-06331-z.

DOI:10.1186/s12909-024-06331-z
PMID:39593034
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11600643/
Abstract

BACKGROUND

To examine the satisfaction rates and burnout feelings amongst residents physicians in different specialties and to examine associated affecting factors.

METHOD

Clalit Health Services (CHS) is the largest health maintenance provider in Israel. A survey was designed by an interdisciplinary team with questions addressing residency and the balance between residency and personal life, as well as the balance between residency and personal life, and was sent to all residents of CHS via personal email from March to May 2022.

RESULTS

Four hundred sixty seven residents completed the survey. The mean satisfaction rate from the residency was 7.4 (± 1.93, 2-10). The highest satisfaction rate from residency was amongst anesthetics, psychiatrists and ophthalmologists ( 8.6, 8.1 and 8.0, respectively) while the lowest was among general surgeons, oncologists, plastic surgeons and orthopedic surgeons (6.8, 6.8, 6.7, 6.1, respectively). There was no correlation between satisfaction rates and monthly working hours or number of overnight shifts. Seventy four percent feel frequent burnout due to high workload and 68% feel frequent burnout due to high number of administrative tasks. Seventy three percent chose the work environment in their department as most influential of their residency experience, 61% chose relations between attending physicians and residents as most significant, and 60% chose the education during the residency as most influential during their residency training.

CONCLUSIONS

Satisfaction rates from the residency training require improvement, with differences between the residencies. Number of working hours and number of overnight shifts did not correlate with the satisfaction rates. The factor that influences the most between satisfactory rate and less burnout is the relationship with colleagues and good training programs. Major efforts should be done to improve these factors.

摘要

背景

检查不同专业住院医师的满意度和倦怠感,并检查相关影响因素。

方法

Clalit 医疗保健服务(CHS)是以色列最大的医疗保健服务提供商。一个跨学科团队设计了一项调查,其中包括有关住院医师和住院医师与个人生活之间的平衡以及住院医师与个人生活之间的平衡的问题,并于 2022 年 3 月至 5 月通过个人电子邮件发送给 CHS 的所有住院医师。

结果

467 名住院医师完成了调查。住院医师的满意度平均为 7.4(±1.93,2-10)。麻醉师、精神科医生和眼科医生的满意度最高(分别为 8.6、8.1 和 8.0),而普通外科医生、肿瘤科医生、整形外科医生和骨科医生的满意度最低(分别为 6.8、6.8、6.7、6.1)。满意度与每月工作时间或夜间轮班次数之间没有相关性。74%的人因工作量大而经常感到倦怠,68%的人因行政任务多而经常感到倦怠。73%的人选择所在部门的工作环境对住院医师经历影响最大,61%的人选择主治医生和住院医师之间的关系对住院医师培训最重要,60%的人选择住院医师培训期间的教育对住院医师培训最重要。

结论

住院医师培训的满意度需要提高,不同住院医师之间存在差异。工作时间和夜间轮班次数与满意度无关。影响满意度和减少倦怠感的最重要因素是与同事的关系和良好的培训计划。应大力改善这些因素。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ef1/11600643/1c836f1abf14/12909_2024_6331_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ef1/11600643/b8777dbd3eb7/12909_2024_6331_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ef1/11600643/d0826e35a07f/12909_2024_6331_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ef1/11600643/1c836f1abf14/12909_2024_6331_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ef1/11600643/b8777dbd3eb7/12909_2024_6331_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ef1/11600643/d0826e35a07f/12909_2024_6331_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ef1/11600643/1c836f1abf14/12909_2024_6331_Fig3_HTML.jpg

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