Slavin Stuart, Yaghmour Nicholas, Baez-Martinez Aurea, O'Donovan Cormac, Panda Mukta, Carpenter Pamela, Burt Coranita, McLeod Kandice Kaylor
Acad Med. 2025 May 1;100(5):572-577. doi: 10.1097/ACM.0000000000005955. Epub 2024 Dec 20.
This study explores the mental health and well-being, overall job satisfaction, likelihood to leave position, and perceptions of job satisfiers and stressors and dissatisfiers in a national sample of program and institutional coordinators in graduate medical education (GME).
Between August and September 2022, 11,887 program and institutional coordinators and managers with email addresses listed in the Accreditation Council for Graduate Medical Education database were emailed a survey link. The survey queried mental health using the Patient Health Questionnaire 8 depression scale, Generalized Anxiety Disorder 7, and a 2-item burnout scale derived from the Maslach Burnout Inventory; overall satisfaction with work; likelihood to leave work; and drivers of satisfaction and dissatisfaction.
A total of 6,372 coordinators and managers responded to the survey, with 1,367 (23.9%) reporting moderate to severe depression symptoms on the Patient Health Questionnaire 8 and 1,767 (30.4%) reporting moderate to severe anxiety symptoms on the Generalized Anxiety Disorder 7. A total of 2,183 respondents (38.4%) screened positive for burnout, 1,288 (20.4%) reported being dissatisfied or very dissatisfied with work, and 1,510 (27.9%) reported being likely or very likely to leave their job in the next year. Positive interactions with administrative staff, residents, fellows, faculty, and program leadership were the highest ranked drivers of job satisfaction. Tracking down residents, fellows, and faculty to complete required tasks, low pay, overall workload, level of detail to manage, time pressure, lack of appreciation by faculty, and sense of entitlement of residents were leading job dissatisfaction drivers.
Coordinators are vitally important members of the GME community who play critical roles in supporting the GME enterprise. This study aims to raise awareness of the challenges and struggles faced by coordinators to lead to improvements in their job satisfaction, mental health, and well-being.
本研究在全国范围内对研究生医学教育（GME）项目及机构协调员样本进行调查，以探究其心理健康与幸福感、整体工作满意度、离职可能性，以及对工作满意度因素、压力源和不满因素的看法。
2022年8月至9月期间，向研究生医学教育认证委员会数据库中列出的11,887名项目及机构协调员和管理人员发送电子邮件，附上调查链接。该调查使用患者健康问卷8抑郁量表、广泛性焦虑障碍7量表，以及从马氏工作倦怠量表衍生而来的一个2项倦怠量表来询问心理健康状况；对工作的总体满意度；离职可能性；以及满意度和不满的驱动因素。
共有6,372名协调员和管理人员回复了调查，其中1,367人（23.9%）在患者健康问卷8上报告有中度至重度抑郁症状，1,767人（30.4%）在广泛性焦虑障碍7上报告有中度至重度焦虑症状。共有2,183名受访者（38.4%）倦怠筛查呈阳性，1,288人（20.4%）报告对工作不满意或非常不满意，1,510人（27.9%）报告在明年可能或非常有可能离职。与行政人员、住院医师、研究员、教员和项目领导的积极互动是工作满意度的最高排名驱动因素。追踪住院医师、研究员和教员以完成所需任务、低薪、总体工作量、管理的细节程度、时间压力、教员缺乏赏识以及住院医师的权利感是导致工作不满的主要驱动因素。
协调员是GME社区至关重要的成员，在支持GME事业方面发挥着关键作用。本研究旨在提高对协调员所面临挑战和困难的认识，以改善他们的工作满意度、心理健康和幸福感。
