Koutsouras George W, Romeiser Jamie, Katz Danielle A
Neurosurgery, Upstate University Hospital, Syracuse, USA.
Public Health and Preventive Medicine, State University of New York Upstate Medical University, Syracuse, USA.
Cureus. 2024 Dec 7;16(12):e75258. doi: 10.7759/cureus.75258. eCollection 2024 Dec.
Burnout among medical residents and fellows (postgraduate trainees) has been receiving significant attention in the scientific literature with far less focus on the factors that correlate with job satisfaction and well-being. A better understanding of the characteristics that increase job satisfaction (rather than just those that lead to burnout) may allow programs to develop and enhance those positive features, conceivably leading to improved mental health, retention, and recruitment. We hypothesize that job satisfaction among postgraduate trainees is positively impacted by feeling that their work is meaningful, that their work schedules are equitable, and that they are appreciated by their faculty. A cross-sectional 28-item questionnaire was sent to 613 residents and fellows in a single institution to measure multiple items with relevance to job satisfaction, happiness, well-being, meaning, and burnout. Correlative, bivariate, and multivariable regression analyses were used to assess for factors associated with these elements, and a composite summary score of them. Feeling appreciated by faculty and satisfaction with time outside of work also were associated with different elements of job satisfaction and well-being. Burnout was negatively associated with satisfaction, and, in a composite model, burnout was significantly moderated by satisfaction with opportunities for growth. The authors identified factors that correlate with job satisfaction among a representative sample of postgraduate trainees at an academic institution. These elements may be used to guide efforts to support job satisfaction and the well-being of residents and fellows.
住院医师和研究员（研究生培训学员）的职业倦怠在科学文献中受到了广泛关注，而对与工作满意度和幸福感相关的因素关注较少。更好地理解那些能提高工作满意度的特征（而不仅仅是那些导致职业倦怠的特征），可能会使培训项目得以发展并强化这些积极因素，从而有望改善心理健康状况、提高留用率并吸引人才。我们假设，研究生培训学员的工作满意度会受到以下因素的积极影响：认为自己的工作有意义、工作时间表合理以及得到教员的赏识。我们向一所机构的613名住院医师和研究员发放了一份包含28个条目的横断面调查问卷，以测量与工作满意度、幸福感、意义感和职业倦怠相关的多个项目。我们使用相关分析、双变量分析和多变量回归分析来评估与这些因素以及它们的综合汇总得分相关的因素。感受到教员的赏识以及对工作之余时间的满意度也与工作满意度和幸福感的不同方面相关。职业倦怠与满意度呈负相关，并且在一个综合模型中，职业倦怠受到对成长机会满意度的显著调节。作者在一所学术机构的研究生培训学员代表性样本中确定了与工作满意度相关的因素。这些因素可用于指导支持住院医师和研究员工作满意度及幸福感的努力。
