Vassallo Gabriele Angelo, Dionisi Tommaso, Failla Monica Maria, Agyei-Nkansah Adwoa, Carrara Davide, Pietrantonio Filomena, Delcea Caterina, Romano Miguel, Talerico Giovanni, Villani Rosanna, Romiti Giulio Francesco, Crisci Giulia, Augello Giuseppe, Marra Alberto Maria, Addolorato Giovanni, Salzano Andrea
Internal Medicine Unit, Barone Lombardo Hospital, Canicattì, AG, Italy.
Department of Medical and Surgical Sciences, Università Cattolica Di Roma, Rome, Italy.
Intern Emerg Med. 2025 May 25. doi: 10.1007/s11739-025-03978-4.
Burnout among physicians is associated with poor productivity at work, dissatisfaction, and regrets about career choices. The present study aims to evaluate the prevalence of burnout and its main associated factors among young Italian Internists. An online survey assessing different aspects of training and working conditions of young internists was conducted across European countries by the Young Internists Group of the European Federation of Internal Medicine (EFIM). Only data from Italian respondents were analyzed in the present study. Data from 106 young Internists (aged < 40 years) working in university and non-teaching hospitals were abstracted. The median age was 30 years. Burnout was reported by 37.2% of the respondents. The main associated factors with burnout were being an Internal Medicine Resident, working in a university hospital, working extra hours than required by the hospital, managing both inpatients and outpatients, stress from inadequate time for social activities, and high workload. The absence of training or guidance on soft skills was also associated with burnout. Only 2.8% of the respondents reported the presence of a support system to deal with burnout in their hospitals. Burnout is very common among young Italian Internists with few support systems incorporated into the hospital set up. Holistic strategies to prevent or reduce burnout including modifying associated factors, should be implemented. Training for transversal skills should be added to the curriculum of internal medicine residents. Finally, a support system to deal with burnout should be present in every hospital.
医生的职业倦怠与工作效率低下、工作满意度低以及对职业选择的遗憾有关。本研究旨在评估意大利年轻内科医生职业倦怠的患病率及其主要相关因素。欧洲内科医学联合会（EFIM）的年轻内科医生小组在欧洲各国开展了一项在线调查，评估年轻内科医生培训和工作条件的不同方面。本研究仅分析了意大利受访者的数据。提取了106名在大学医院和非教学医院工作的年轻内科医生（年龄<40岁）的数据。中位年龄为30岁。37.2%的受访者报告有职业倦怠。与职业倦怠相关的主要因素包括是内科住院医师、在大学医院工作、工作时间超过医院要求、同时管理住院患者和门诊患者、社交活动时间不足带来的压力以及工作量大。缺乏软技能培训或指导也与职业倦怠有关。只有2.8%的受访者报告其所在医院有应对职业倦怠的支持系统。职业倦怠在意大利年轻内科医生中非常普遍，而医院设置中纳入的支持系统很少。应实施全面的策略来预防或减少职业倦怠，包括改变相关因素。内科住院医师的课程应增加横向技能培训。最后，每家医院都应设有应对职业倦怠的支持系统。
