Lien E Rodriguez, Zwemer E, Schwartz A, Wilson P M, Babal J C, Serwint J R, Sieplinga K, Donnelly K, Nichols M, Batra M
Department of Pediatrics, School of Medicine, University of Texas Medical Branch, Galveston, TX, USA.
Department of Pediatrics, School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Clin Pediatr (Phila). 2025 Oct;64(9):1227-1233. doi: 10.1177/00099228251326652. Epub 2025 Aug 25.
There is a paucity of literature evaluating the association between the pediatric residency learning environment (LE) and resident well-being. A cross-sectional study investigated the association between pediatric residents' LE satisfaction and their burnout, and whether LE subcomponents influenced LE satisfaction. A total of 2043 (69%) residents representing 46 pediatric programs responded, indicating that 40% of participants met the burnout classification. Residents not meeting burnout classification reported greater mean LE satisfaction (4.4 vs 3.6, < .001), LE collaboration (4.4 vs 4.1, < .001), resident mentorship (3.7 vs 3.1, < .001), and resident education (4.1 vs 3.5, < .001) than their colleagues with burnout. Residents reporting greater LE collaboration ( = 0.62, 95% confidence interval (CI) = 0.57-0.67, < .001), greater resident mentorship ( = 0.51, 95% CI = 0.48-0.55, < .001), and greater resident education ( = 0.72, 95% CI = 0.68-0.75, < .001) had higher LE satisfaction, controlling for individual/program characteristics and clustering. This study demonstrates associations between LE satisfaction and burnout from a national group of pediatric residents.
评估儿科住院医师培训学习环境(LE)与住院医师幸福感之间关联的文献较少。一项横断面研究调查了儿科住院医师对LE的满意度与其职业倦怠之间的关联,以及LE的子成分是否会影响对LE的满意度。代表46个儿科项目的2043名(69%)住院医师做出了回应,表明40%的参与者符合职业倦怠分类标准。未达到职业倦怠分类标准的住院医师报告的平均LE满意度(4.4对3.6,<0.001)、LE协作(4.4对4.1,<0.001)、住院医师导师指导(3.7对3.1,<0.001)和住院医师教育(4.1对3.5,<0.001)均高于有职业倦怠的同事。报告更高LE协作水平(β = 0.62,95%置信区间(CI)= 0.57 - 0.67,<0.001)、更高住院医师导师指导水平(β = 0.51,95%CI = 0.48 - 0.55,<0.001)和更高住院医师教育水平(β = 0.72,95%CI = 0.68 - 0.75,<0.001)的住院医师,在控制个体/项目特征和聚类的情况下,对LE的满意度更高。这项研究表明了全国儿科住院医师群体中LE满意度与职业倦怠之间的关联。