Objective To investigate the current status of physician burnout and influencing factors of residents undergoing standardized training. Methods A questionnaire survey was conducted among all residents-in-training in 17 affiliated hospitals and teaching hospitals of a university by using basic information form and the Chinese version of Maslach Burnout inventory-general survey in April 2020. The scores of each dimension of burnout among residents-in-training of different categories and training specialties were compared, and the relevant influencing factors were analyzed by binary logistic regression. Results A total of 3 531 valid questionnaires were received. The average scores of three dimensions of burnout, emotional exhaustion, depersonalization, and personal accomplishment were (10.24±6.82), (5.60±4.84), and (13.36±8.12), respectively. The overall detection rate of burnout among residents-in-training was 53.2% (1 878/3 531). Using resident undergoing standardized training as a reference point, the risk of burnout was higher in postgraduates in clinical specialties (OR=1.40, 95%CI: 1.14~1.71); with greater workload (OR=1.26, 95%CI: 1.19~1.34); and when the impact of the epidemic was greater (OR=1.24, 95%CI: 1.14~1.34); the above differences were all statistically significant (P<0.05). Conclusions There were differences in burnout among different types of residents undergoing standardized training, and the risk of burnout is higher among postgraduates in clinical specialties and residents in general practice, obstetrics and gynecology, etc. Educational management departments should increase their attention, strengthen humanistic care, and reduce burnout through multiple approaches.
Li Ye
,
Yang Ying
,
Wang Ruoning
,
Wang Xiang
,
Cui Shuang
,
Lyu Ying
,
Jiang Hui
. Investigation on physician burnout and its influencing factors among different types of residents undergoing standardized training[J]. Chinese Journal of Medical Education, 2022
, 42(11)
: 1033
-1037
.
DOI: 10.3760/cma.j.cn115259-20220223-00204
[1] Maslach C, Schaufeli WB, Leiter MP. Job Burnout[J]. Annual Review of Psychology,2001,52(1):397-422.DOI:10.1146/annurev.psych.52.1.397.
[2] 邵岑怡,张舜行,台明. 国内外医务人员职业倦怠研究进展[J]. 中华医院管理杂志,2019,35(6):487-489. DOI:10.3760/cma.j.issn.1000-6672.2019.06.010.
[3] Yates SW. Physician Stress and Burnout[J]. The American Journal of Medicine,2020,133(2):160-164.DOI:https://doi.org/10.1016/j.amjmed.2019.08.034.
[4] 卫生部统计信息中心. 中国医患关系调查研究:第四次国家卫生服务调查专题研究报告 (二)[R].北京: 中国协和医科大学出版社, 2010:112.
[5] 梁韵,郭海燕. 武汉市3所三甲医院规培医师职业倦怠对医患关系的影响[J]. 医学与社会,2019,32(6):103-106. DOI:10.13723/j.yxysh.2019.06.028.
[6] 陈丽芬,王亚军,李越,等. 专业学位硕士研究生和住院医师并轨培养模式下工作学习状态调查研究[J]. 中华医学教育杂志,2020,40(11):931-935. DOI:10.3760/cma.j.cn115259-20200227-00206.
[7] Khalafallah AM, Lam S, Gami A, et al. A national survey on the impact of the COVID-19 pandemic upon burnout and career satisfaction among neurosurgery residents. J Clin Neurosci. 2020;80:137-142. DOI:10.1016/j.jocn.2020.08.012.
[8] 郑亚庆,邓学林,陈美凤,等. 住院医师规范化培训一年级学员职业倦怠情况分析[J]. 中国毕业后医学教育,2018(5):380-385.
[9] 李超平,时勘.分配公平与程序公平对工作倦怠的影响[J].心理学报,2003(5):677-684.
[10] 李永鑫,李艺敏. 工作倦怠评价标准的初步探讨[J]. 心理科学,2006,29(1):148-150,153. DOI:10.3969/j.issn.1671-6981.2006.01.040.
[11] 廖秋菊,赵义,苏丽,等. 三甲医院规范化培训住院医师职业倦怠调查及危险因素分析[J]. 中国病案,2021(9): 86-90. DOI:10.3969/j.issn.1672-2566.2021.09.031.
[12] 刘芳,唐大龙,刘伟楠,等.全科专业住院医师规范化培训学员职业倦怠及其影响因素研究[J].中国全科医学,2020(9):1151-1157. DOI:10.12114/j.issn.1007-9572.2019.00.713.
[13] 卢章洪,王卫星,金松,等. 新型冠状病毒肺炎疫情不同时期住院医师规范化培训基地管理挑战与实践[J]. 中国毕业后医学教育,2020(4):296-301. DOI:10.3969/j.issn.2096-4293.2020.04.003.
[14] 岳国峰,赵丽萍. 新型冠状病毒肺炎疫情下江苏省某医学院临床医学研究生职业认同现状分析[J]. 医学与社会,2021,34(1):104-109. DOI:10.13723/j.yxysh.2021.01.022.
[15] 杜建,詹启敏. 后疫情时代促进我国医学发展的思考与建议[J]. 北京大学学报(医学版),2020(3):405-409. DOI:10.19723/j.issn.1671-167X.2020.03.001.
[16] 陈志红,杨丽芳. 临床医师职业相关心理问题探析[J]. 医学与哲学,2019(20): 59-62. DOI:10.12014/j.issn.1002-0772.2019.20.14.
