Extinguishing burnout: National analysis of predictors and effects of burnout in abdominal transplant surgery fellows
Extinguishing burnout: National analysis of predictors and effects of burnout in abdominal transplant surgery fellows
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DOI：
10.1111/ajt.16075
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发表时间：
2020-06-24
影响因子：
8.8
通讯作者：
Quillin, Ralph C., III
中科院分区：
文献类型：
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作者：
Kassam, Al-Faraaz;Cortez, Alexander R.;Quillin, Ralph C., III
外科医生的倦怠被归因于工作量增加和自主性下降。虽然以前的研究已经检查了移植外科医生的倦怠，没有研究评估腹部移植手术研究员的倦怠。我们的研究目的是确定倦怠的预测因素，并了解其对个人和病人的护理在奖学金的影响。一项调查被发送到所有腹部移植手术研究员在美国移植外科医生协会认可的奖学金。回应率为59.2%（n = 77）和22.7%（n = 17）的研究员符合标准的倦怠。坚毅度较低的研究员比坚毅度较高的研究员更容易出现倦怠（3.6比4.0，P = 0.026）。职业倦怠者更可能每周工作超过100小时（58.8%比27.6%，P = 0.023），有严重的工作压力（58.8%比22.4%，P = 0.010），考虑退出奖学金（94.1%比20.7%，P <0.001），或犯医疗错误（35.3%比5.2%，P = 0.003）。这项对腹部移植研究员的全国性分析发现，倦怠率相对较低，但很少有研究员从事自我护理。职业倦怠的发生与个人因素和项目相关因素有关，对患者的护理工作有不可接受的影响。移植协会和奖学金计划应该制定干预措施，为研究员提供预防和对抗倦怠的工具。
Burnout among surgeons has been attributed to increased workload and decreased autonomy. Although prior studies have examined burnout among transplant surgeons, no studies have evaluated burnout in abdominal transplant surgery fellows. The objective of our study was to identify predictors of burnout and understand its impact on personal and patient care during fellowship. A survey was sent to all abdominal transplant surgery fellows in an American Society of Transplant Surgeons-accredited fellowship. The response rate was 59.2% (n = 77) and 22.7% (n = 17) of fellows met criteria for burnout. Fellows with lower grit scores were more likely to exhibit burnout compared with fellows with higher scores (3.6 vs 4.0,P = .026). Those with burnout were more likely to work >100 hours per week (58.8% vs 27.6%,P = .023), have severe work-related stress (58.8% vs 22.4%,P = .010), consider quitting fellowship (94.1% vs 20.7%,P < .001), or make a medical error (35.3% vs 5.2%,P = .003). This national analysis of abdominal transplant fellows found that burnout rates are relatively low, but few fellows engage in self-care. Personal and program-related factors attribute to burnout and it has unacceptable effects on patient care. Transplant societies and fellowship programs should develop interventions to give fellows tools to prevent and combat burnout.