Burnout and Career Satisfaction Among American Surgeons
Burnout and Career Satisfaction Among American Surgeons
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DOI：
10.1097/sla.0b013e3181ac4dfd
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发表时间：
2009-09-01
影响因子：
9
通讯作者：
Freischlag, Julie A.
中科院分区：
文献类型：
--
作者：
Shanafelt, Tait D.;Balch, Charles M.;Freischlag, Julie A.
目的：确定美国外科医生职业倦怠的发生率，并评估与外科医生burnout.Background相关的个人和职业特征：职业倦怠是一种情绪衰竭和人格解体综合征，导致工作效率下降。有限的信息存在的具体人口统计和实践特征与burnout among American surgeons.Methods之间的关系：美国外科医生学院（ACS）的成员被发送到2008年6月的匿名，横断面调查。该调查评估了人口统计学变量，实践特征，职业满意度，倦怠和生活质量（QOL）。倦怠和QOL使用有效的instruments.Results测量：抽样的约24,922名外科医生，7905（32%）返回调查。应答者已在实践中18年，每周工作60小时，并呼吁2晚/周（中位数值）。总的来说，40%的外科医生被烧坏了，30%的抑郁症状筛查阳性，28%的心理QOL评分低于人群标准的1/2标准差。与倦怠相关的独立因素包括年龄较小，有孩子，专业领域，每周随叫随到的夜晚数量，每周工作小时数，以及完全根据账单确定薪酬。只有36%的外科医生认为他们的工作安排为个人/家庭生活留下了足够的时间，只有51%的人会建议他们的孩子从事医生/外科医生的职业。结论：倦怠在美国外科医生中很常见，是外科医生对职业和专业选择满意度的最大预测因素。需要更多的研究来确定个人，组织和社会干预措施，以保护和促进美国外科医生的心理健康。
Objective: To determine the incidence of burnout among American surgeons and evaluate personal and professional characteristics associated with surgeon burnout.Background: Burnout is a syndrome of emotional exhaustion and depersonalization that leads to decreased effectiveness at work. A limited amount of information exists about the relationship between specific demographic and practice characteristics with burnout among American surgeons.Methods: Members of the American College of Surgeons (ACS) were sent an anonymous, cross-sectional survey in June 2008. The survey evaluated demographic variables, practice characteristics, career satisfaction, burnout, and quality of life (QOL). Burnout and QOL were measured using validated instruments.Results: Of the approximately 24,922 surgeons sampled, 7905 (32%) returned surveys. Responders had been in practice 18 years, worked 60 hours per week, and were on call 2 nights/wk (median values). Overall, 40% of responding surgeons were burned out, 30% screened positive for symptoms of depression, and 28% had a mental QOL score >1/2 standard deviation below the population norm. Factors independently associated with burnout included younger age, having children, area of specialization, number of nights on call per week, hours worked per week, and having compensation determined entirely based on billing. Only 36% of surgeons felt their work schedule left enough time for personal/family life and only 51% would recommend their children pursue a career as a physician/surgeon.Conclusion: Burnout is common among American surgeons and is the single greatest predictor of surgeons' satisfaction with career and specialty choice. Additional research is needed to identify individual, organizational, and societal interventions that preserve and promote the mental health of American surgeons.