Factors associated with career satisfaction and burnout among US neurosurgeons: results of a nationwide survey
Factors associated with career satisfaction and burnout among US neurosurgeons: results of a nationwide survey
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DOI：
10.3171/2014.12.jns141348
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发表时间：
2015-07-01
影响因子：
4.1
通讯作者：
Klimo, Paul, Jr.
中科院分区：
文献类型：
--
作者：
McAbee, Joseph H.;Ragel, Brian T.;Klimo, Paul, Jr.
目的本研究的目的是确定和量化美国神经外科医生的职业倦怠和职业满意度的预测因素。方法于2012年9月至12月邀请美国神经外科医师协会（AANS）所有美国会员（3247人）参加调查。通过单变量分析评估反应。采用多变量logistic回归法确定职业倦怠与职业满意度的独立相关因素。对学术和非学术神经外科医生进行亚组分析。结果调查回复率为24%（783人）。受访者以男性居多，年龄在40-60岁，关系稳定，有子女，在团体或大学实习，接受过亚专业培训。超过80%的受访者表示对自己的职业至少有些满意，70%的受访者表示会再次选择神经外科职业；然而，只有26%的神经外科医生认为他们的职业生涯在未来会有所改善，52%的人认为会恶化。总体倦怠率为56.7%。与职业倦怠和职业满意度独立相关的因素包括在医院外实现工作和生活的平衡（职业倦怠OR为0.45，满意度OR为10.0）和对未来收入和/或医疗改革的焦虑（职业倦怠OR为1.96，满意度OR为0.32）。虽然非学术神经外科医生的倦怠率（62.9%）高于学术神经外科医生（47.7%），但执业20年以上的院士对职业的满意度较低。结论美国神经外科医生的职业倦怠率和职业满意度均较高。职业倦怠对外科医生、患者及其家属生活的负面影响需要进一步研究，可能需要在地方、区域甚至国家层面制定干预方案。
OBJECT The object of this study was to identify and quantify predictors of burnout and career satisfaction among US neurosurgeons.METHODS All US members (3247) of the American Association of Neurological Surgeons (AANS) were invited to participate in a survey between September and December 2012. Responses were evaluated through univariate analysis. Factors independently associated with burnout and career satisfaction were determined using multivariable logistic regression. Subgroup analysis of academic and nonacademic neurosurgeons was performed as well.RESULTS The survey response rate was 24% (783 members). The majority of respondents were male, 40-60 years old, in a stable relationship, with children, working in a group or university practice, and trained in a subspecialty More than 80% of respondents reported being at least somewhat satisfied with their career, and 70% would choose a career in neurosurgery again; however, only 26% of neurosurgeons believed their professional lives would improve in the future, and 52% believed it would worsen. The overall burnout rate was 56.7%. Factors independently associated with both burnout and career satisfaction included achieving a balance between work and life outside the hospital (burnout OR 0.45, satisfaction OR 10.0) and anxiety over future earnings and/or health care reform (burnout OR 1.96, satisfaction OR 0.32). While the burnout rate for nonacademic neurosurgeons (62.9%) was higher than that for academic neurosurgeons (47.7%), academicians who had practiced for over 20 years were less likely to be satisfied with their careers.CONCLUSIONS The rates of burnout and career satisfaction were both high in this survey study of US neurosurgeons. The negative effects of burnout on the lives of surgeons, patients, and their families require further study and probably necessitate the development of interventional programs at local, regional, and even national levels.