Workplace resources, mentorship, and burnout in early career physician-scientists: a cross sectional study in Japan
Workplace resources, mentorship, and burnout in early career physician-scientists: a cross sectional study in Japan
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DOI：
10.1186/s12909-020-02072-x
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发表时间：
2020-06-03
影响因子：
3.6
通讯作者：
Nomura, Kyoko
中科院分区：
文献类型：
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作者：
Perumalswami, Chithra R.;Takenoshita, Shinichi;Nomura, Kyoko
背景医师-科学家是医疗保健队伍中至关重要的一部分，但他们可能面临着平衡和整合临床责任、科学研究和家庭责任的重大挑战。本研究探讨了日本成功的早期医师/研究人员的职业倦怠相关因素。方法在2014-2015年度获得日本卫生部青年科学家补助的1790名医师中，490人参加了2016年的横断面调查(可用应答率23.8%)。主要结果是心理倦怠，由哥本哈根倦怠量表(即个人倦怠、与工作有关的倦怠和与患者有关的倦怠)衡量。结果在408名医学科研人员(75%为男性，平均年龄37岁)中，女性的职业倦怠得分略高于男性(41.9分比36.7分，差异5.2，95%的可信区间为95%)。但与工作相关和与患者相关的职业倦怠得分在不同性别之间没有显著差异。超过一半的女性(%)和男性(58%)有导师(p=0.374)。在多变量一般线性回归模型中，女性的个人职业倦怠得分较高(Beta=4.98，p=0.045)，而那些有导师的女性(Beta=-5.82，p=0.010)和工作场所有幸福感咨询服务的女性(Beta=-0.79，p=0.022)的个人职业倦怠得分较低。与工作相关的职业倦怠得分较低的是那些获得更多资助(贝塔=-4.7，p=0.013)、导师(贝塔=-6.12，p=0.002)、幸福咨询服务(贝塔=-0.78，p=0.008)和工作与生活平衡良好的榜样(贝塔=-4.00，p=0.038)的人。年龄在37岁以上(β=6.25，p=0.002)的内科科学家和有董事会证书的人(β=9.01，p=0.017)与患者相关的职业倦怠得分较高，而那些有较多资金(β=-5.01，p=0.006)或导师(β=-5.35，p=0.006)的人的职业倦怠得分较低。
BackgroundPhysician-scientists are a vital segment of the healthcare workforce, but they may face significant challenges balancing and integrating clinical responsibilities, scientific research, and domestic responsibilities. This study investigates factors associated with burnout among highly successful early career physician-researchers in Japan.MethodAmong 1790 physician awardees of Grant-in-Aid for Young Scientists by the Japanese Ministry in 2014-2015, 490 participated in this cross-sectional survey in 2016 (usable response rate 23.8%). The primary outcome was psychological burnout, measured by the Copenhagen Burnout Inventory (i.e., personal burnout, work-related burnout, and patient-related burnout). "Workplace resources" in our study refers to the presence of career education in the workplace, promotion of gender equity, well-being consultation services on "career and work," "research," "harassment," and/or "mental health," as well as the presence of a role model in the workplace who has perceived good work-life balance.ResultsAmong 408 physician-researchers (75% male, mean age 37yrs), personal burnout scores were slightly higher in women than in men (mean score, 41.9 points vs. 36.7 points, difference, 5.2, 95% confidence interval, 0.5-9.9, p=0.029), but work-related and patient-related burnout scores did not differ significantly between genders. Over half of women (64%) and men (58%) had a mentor (p=0.374). In multivariable general linear regression models, personal burnout scores were higher for women (beta =4.98, p=0.045), and lower among those who had a mentor (beta=-5.82, p=0.010) and whose workplaces had well-being consultation services (beta=-0.79, p=0.022). Work-related burnout scores were lower among those with larger amounts of grant funding (beta=-4.70, p=0.013), a mentor (beta=-6.12, p=0.002), well-being consultation services (beta=-0.78, p=0.008) and a role model with a perceived good work-life balance (beta=-4.00, p=0.038). Patient-related burnout scores were higher among physician-scientists aged older than 37years (beta =6.25, p=0.002) and those who had board certification (beta =9.01, p=0.017), while these scores were lower among those had larger amounts of funding (beta=-5.01, p=0.006) or a mentor (beta=-5.35, p=0.006).ConclusionsWorkplace resources and mentorship appear to be associated with lower levels of psychological burnout for both men and women early career physician-scientists.