Reports of Burnout Among Historically Marginalized and Female Graduating Medical Students During the COVID-19 Pandemic.

IF 5.3 2区教育学 Q1 EDUCATION, SCIENTIFIC DISCIPLINES

Academic Medicine Pub Date : 2024-12-01 Epub Date: 2024-09-04 DOI:10.1097/ACM.0000000000005854

Liselotte N Dyrbye, Danielle E Brushaber, Colin P West

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引用次数: 0

Abstract

Purpose: To examine graduating medical student reports of burnout by sex, race and ethnicity, and sexual orientation and explore trends within intersectional demographic groups from 2019-2021 in a national sample.

Method: The authors obtained medical student responses to the 2019-2021 Association of American Medical Colleges (AAMC) Graduation Questionnaires (GQs) linked to data from other AAMC sources. The dataset included year of GQ completion, responses to a modified Oldenburg Burnout Inventory (exhaustion subscale range: 0-24; disengagement subscale range: 0-15), and demographics previously shown to relate to the risk of burnout in medical students, residents, or physicians. Multivariable linear regression analysis was performed to evaluate independent associations between demographics and burnout.

Results: Overall response rate was 80.7%. After controlling for other factors, mean exhaustion scores were higher among Asian (parameter estimate [PE] 0.38, 95% confidence interval [CI] 0.21, 0.54), bisexual (PE 0.97, 95% CI 0.76, 1.17), and gay or lesbian (PE 0.55, 95% CI 0.35, 0.75) students than those who did not identify with each of those respective groups. Mean disengagement scores were lower among female (PE -0.47, 95% CI -0.52, -0.42), Hispanic (PE -0.11, 95% CI -0.22, -0.01), and White (PE -0.10, 95% CI -0.19, 0.00) students and higher among Asian (PE 0.17, 95% CI 0.07, 0.27), Black or African American (PE 0.31, 95% CI 0.18, 0.44), bisexual (PE 0.54, 95% CI 0.41, 0.66), and gay or lesbian (PE 0.23, 95% CI 0.11, 0.35) students than those who did not identify with each of those respective groups. From 2019-2021, mean exhaustion and disengagement scores were relatively stable or improved across nearly all intersectional groups.

Conclusions: Male, Asian, Black or African American, and sexual minority students had a higher risk of burnout, while female, Hispanic, White, and heterosexual or straight students had a lower risk of burnout.

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在 COVID-19 大流行期间，历史上被边缘化的医科女毕业生的职业倦怠报告。

目的：研究即将毕业的医学生按性别、种族和民族以及性取向分列的职业倦怠报告，并探讨2019-2021年全国样本中交叉人口群体的趋势：作者获得了医学生对 2019-2021 年美国医学院校协会（AAMC）毕业问卷（GQs）的回复，并与 AAMC 其他来源的数据相链接。数据集包括完成 GQ 的年份、对修改后的奥登堡职业倦怠量表（疲惫分量表范围：0-24；脱离分量表范围：0-15）的回答，以及以前曾被证明与医学生、住院医师或医生职业倦怠风险有关的人口统计学特征。研究人员进行了多变量线性回归分析，以评估人口统计学特征与职业倦怠之间的独立关联：总回复率为 80.7%。在控制了其他因素后，亚裔（参数估计值[PE] 0.38，95% 置信区间[CI] 0.21，0.54）、双性恋（参数估计值[PE] 0.97，95% 置信区间[CI] 0.76，1.17）和男同性恋或女同性恋（参数估计值[PE] 0.55，95% 置信区间[CI] 0.35，0.75）学生的平均倦怠得分高于不认同这些群体的学生。女性（PE -0.47，95% CI -0.52，-0.42）、西班牙裔（PE -0.11，95% CI -0.22，-0.01）和白人（PE -0.10，95% CI -0.19，0.00）学生的平均脱离程度得分较低，而亚裔（PE 0.17，95% CI 0.07，0.27）、黑人或非裔美国人（PE 0.31，95% CI 0.18，0.44）、双性恋（PE 0.54，95% CI 0.41，0.66）和男同性恋或女同性恋（PE 0.23，95% CI 0.11，0.35）学生的平均疲惫程度高于不认同上述各群体的学生。从 2019 年到 2021 年，几乎所有交叉群体的疲惫感和脱离感平均得分都相对稳定或有所提高：男性、亚裔、黑人或非裔美国人以及性少数群体学生的职业倦怠风险较高，而女性、西班牙裔、白人以及异性恋或异性恋学生的职业倦怠风险较低。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Academic Medicine 医学-卫生保健

CiteScore

7.80

自引率

9.50%

发文量

982

审稿时长

3-6 weeks

期刊介绍： Academic Medicine, the official peer-reviewed journal of the Association of American Medical Colleges, acts as an international forum for exchanging ideas, information, and strategies to address the significant challenges in academic medicine. The journal covers areas such as research, education, clinical care, community collaboration, and leadership, with a commitment to serving the public interest.