Nicolette G Payne, Daniel Salevitz, Natalie Dvorak, Amanda North, Gwen M Grimsby
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引用次数: 0
Abstract
Objective: To determine the current prevalence of burnout in pediatric urologists, to identify risk factors associated with higher levels of burnout, and to identify coping strategies among pediatric urologists.
Methods: The Maslach Burnout Inventory (MBI) and an anonymous survey of demographic and practice characteristics were distributed electronically to pediatric urologists through the Society of Pediatric Urology. The MBI is a standardized, validated questionnaire comprised of three subscales: Emotional Exhaustion (EE), Depersonalization (DP), and Personal Accomplishment (PA). As per prior literature, higher scores in EE (>27) and/or DP (>10) were defined as high burnout. Independent variables of demographic and practice characteristics were compared between urologists with high versus low to moderate levels of burnout with t tests and Fisher's exact tests.
Results: The survey response rate was 203/674 (30%). Mean age of respondents was 50 years, 66% were male, and the average number of years in practice was 15.6. The mean MBI scores were 22.6 for EE, 7.4 for DP, and 38.5 for PA. Overall, 43% of pediatric urologists met criteria for high burnout compared to 25.5% in the 2016 AUA census. Univariate analysis revealed three factors significantly associated with high burnout: younger age, female gender, and hours worked per week.
Conclusions: The results of this study suggest an increased prevalence of burnout among pediatric urologists since the 2016 AUA census, particularly in younger and female urologists. Identification of these risk factors is important to mitigate burnout and maintain the already strained urology workforce.
目的：了解儿科泌尿科医生职业倦怠的现状，确定与职业倦怠水平升高相关的危险因素，并确定儿科泌尿科医生的应对策略。方法：通过美国儿科泌尿外科学会（Society of pediatric Urology）将马斯拉克（Maslach）职业倦怠量表（MBI）和一份人口统计学和执业特征匿名调查以电子方式分发给儿科泌尿科医生。MBI是一份标准化的、经过验证的问卷，包括三个子量表：情绪耗竭（EE）、人格解体（DP）和个人成就（PA）。根据先前的文献，情感表达（bbb27）和/或DP（>0）得分较高被定义为高倦怠。用t检验和Fisher精确检验比较高、低、中等职业倦怠水平泌尿科医师的人口学和执业特征的自变量。结果：调查回复率为203/674（30%）。受访者平均年龄50岁，男性占66%，平均执业年数15.6年。EE的平均MBI评分为22.6，DP为7.4，PA为38.5。总体而言，43%的儿科泌尿科医生符合高倦怠标准，而2016年AUA人口普查的这一比例为25.5%。单变量分析显示，年龄小、女性性别和每周工作时间三个因素与高职业倦怠显著相关。结论：本研究结果表明，自2016年AUA人口普查以来，儿科泌尿科医生的职业倦怠患病率有所增加，尤其是年轻和女性泌尿科医生。识别这些危险因素对于减轻疲劳和维持已经紧张的泌尿外科工作人员是很重要的。
期刊介绍：
Urology is a monthly, peer–reviewed journal primarily for urologists, residents, interns, nephrologists, and other specialists interested in urology
The mission of Urology®, the "Gold Journal," is to provide practical, timely, and relevant clinical and basic science information to physicians and researchers practicing the art of urology worldwide. Urology® publishes original articles relating to adult and pediatric clinical urology as well as to clinical and basic science research. Topics in Urology® include pediatrics, surgical oncology, radiology, pathology, erectile dysfunction, infertility, incontinence, transplantation, endourology, andrology, female urology, reconstructive surgery, and medical oncology, as well as relevant basic science issues. Special features include rapid communication of important timely issues, surgeon''s workshops, interesting case reports, surgical techniques, clinical and basic science review articles, guest editorials, letters to the editor, book reviews, and historical articles in urology.
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