National Evaluation of Mistreatment and Well-being in Cardiothoracic Surgery Trainees.

IF 4.4 1区 医学 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS
Ammara A Watkins, Dena G Shehata, Emma Holler, Edilin Lopez, Jennifer Megan Pan, Thomas K Varghese, Adam A Doty, Cherie P Erkmen, David T Cooke, David D Odell, Kirsten Freeman, Elliot L Servais, Yue-Yung Hu, Karl Y Bilimoria, DuyKhanh P Ceppa
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引用次数: 0

Abstract

Objective: This study analyzes the prevalence of mistreatment among cardiothoracic (CT) surgery trainees and its association with burnout, suicidal ideation, and program attrition.

Methods: A cross-sectional national volunteer survey was conducted immediately following the 2024 Thoracic Surgery Directors Association In-Training Exam. The questionnaire consisted of multiple-choice and Likert-scale questions on trainee experiences with mistreatment (e.g., identity discrimination, verbal/emotional abuse, sexual harassment). Multivariable regression was used to evaluate the association between mistreatment and a composite outcome of "trainee distress" encompassing burnout, suicidal thoughts, or program attrition.

Results: A total of 440 trainees participated from 74 programs (74.3% response rate). Overall, 31% identified as female, 64% male, and 5.0% did not disclose gender. Respondents were 51% White, 23% Asian, 7% Hispanic/Latino, and 5% Black/African American (5.0%). Female trainees reported higher rates of identity discrimination (56% vs. 14%, p < 0.001), verbal/emotional abuse (46% vs. 36%, p = 0.009), sexual harassment (14% vs. 3%, p < 0.001), and burnout (51% vs. 39%, p = 0.006) compared to male trainees. Sources of mistreatment included faculty ,patients and their families, and other healthcare staff . Approximately 50% of trainees reported experiencing the composite measure of trainee distress. Trainees who experienced any form of mistreatment had an increased risk of experiencing the composite distress measure (69.0% vs. 31.0%, Risk Ratio 1.19 [95% CI: 1.11-1.28]).

Conclusion: There is a high prevalence of perceived mistreatment among CT surgery trainees, with female trainees reporting significantly more burnout and perceived discrimination, and abuse, than male trainees. Perceived mistreatment is associated with trainee distress.

全国心胸外科受训者的虐待和幸福感评估。
目的:本研究分析了心胸外科(CT)实习生中虐待的发生率及其与倦怠、自杀意念和项目损耗的关系。方法:在2024年胸外科主任协会培训考试后立即进行全国志愿者横断面调查。问卷由多项选择题和李克特量表组成,内容涉及受训者遭受虐待的经历(如身份歧视、言语/情感虐待、性骚扰)。多变量回归用于评估虐待与“受训者痛苦”(包括倦怠、自杀念头或项目损耗)的复合结果之间的关系。结果:74个项目共440名学员参与,回复率74.3%。总的来说,31%的人是女性,64%的人是男性,5.0%的人没有透露性别。受访者中白人占51%,亚洲人占23%,西班牙裔/拉丁裔占7%,黑人/非洲裔占5%(5.0%)。与男性受训者相比,女性受训者的身份歧视(56%对14%,p < 0.001)、言语/情感虐待(46%对36%,p = 0.009)、性骚扰(14%对3%,p < 0.001)和倦怠(51%对39%,p = 0.006)的比例更高。虐待的来源包括教职员工、患者及其家属和其他医护人员。大约50%的受训者报告称经历了受训者痛苦的综合测量。经历过任何形式虐待的受训人员经历复合痛苦测量的风险增加(69.0%对31.0%,风险比1.19 [95% CI: 1.11-1.28])。结论:CT手术受训者中存在较高的感知虐待发生率,女性受训者报告的倦怠、感知的歧视和虐待明显多于男性受训者。感知虐待与受训者痛苦有关。
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来源期刊
CiteScore
11.20
自引率
10.00%
发文量
1079
审稿时长
68 days
期刊介绍: The Journal of Thoracic and Cardiovascular Surgery presents original, peer-reviewed articles on diseases of the heart, great vessels, lungs and thorax with emphasis on surgical interventions. An official publication of The American Association for Thoracic Surgery and The Western Thoracic Surgical Association, the Journal focuses on techniques and developments in acquired cardiac surgery, congenital cardiac repair, thoracic procedures, heart and lung transplantation, mechanical circulatory support and other procedures.
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