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IF 2.6 3区医学 Q1 EDUCATION, SCIENTIFIC DISCIPLINES

Journal of Surgical Education Pub Date : 2025-02-06 DOI:10.1016/j.jsurg.2025.103447

Sophia M. Smith MD, MS , Anna Kobzeva-Herzog MD , Patrick McGillen MD, MS , Myriam Castagne-Charlotin MD , Joshua Davies MD , Sabrina E. Sanchez MD, MPH , Tracey Dechert MD, FACS , Tejal S. Brahmbhatt MD, FACS , Sheina Theodore MD

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引用次数: 0

摘要

目的普通外科住院医师的职业倦怠率很高，其特点是人格解体、情感衰竭和个人成就感降低。虽然对外科住院医师羞愧经历的研究很少，但还没有研究对外科住院医师的内化羞愧状态进行评估。本研究量化了外科住院医师的内化羞耻感及其与职业倦怠的关系。设计这项横断面研究是通过一项匿名调查进行的，调查内容包括人口统计学信息、马斯拉赫倦怠量表（Maslach Burnout Inventory，MBI）和羞耻感体验量表（Experience of Shame Scale，ESS）。在控制年龄、性别、关系和父母状况以及住院医师资历水平的情况下，采用多变量逻辑回归法确定ESS和MBI得分之间的关联。受访者中有 61.48% 为女性（n = 75），年龄中位数为 31 岁（IQR 29-32），分布在不同的研究生年级。结论普外科住院医师的内化羞耻感发生率很高（ESS 中位数为 54.5 分，IQR 为 43-69），羞耻感状态与倦怠几率的增加显著相关。采取干预措施尽量减少内化的羞耻感可能有助于减轻普外科住院医师的高倦怠率。

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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Internalized Shame Experiences and Burnout in General Surgery Residents

OBJECTIVE

General surgery residents have high rates of professional burnout, characterized by depersonalization, emotional exhaustion, and reduced sense of personal accomplishment. While shame experiences in surgical residency have been sparsely studied, there are no studies evaluating internalized shame states in surgical residents. This study quantifies internalized shame in surgical residents and its association with burnout. We hypothesized that higher levels of internalized shame would be associated with higher odds of burnout.

DESIGN

This cross-sectional study was conducted via an anonymous survey consisting of demographic information, the Maslach Burnout Inventory (MBI), and the Experience of Shame Scale (ESS), both validated measures. Multivariable logistic regression was used to determine the association between ESS and MBI scores, controlling for age, sex, relationship and parental status, and resident seniority level.

SETTING

The survey was distributed among United States general surgery residency programs via email through the Association of Program Directors in Surgery.

PARTICIPANTS

Categorical general surgery residents were invited to participate.

RESULTS

122 general surgery residents responded to the survey. Respondents were 61.48% female (n = 75), with a median age of 31 (IQR 29-32) and distributed across postgraduate years. On multivariable logistic regression, increased ESS scores were significantly associated with higher odds of burnout (OR 1.11, 95% CI 1.06-1.16, p < 0.001).

CONCLUSIONS

General surgery residents experience high rates of internalized shame (median ESS score 54.5, IQR 43-69), and shame states are significantly associated with increased odds of experiencing burnout. Interventions to minimize internalized shame experiences may help mitigate the high rates of burnout found in general surgery residents.

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来源期刊

Journal of Surgical Education EDUCATION, SCIENTIFIC DISCIPLINES-SURGERY

CiteScore

5.60

自引率

10.30%

发文量

261

审稿时长

48 days

期刊介绍： The Journal of Surgical Education (JSE) is dedicated to advancing the field of surgical education through original research. The journal publishes research articles in all surgical disciplines on topics relative to the education of surgical students, residents, and fellows, as well as practicing surgeons. Our readers look to JSE for timely, innovative research findings from the international surgical education community. As the official journal of the Association of Program Directors in Surgery (APDS), JSE publishes the proceedings of the annual APDS meeting held during Surgery Education Week.