全国范围内 rkiye普外科住院医师满意度研究：挑战与现实

IF 2.1 3区医学 Q1 EDUCATION, SCIENTIFIC DISCIPLINES

Journal of Surgical Education Pub Date : 2025-07-11 DOI:10.1016/j.jsurg.2025.103601

Özgün Cevdet Köse , Yiğit Türk , Sevgi Özan Köse , Özgür Kılınçarslan , Ozan Verendağ , Murat Özdemir , Özen Önen Sertöz , Gökhan İçöz

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引用次数: 0

摘要

目的本研究旨在评估普外科住院医师对其专业选择的满意度，包括对围堵事件的暴露、大流行过程的影响、倦怠、焦虑和抑郁水平。方法本研究采用描述性横断面在线调查。通过联系93家提供 rkiye普外科培训的诊所，获得参与者的同意后，以数字格式创建了一份73项调查问卷。接受培训并同意参与调查的普通外科住院医师被纳入研究。调查问卷的内容包括评估参与者的人口特征、专业意见、2019冠状病毒病大流行期间的经历以及对工作场所人群的接触情况。此外，采用医院焦虑抑郁量表（HADS）和Maslach倦怠量表（MBI）这两种经过验证的心理测量工具来评估焦虑、抑郁和倦怠水平。结果共有552名参与者参加了这项研究。在过去的3个月里，44.7%的人报告有医疗失误，61.4%的人在住院期间至少考虑过一次辞职。性别歧视在女性参与者中更为普遍（p <； 0.001），并且与更高的辞职考虑相关（p = 0.045）。焦虑（53.3%）和抑郁（82.4%）得分升高是常见的。高水平的情绪耗竭（72.5%）和人格解体（74.6%）也被观察到，而8.3%的人有低的个人成就感。在报告医疗事故、考虑辞职或经历过性别歧视的人群中，倦怠、焦虑和抑郁得分明显更高（p <； 0.05）。结论在基耶县普外科住院医师中，考虑辞职、医疗差错或经历过性别歧视的住院医师有较高的焦虑、抑郁和倦怠水平。此外，每周睡眠时间少于40小时、每周工作时间超过80小时、经历过语言或情感虐待、无法与家人和亲人共度足够时间、在手术室待不到一个小时的住院医生的焦虑和抑郁程度更高。

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A Nationwide Study in Türkiye on General Surgery Residents’ Satisfaction: Challenges and Realities

Objective

This study aims to evaluate the satisfaction of general surgery residents with their specialty choice in terms of exposure to mobbing, the effects of the pandemic process, burnout, anxiety, and depression levels.

Method

The study was designed as a descriptive cross-sectional online survey. A 73-item questionnaire, created in a digital format, was shared after obtaining the participants' consent by contacting 93 clinics providing general surgery training in Türkiye. General surgery residents undergoing training and agreeing to participate in the survey were included in the study. The questionnaire included items assessing participants’ demographic characteristics, professional opinions, experiences during the COVID-19 pandemic, and exposure to workplace mobbing. In addition, the Hospital Anxiety and Depression Scale (HADS) and the Maslach Burnout Inventory (MBI), 2 validated psychometric instruments, were used to assess levels of anxiety, depression, and burnout.

Results

A total of 552 participants took part in the study. In the past 3 months, 44.7% reported making a medical error, and 61.4% had considered resigning at least once during residency. Gender discrimination was significantly more prevalent among female participants (p < 0.001) and was associated with higher resignation consideration (p = 0.045). Elevated anxiety (53.3%) and depression (82.4%) scores were common. High levels of emotional exhaustion (72.5%) and depersonalization (74.6%) were also observed, while 8.3% had low personal accomplishment. Burnout, anxiety, and depression scores were significantly higher among those who reported medical errors, considered resignation, or experienced gender discrimination (p < 0.05).

Conclusion

Among general surgery residents in Türkiye, those who considered resignation, made medical errors, or experienced gender discrimination were found to have higher levels of anxiety, depression, and burnout. Additionally, anxiety and depression were higher in residents who slept less than 40 hours per week, worked more than 80 hours per week, experienced verbal or emotional abuse, were unable to spend sufficient time with their family and loved ones, and spent less than an hour in the operating room.

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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.