在住院医师培训之前,新住院医师的情绪状态是否会有所不同?

IF 1.6 Q2 EDUCATION, SCIENTIFIC DISCIPLINES
Jeanne L Jacoby, Amy B Smith, Robert D Barraco, Marna Rayl Greenberg, Elaine A Donoghue, Bryan G Kane, Jennifer E Macfarlan, Lauren M Crowley, Kevin R Weaver, Joann Farrell Quinn
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引用次数: 2

摘要

目的:了解新住院医师共情、情绪智力和倦怠得分是否因专科而异。方法:这是一项单点、前瞻性、横断面研究。三个有效的调查工具,杰弗逊医生共情量表,马斯拉克倦怠量表,以及情绪和社会能力量表,被写入一个调查平台,作为一个单一的125个问题的质量调查。在2015-2017年的三个学年里,所有专业的229名新住院医生在迎新期间通过电子邮件发送了调查链接。住院医生按照即将到来的专业进行分组,并保证匿名。共纳入229份回复,其中121份(52.8%)为女性。采用方差分析或Kruskal-Wallis检验、卡方检验或Fisher精确检验、独立样本t检验或Mann Whitney U检验进行统计分析。两两比较采用Bonferroni校正。结果:家庭医学医师共情杰弗逊量表得分中位数(127)高于急诊医学(115),差异有统计学意义(U=767.7, p=0.0330)。Maslach倦怠量表去人格化和个人成就子类别得分在综合测试中显示出不同专业间的显著差异,但在急诊科住院医师间两两比较无显著差异。Maslach倦怠量表中人格解体类别(χ2(8, N=229) =15.93, p=0.0434)和个人成就感水平(χ2(8, N=229) =20.80, p=0.0077)在各专业间存在差异。结论:即使在住院医师培训开始之前,不同专业的幸福感指标也存在差异。对住院医师培训教育者的启示是,一些新来的住院医师,无论专业如何,已经表现出倦怠的麻烦特征,应该开发和利用有效处理这些住院医师的资源。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Do incoming residents vary in measures of emotional status even prior to residency training?

Objectives: To determine whether Empathy, Emotional Intelligence, and Burnout scores differ by specialty in incoming residents.

Methods: This is a single-site, prospective, cross-sectional study. Three validated survey instruments, the Jefferson Scale of Physician Empathy, Maslach Burnout Inventory, and Emotional and Social Competency Inventory, were written into a survey platform as a single 125-question Qualtrics survey. Over three academic years, 2015-2017, 229 incoming residents across all specialties were emailed the survey link during orientation. Residents were grouped by incoming specialty with anonymity assured. A total of 229 responses were included, with 121 (52.8%) identifying as female. Statistical analysis was performed using the Analysis of Variance or Kruskal-Wallis test, Chi-Square or Fisher's Exact test, and Independent Samples t-test or Mann Whitney U test. A Bonferroni correction was applied for pairwise comparisons.

Results: Family Medicine had a higher median Jefferson Scale of Physician Empathy score (127) compared to Emergency Medicine (115), (U=767.7, p=0.0330). Maslach Burnout Inventory depersonalization and personal accomplishment subcategory scores showed a significant difference between specialties when omnibus tests were performed, but pairwise comparisons with emergency medicine residents showed no differences. Differences were found in the Maslach Burnout Inventory categories of Depersonalization (χ2(8, N=229) =15.93, p=0.0434) and Personal Accomplishment level (χ2(8, N=229) =20.80, p=0.0077) between specialties.

Conclusions: Differences in measures of well-being exist across specialties, even prior to the start of residency training. The implication for educators of residency training is that some incoming residents, regardless of specialty, already exhibit troublesome features of burnout, and resources to effectively deal with these residents should be developed and utilized.

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来源期刊
International Journal of Medical Education
International Journal of Medical Education EDUCATION, SCIENTIFIC DISCIPLINES-
CiteScore
3.90
自引率
3.20%
发文量
38
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