Since Canada eased pandemic restrictions, emergency departments have experienced record levels of patient attendance, wait times, bed blocking, and crowding. The aim of this study was to report Canadian emergency physician burnout rates compared with the same physicians in 2020 and to describe how emergency medicine work has affected emergency physician well-being. This longitudinal study on Canadian emergency physician wellness enrolled participants in April 2020. In September 2022, participants were invited to a follow-up survey consisting of the Maslach Burnout Inventory and an optional free-text explanation of their experience. The primary outcomes were emotional exhaustion and depersonalization levels, which were compared with the Maslach Burnout Inventory survey conducted at the end of 2020. A thematic analysis identified common stressors, challenges, emotions, and responses among participants. The response rate to the 2022 survey was 381 (62%) of 615 between September 28 and October 28, 2022, representing all provinces or territories in Canada (except Yukon). The median participant age was 42 years. In total, 49% were men, and 93% were staff physicians with a median of 12 years of work experience. 59% of respondents reported high emotional exhaustion, and 64% reported high depersonalization. Burnout levels in 2022 were significantly higher compared with 2020. Prevalent themes included a broken health care system, a lack of societal support, and systemic workplace challenges leading to physician distress and loss of physicians from the emergency workforce. We found very high burnout levels in emergency physician respondents that have increased since 2020.

中文翻译：

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加拿大急诊医生职业倦怠的纵向调查

自加拿大放松大流行限制以来，急诊科的就诊人数、等待时间、床位堵塞和拥挤程度均创历史新高。本研究的目的是报告加拿大急诊医生与 2020 年相同医生的倦怠率，并描述急诊医学工作如何影响急诊医生的健康。这项关于加拿大急诊医生健康的纵向研究于 2020 年 4 月招募了参与者。2022 年 9 月，参与​​者受邀参加一项后续调查，其中包括 Maslach 职业倦怠清单和对其经历的可选自由文本解释。主要结果是情绪疲惫和人格解体水平，并与 2020 年底进行的 Maslach 倦怠量表调查进行比较。主题分析确定了参与者中常见的压力源、挑战、情绪和反应。2022 年 9 月 28 日至 10 月 28 日期间，2022 年调查的回复率为 615 份中的 381 份（62%），代表加拿大所有省份或地区（育空地区除外）。参与者的中位年龄为 42 岁。总体而言，49% 是男性，93% 是平均工作经验为 12 年的专职医生。59% 的受访者表示高度情绪疲惫，64% 的受访者表示高度人格解体。与 2020 年相比，2022 年的倦怠程度明显更高。普遍的主题包括医疗保健系统破碎、缺乏社会支持以及导致医生痛苦和急救人员流失的系统性工作场所挑战。我们发现，自 2020 年以来，急诊医生受访者的倦怠程度有所增加。