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The Problem of Burnout Among Surgeons
JAMA Surgery ( IF 16.9 ) Pub Date : 2018-05-01 , DOI: 10.1001/jamasurg.2018.0047
Marco G. Patti 1 , Francisco Schlottmann 1 , Michael G. Sarr 2
Affiliation  

Today the world of medicine in general, and of surgery in particular, is faced with a problem that is severely affecting both trainees and practicing physicians: burnout. In 1974, the American psychologist Herbert Freudenberger coined the term burnout to describe “the consequences of severe or prolonged stress and anxiety experienced by people working in the healing professions.”1(p160) Several years later, Maslach and Jackson defined burnout as “a syndrome of emotional exhaustion and cynicism that occurs frequently among individuals who do people work of some kind.”2(p99) Burnout is often complicated by disruptive behaviors, such as depression, substance abuse, interpersonal conflicts, and even suicidal ideation. In a survey of 7905 surgeons performed in 2010 and funded by the American College of Surgeons, Shanafelt and colleagues3 found that 6.3% reported some element of suicidal ideation during the prior 12 months; only 26% of these surgeons sought psychiatric care, while the remainder were afraid to seek help, because they thought that it could affect their medical license. Unfortunately, the rate of burnout among surgeons is much greater than among the general population (53% vs 28%), and represents a major increase compared with several years ago, when it was closer to 40%.4 Based on the analysis by Maslach and Jackson,2 the following 3 aspects of burnout have emerged: emotional exhaustion, depersonalization, and a decreased sense of personal accomplishment.



中文翻译:

外科医生的倦怠问题

今天,整个医学界,尤其是外科医学界都面临着一个严重影响学员和执业医师的问题:精疲力尽。1974年,美国心理学家赫伯特·弗洛登伯格(Herbert Freudenberger)创造了“倦怠”一词,用以描述“从事治疗行业的人遭受严重或长期压力和焦虑的后果”。1 (p160)几年后,马斯拉赫和杰克逊将倦怠定义为“情绪疲惫和玩世不恭的综合症,这种现象在从事某种工作的人中经常发生。” 2 (p99)倦怠通常会因破坏性行为而变得复杂,例如抑郁,滥用毒品,人际冲突甚至自杀意念。Shanafelt及其同事[ 3]在2010年由美国外科医生学院(American College of Surgeons)资助的7905名外科医生的调查中发现,有6.3%的人在前12个月内报告有自杀意念。这些医生中只有26%寻求精神病治疗,而其余的医生则害怕寻求帮助,因为他们认为这可能会影响他们的医疗执照。不幸的是,外科医生的倦怠率远高于普通人群(53%比28%),并且与几年前的40%相比有了很大的提高。4根据Maslach和Jackson的分析,2 出现以下3个方面的倦怠:情绪疲惫,人格解体和个人成就感下降。

更新日期:2018-05-16
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