BACKGROUND Physician burnout and emotional distress are associated with work dissatisfaction and provision of suboptimal patient care. Little is known about burnout among nephrology fellows. METHODS Validated items on burnout, depressive symptoms, and well being were included in the American Society of Nephrology annual survey emailed to US nephrology fellows in May to June 2018. Burnout was defined as an affirmative response to two single-item questions of experiencing emotional exhaustion or depersonalization. RESULTS Responses from 347 of 808 eligible first- and second-year adult nephrology fellows were examined (response rate=42.9%). Most fellows were aged 30-34 years (56.8%), male (62.0%), married or partnered (72.6%), international medical graduates (62.5%), and pursuing a clinical nephrology fellowship (87.0%). Emotional exhaustion and depersonalization were reported by 28.0% and 14.4% of the fellows, respectively, with an overall burnout prevalence of 30.0%. Most fellows indicated having strong program leadership (75.2%), positive work-life balance (69.2%), presence of social support (89.3%), and career satisfaction (73.2%); 44.7% reported a disruptive work environment and 35.4% reported depressive symptoms. Multivariable logistic regression revealed a statistically significant association between female gender (odds ratio [OR], 1.90; 95% confidence interval [95% CI], 1.09 to 3.32), poor work-life balance (OR, 3.97; 95% CI, 2.22 to 7.07), or a disruptive work environment (OR, 2.63; 95% CI, 1.48 to 4.66) and burnout. CONCLUSIONS About one third of US nephrology fellows surveyed reported experiencing burnout and depressive symptoms. Further exploration of burnout-especially that reported by female physicians, as well as burnout associated with poor work-life balance or a disruptive work environment-is warranted to develop targeted efforts that may enhance the educational experience and emotional well being of nephrology fellows.

中文翻译：

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肾脏科专家的倦怠和情绪健康：全国在线调查。

背景技术医师的倦怠和情绪困扰与工作不满和提供次优的患者护理有关。肾病专家对倦怠了解甚少。方法在2018年5月至2018年6月间通过电子邮件发送给美国肾脏病学同仁的美国肾脏病学会年度调查中，包括了关于倦怠，抑郁症状和健康的经过验证的项目。倦怠被定义为对经历情绪衰竭的两个单项问题的肯定回答或去个性化。结果检查了808名合格的第一和第二年成人肾脏病学研究人员中的347名的应答（应答率= 42.9％）。大多数研究人员年龄在30-34岁之间（56.8％），男性（62.0％），已婚或伴侣（72.6％），国际医学毕业生（62.5％），并追求临床肾脏病学研究金（87.0％）。分别有28.0％和14.4％的人表示情绪疲惫和人格解体，总体倦怠患病率为30.0％。大多数研究员表示，他们具有较强的计划领导力（75.2％），积极的工作与生活平衡（69.2％），存在社会支持（89.3％）和职业满意度（73.2％）；44.7％的人报告说，他们的工作环境具有破坏性，而35.4％的人表示有抑郁症状。多变量logistic回归显示，女性与性别之间存在统计学上的显着相关性（优势比[OR]为1.90； 95％置信区间[95％CI]为1.09至3.32），工作与生活平衡差（OR为3.97； 95％CI为2.22）至7.07）或破坏性的工作环境（OR为2.63； 95％CI为1.48至4.66）和倦怠。结论接受调查的美国肾脏病学研究人员中约有三分之一报告称出现了倦怠和抑郁症状。