OBJECTIVE The authors examine the associations of generational affiliation on empathy and burnout in a sample of millennial (born between 1982 and 2000) and Generation X (born between 1965 and 1981) residents and fellows. METHODS At a single large institution during the 2013-2014 academic year, residents and fellows were asked to complete the Jefferson Scale of Physician Empathy and Maslach Burnout Inventory (MBI). Responses were combined with GME database content. Multivariable regression analysis included generation affiliation, race, gender, and post-graduate year (PGY) as covariates. RESULTS The study sample included 388 millennial (mean age = 29.3) and 200 Generation X trainees (mean age = 34.6), with the response rate being 96.5%. Groups were statistically different by gender (p < 0.001) and PGY level (p < 0.001). After adjustment for gender, race, and PGY level, no statistically significant differences were found between millennial and Generation X groups in mean scores of empathy or burnout. Empathy was associated with PGY level (p = 0.0008) and race (p < 0.0001), with decreased empathy in advanced training levels and increased empathy in Hispanic/Latino race. Burnout rate was associated with PGY level (p = 0.001) but not generational affiliation (p = 0.6). The MBI depersonalization subscale was associated with PGY level (p < 0.001) and race (p = 0.0034), with decreased depersonalization in advanced training levels and Hispanic/Latino race. The emotional exhaustion and personal accomplishment MBI subscales did not demonstrate any significant associations in the multivariable regression model. CONCLUSIONS In a compared sample of millennial and Generation X residents and fellows, PGY level and Hispanic/Latino race (though not generation affiliation) were significantly associated with both empathy and MBI depersonalization subscale scores, while only PGY level was significantly associated with burnout rate. This study presents further evidence of de-escalating burnout and declining empathy over the course of medical residency.

中文翻译：

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千禧一代和X代居民和研究员的倦怠和同理心比较：与培训水平和种族相关但与联盟无关的协会。

目的作者在千禧一代（1982年至2000年之间出生）和X世代（1965年至1981年之间出生）的居民和同伴中研究了代际关系与同情和倦怠之间的联系。方法在2013-2014学年期间，在一所大型机构中，要求居民和研究人员完成Jefferson医师共情感量表和Maslach倦怠量表（MBI）。响应与GME数据库内容结合在一起。多变量回归分析包括世代隶属度，种族，性别和研究生年份（PGY）作为协变量。结果该研究样本包括388名千禧一代（平均年龄= 29.3）和200代X培训生（平均年龄= 34.6），回应率为96.5％。各组之间的性别差异（p <0.001）和PGY水平（p <0.001）有统计学差异。在对性别，种族和PGY水平进行调整后，千禧一代和X一代在同情或倦怠的平均评分上没有发现统计学上的显着差异。移情与PGY水平（p = 0.0008）和种族（p <0.0001）相关，高级训练水平中的移情减少，而西班牙裔/拉丁美洲人种族中的移情增加。倦怠率与PGY水平相关（p = 0.001），但与世代关系无关（p = 0.6）。MBI人格解体子量表与PGY水平（p <0.001）和种族（p = 0.0034）相关，在高级培训水平和西班牙裔/拉丁美洲人中，人格解体减少。情绪衰竭和个人成就MBI量表在多变量回归模型中未显示任何显着关联。结论在比较的千禧一代和X代居民和同伴样本中，PGY水平和西班牙裔/拉丁美洲裔种族（尽管没有世代关系）与同理心和MBI人格解体子量表得分均显着相关，而仅PGY水平与倦怠率显着相关。这项研究提供了进一步的证据，证明了在医疗居住过程中职业倦怠的逐步升级和同理心的下降。