Objective

Describe the demographics of pediatric and internal medicine/pediatric residents participating in global health (GH) experiences and examine relationships between GH involvement and self-perceived burnout, resilience, mindfulness, empathy, and spirituality.

Methods

The Pediatric Resident Burnout and Resilience Study Consortium developed a national longitudinal study through collaboration with the Association of Pediatric Program Directors’ Longitudinal Educational Assessment Research Network. Electronic surveys were administered to pediatric trainees annually (2016–2018). GH and well-being data were extracted. Descriptive statistics were calculated.

Results

Of 9653 eligible pediatric and medicine/pediatric residents from 55 institutions, 6150 responded to the survey in 1 or more years, with average completion rate of 63.7% over a 3-year period. Controlling for repeat survey-takers, 12.7% (536/4213) of residents reported involvement in a GH-specific pathway, curricula, or track. GH participants were significantly more likely to be unmarried (P < .001), childless (P = .003), and medicine/pediatric trainees (P < .001). Controlling for repeated measures and demographic factors, GH participants demonstrated higher levels of empathic concern (P < .001) and higher spirituality scores in 2 of 3 domains (P < .01/<.05). GH involvement was not associated with lower reports of burnout or improved resilience/mindfulness.

Conclusion

Although GH involvement is associated with increased levels of empathy and spirituality, it was not protective against burnout in this study. This highlights the need to study and promote the well-being of all residents, and perhaps especially those experiencing the challenges of working in low-resource settings. Future efforts should determine the impact of predeparture training, programmatic support, and post-trip debriefing on resident well-being.

中文翻译：

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全球卫生经验，幸福感和倦怠：国家纵向研究的结果。

目的

描述参与全球卫生（GH）经历的儿科和内科/儿科住院医师的人口统计资料，并检查GH参与与自我感觉到的倦怠，韧性，正念，同情和灵性之间的关系。

方法

儿科住院医师的倦怠和适应力研究联盟通过与儿科项目主任协会纵向教育评估研究网络的合作，开展了一项全国纵向研究。每年（2016-2018年）对儿科受训者进行电子调查。提取了GH和幸福感数据。计算描述统计量。

结果

在来自55个机构的9653名合格的儿科和医学/儿科住院医师中，有6150名在1年或一年以上的时间内回复了调查，三年内的平均完成率为63.7％。控制重复调查的人群中，有12.7％（536/4213）的居民表示参与了GH特有的途径，课程或跟踪。GH参与者未婚（P <.001），无子女（P  = .003）和医学/儿科实习生（P <.001）的可能性更高。通过控制重复测量和人口统计学因素，GH参与者在3个领域中的2个领域表现出较高的共情关注水平（P <.001）和较高的灵性得分（P<.01 / <。05）。GH的参与与较低的倦怠报告或弹性/正念度提高无关。

结论

尽管GH的参与与同理心和灵性水平的提高有关，但在这项研究中它并不能防止倦怠。这凸显了研究和促进所有居民（尤其是那些在资源匮乏地区工作面临挑战的居民）的福祉的需要。未来的努力应确定出发前培训，计划支持和旅行后汇报对居民福祉的影响。