Background:

Burnout among postgraduate medical trainees is common. It is a syndrome characterised by emotional exhaustion, depersonalisation and reduced personal accomplishment. Burnout is seen as an organisational problem rather than the result of an individual’s ability to cope with the stress at work. The educational environment can play a pivotal role in the prevention of burnout among postgraduate medical trainees. This narrative literature review is aimed at assessing the effect of the educational environment on burnout in postgraduate doctors-in-training.

Methods:

A search of the databases Medline and PscyInfo for articles published between 2015 and 2020 was performed with the key words ‘burnout’ and ‘educational environment’ or ‘clinical learning environment’ or ‘postgraduate medical education’ or ‘learning environment’.

Results:

A total of 27 studies were identified and reviewed by the author. The prevalence of burnout reported varied widely between studies, ranging from 10% to 62%. Many of the factors that contribute to burnout form part of the educational environment, for example, hours worked, mistreatment, harassment and perceptions of injustice. Residency itself is a stressful period wherein trainees have to balance their responsibilities towards their patients with their responsibilities at home, all while furthering their studies and taking on new responsibilities. Interventions to prevent burnout and tackle existing burnout are multiple but very little solid evidence exists to attest to their efficacy. More research is needed to identify the most effective ways to deal with burnout in postgraduate medical trainees.

中文翻译：

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教育环境对医学研究生倦怠率的影响——叙事文献综述

 背景：

研究生医学实习生的倦怠现象很常见。这是一种以情绪疲惫、人格解体和个人成就感下降为特征的综合症。倦怠被视为组织问题，而不是个人应对工作压力能力的结果。教育环境在预防医学研究生的职业倦怠方面可以发挥关键作用。本叙述性文献综述旨在评估教育环境对研究生实习医生职业倦怠的影响。

 方法：

使用关键词“倦怠”、“教育环境”或“临床学习环境”或“研究生医学教育”或“学习环境”在 Medline 和 PscyInfo 数据库中检索了 2015 年至 2020 年发表的文章。

 结果：

作者总共确定并审查了 27 项研究。不同研究报告的倦怠发生率差异很大，从 10% 到 62% 不等。许多导致倦怠的因素都是教育环境的一部分，例如工作时间、虐待、骚扰和不公正的看法。住院医师实习本身就是一个充满压力的时期，学员必须平衡对患者的责任和家庭责任，同时继续学习并承担新的责任。预防倦怠和解决现有倦怠的干预措施有多种，但很少有确凿的证据证明其有效性。需要更多的研究来确定应对研究生医学实习生倦怠的最有效方法。