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Burnout Rates Among General Orthopedic Surgeons and Subspecialists: A Pilot Study
Orthopedics ( IF 1.1 ) Pub Date : 2022-09-13 , DOI: 10.3928/01477447-20220907-06
Robert E. Nugent , Tara E. Gaston , Michael P. Markowitz , Quincy T. Cheesman , Kristen A. Herbst , Tyler M. Radack , Selene G. Parekh , Joseph N. Daniel

Burnout among physicians is a syndrome of emotional exhaustion, de-personalization, and reduced sense of personal accomplishment that can negatively affect personal relationships, physician well-being, and patient outcomes. Although burnout rates of up to 50% to 60% among orthopedic surgeons have been reported, no studies have evaluated burnout among orthopedic generalists and subspecialists. The primary goal of this study was to examine the prevalence of burnout among orthopedic disciplines. We conducted a multicenter study from March 2019 through December 2019 involving 149 orthopedists. An abbreviated Maslach Burnout Inventory-Human Services Survey was used to measure burnout. Demographic information, personal characteristics, professional characteristics, family life and spousal support, and depression were also assessed. The mean rate of burnout among all respondents was 62%, whereas 16.77% screened positive for depression. Subspecialties with the highest rates of burnout were oncology (100%), sports medicine (68%), and trauma (63%). Similarly, trauma (50.00%), oncology (40.00%), and general orthopedics (20.00%) had the highest positive depression screening rates. In contrast, shoulder and elbow (50%), pediatric (52%), and foot and ankle (54%) specialists had the lowest rates of burnout, whereas shoulder and elbow (0.00%), spine (0.00%), and sports medicine (6.50%) specialists had the lowest rates of positive depression screening. Older age, higher debt load, and oncology subspecialty were associated with increased burnout risk. This study sought to determine burnout rates within each orthopedic discipline, with a secondary aim of disclosing contributing factors. Trauma and oncology had the highest rates of burnout and positive depression screening. Because this study represents a small orthopedic cohort, larger studies are needed to appropriately manage burnout in the future. [Orthopedics. 20XX;XX(X):xx–xx.]



中文翻译:

普通骨科医生和专科医师的职业倦怠率:一项试点研究

医生职业倦怠是一种情绪耗竭、人格解体和个人成就感降低的综合症,会对人际关系、医生幸福感和患者预后产生负面影响。尽管据报道整形外科医生的职业倦怠率高达 50% 至 60%,但尚无研究评估骨科全科医生和亚专科医生的职业倦怠。本研究的主要目标是检查骨科学科中职业倦怠的发生率。我们从 2019 年 3 月到 2019 年 12 月进行了一项涉及 149 名骨科医生的多中心研究。使用简化的 Maslach 职业倦怠清单-人类服务调查来衡量职业倦怠。还评估了人口统计信息、个人特征、职业特征、家庭生活和配偶支持以及抑郁症。所有受访者的平均倦怠率为 62%,而 16.77% 的抑郁症筛查呈阳性。职业倦怠率最高的亚专业是肿瘤学 (100%)、运动医学 (68%) 和创伤学 (63%)。同样,创伤 (50.00%)、肿瘤 (40.00%) 和普通骨科 (20.00%) 的抑郁症筛查阳性率最高。相比之下,肩肘 (50%)、儿科 (52%) 和足踝 (54%) 专家的倦怠率最低,而肩肘 (0.00%)、脊柱 (0.00%) 和运动医学专家 (6.50%) 的抑郁症筛查阳性率最低。年龄较大、债务负担较高和肿瘤亚专业与职业倦怠风险增加有关。本研究旨在确定每个骨科学科的职业倦怠率,其次要目的是揭示影响因素。创伤和肿瘤学的倦怠和阳性抑郁症筛查率最高。因为这项研究代表了一个小的骨科队列,所以需要更大规模的研究来适当地管理未来的倦怠。[骨科。20XX;XX(X):xx–xx.]

更新日期:2022-09-13
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