OBJECTIVE:We evaluated associations between emotional exhaustion (EE), a measure of burnout, among medical school faculty and: demographic and professional characteristics, workplace stressors, coping skills, resilience, sufficient personal time, and depressive symptoms. Respondents completed surveys in November 2017. METHODS:We conducted bivariate and multivariable logistic regression and recycled predictions models to estimate associations between characteristics and probability of EE. RESULTS:Of 1401 respondents, 42% endorsed EE. Faculty with more clinical effort, more workplace stress, less resilience, less personal time, and more depressive symptoms reported statistically significantly higher probabilities of EE compared with their counterparts. Female sex, mid-career stage, and coping skills were no longer associated with EE, after accounting for stress, resilience, personal time, and depressive symptoms. CONCLUSIONS:Coping skills may not mitigate physician EE when coupled with substantial time and mental health burdens.

译文

目的:我们评估了医学院教职员中的情绪疲惫(EE)(一种职业倦怠指标)与以下各项之间的关联:人口统计学和专业特征,工作场所压力源,应对技巧,弹性,足够的个人时间和抑郁症状。受访者于2017年11月完成了调查。
方法:我们进行了双变量和多变量logistic回归以及再循环的预测模型,以估计EE的特征和概率之间的关联。
结果:在1401名受访者中,有42%的人支持EE。据统计,与同龄人相比,具有更大临床努力,更多工作场所压力,更少的适应力,更少的个人时间以及更多的抑郁症状的教职员工据报具有更高的EE机率。在考虑了压力,适应力,个人时间和抑郁症状后,女性,职业中期和应对技能不再与EE相关。
结论:应对技巧可能无法缓解医生的EE现象,并伴有大量的时间和精神健康负担。

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