Risk and protective factors for burnout among physicians from standardized residency training programs in Shanghai: a cross-sectional study

BMC Health Services Research

Jessica Thai¹  Jennifer Harsh Caspari²  Lei Huang³  Fa-zhan Chen⁴  Yaxi Li⁵  Xiaoting Sun⁵  Xu-dong Zhao⁶ 

[1] College of Medicine, University of Nebraska Medical Center, Omaha, NE, USA;Department of Internal Medicine, University of Nebraska Medical Center, Omaha, NE, USA;Medical Education Division & Department of Psychiatry, Tongji Hospital, Tongji University School of Medicine, Shanghai, China;Tongji University School of Medicine, Shanghai, China;Shanghai Pudong New Area Mental Health Center, Tongji University School of Medicine, Shanghai, China;Tongji University School of Medicine, Shanghai, China;Tongji University School of Medicine, Shanghai, China;Shanghai Pudong New Area Mental Health Center, Tongji University School of Medicine, Shanghai, China;Shanghai East Hospital Affiliated to Tongji University, Shanghai, China;

关键词: Burnout;    Residents;    Standardized residency training program;    Occupational stress;    Social support;    Empathy;    Work situations;    Survey and questionnaires;   

DOI  :  10.1186/s12913-020-05816-z

来源: Springer

【 摘 要 】

BackgroundHigh burnout has been reported in physician populations. Although the standardized residency training (SRT) in China includes components that might put residents at a higher risk for burnout, the burnout of Chinese medical residents is unknown. This study aimed to evaluate the prevalence of burnout and the associated risk and protective factors for medical residents in the SRT program in Shanghai, China.MethodsThis study was a prospective cross-sectional design. A random sampling strategy was used to recruit 330 resident physicians from four SRT sites in Shanghai, and 318 completed questionnaires were returned. Respondents completed a self-made questionnaire including demographic and work characteristics, four burnout and wellness-specific surveys. Bivariate analyses and hierarchical multiple regression models were used to analyze factors associated with three sub-scales of burn out separately.ResultsThe overall burnout rate was 71.4%. Low level rate of personal accomplishment (PA) was extremely high at 69.5%. Night shift experience, high occupational stress, and low social support were significant predictors, which explained 49.1% variance of emotional exhaustion (EE) (F = 26.528, P < 0.01). Factors that significantly predicted depersonalization (DP) included male gender, senior residents, night shift experience, high occupational stress, and low psychological empathy, which explained 51.5% variance totally (F = 29.004, P < 0.01). Senior residents, high income, low occupational stress, and high empathy were also significant predictors of decreased personal achievement (PA), which explained 18.4% variance totally (F = 12.897, P < 0.01).ConclusionsThere was a high burnout rate among SRT residents in Shanghai. Occupational stress and several work-related factors were significant and strong risk factors for burnout, while empathy and social support were mild protective factors. Decreased work-related demands and increased access to resources could assist residents in reducing their work stress and improving their well-being.

【 授权许可】

CC BY