レジデントバーナーアウト

Niku K Thomas¹

¹Division of General Internal Medicine, University of Pennsylvania School of Medicine, Philadelphia, USA. niku@mail.med.upenn.edu

JAMA

|December 16, 2004

まとめ

レジデント医師は,要求の多い仕事と仕事と生活のバランスが悪いため,高い燃え尽きを経験します. 現在のデータは,リスクのある個人を特定するのに不十分であり,さらなる研究が必要である.

科学分野:

医療教育医療教育について
職業衛生は,健康に関するものです.
精神科医は精神病を患っている.

背景:

レジデンスプログラムは,激しい仕事の要求,制限されたコントロール,そしてワーク・ホームの干渉を提示します.
これらの要因は,他の医療従事者と同様に,入院医師をバーンアウトに誘発します.

研究の目的:

レジデント医師のバーンアウトに関する既存の医学文献をレビューする.
関連する個人および仕事の要因,健康およびパフォーマンスの問題,および介入を特定する.

主な方法:

住民のバーンアウトに関する英語研究 (1983-2004) をMEDLINEとPubMedで検索しました.
医療科目使用燃え尽きることと医師の研修に関連する科目.
検索した記事の参照リストを検証した.

主要な成果:

住民のバーンアウトに関する15の異質な記事を特定しました.
住民のバーンアウトレベルは高いようで,うつ病と患者のケアが損なわれていることと関連している可能性がある.
データは因果関係を確立したり,人口統計や人格に基づいてリスクのある住民を特定するのに不十分です.

結論:

住民のバーンアウトに関する現在の研究は,異質性と方法論的な制約によって制限されています.
住民のバーンアウトをよりよく理解し,予防するために,大規模で前向きな研究は不可欠です.
人口統計や人格的な特徴は,リスクの高い居住者を特定するための信頼できる指標ではありません.

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