ABSTRACT
Objective:To investigate the current status of job burnout among trainees in the standardized residency training of pediatrics (short for "pediatric residents") in the hope of identifying the problems involved, and proposing corresponding countermeasures and suggestions based on these current situations and problems.Methods:This study conducted a questionnaire survey among the pediatric residents who received the standardized residency training in The Children's Hospital, Zhejiang University School of Medicine. The questionnaire consisted of two parts: general information survey and Maslach job burnout survey. The generated data were analyzed using IBM SPSS 26.0. Chi-square test was used to determine the equilibrium of the groupings for the basic situation of the data. If the normal distribution of the data in two groups was satisfactory, the t-test was used for inter-group comparison; otherwise, the Kruskal-Wallis H test was employed. For more than two groups, if the data met the normal distribution and the variance was homogeneous, one-way analysis of variance was used for inter-group comparison; otherwise, the Kruskal-Wallis H test was used. Multiple linear regression analysis was used for multivariate analysis. Results:A total of 138 pediatric residents participated in this survey. The detection rate of job burnout was 65.2% (90/138), of which 45 (32.6%), 29 (21.0%) and 16 (11.6%) were mild, moderate and severe, respectively. In univariate analysis, there was a statistically significant difference in job burnout among pediatric residents in different grades ( H=7.22, P=0.027), and the low achievement score (27.90±8.48) of the first-year pediatric residents was higher than that of the second-year pediatric residents (23.54±6.79), and the difference was statistically significant ( t=-2.25, P=0.025). Multiple linear regression analysis regression model showed no statistically significant difference. Conclusion:The level of job burnout among pediatric residents is high, and relevant departments should pay attention to the problem of job burnout of the pediatric residents, and take various measures to prevent the occurrence of job burnout.
ABSTRACT
The importance of physician professionalism has been recognized by the medical profession .Resident training is a critical period for the formation of physician professionalism .In the standardized training phase of resident physicians can not only focus on medical knowledge and clinical skills , professionalism training and assessment is equally important .Europe and the United States developed countries to core competence-oriented resident standardized training trainees assessment system is very stressed the assess-ment of professionalism , and in China's assessment is still in its embryonic stage .According to the inadequacy of position evaluation sys-tem in standardized residency training , this paper developed an evaluation system on the basis of the P-MEX evaluation method after extensive literature reviews on the exprience and practice of other countries .Combined with the actual conditions in our country , this e-valuation system consists of five items of primary index including 'doctor-patient communication skills','management and teamwork a-bility','lifelong learning and research ability','professional attitude'and'practical ability in medical law and ethics'and forty items of secondary index as the main content of the evaluation system .
ABSTRACT
The importance of physician professionalism has been recognized by the medical profession .Resident training is a critical period for the formation of physician professionalism .In the standardized training phase of resident physicians can not only focus on medical knowledge and clinical skills , professionalism training and assessment is equally important .Europe and the United States developed countries to core competence-oriented resident standardized training trainees assessment system is very stressed the assess-ment of professionalism , and in China's assessment is still in its embryonic stage .According to the inadequacy of position evaluation sys-tem in standardized residency training , this paper developed an evaluation system on the basis of the P-MEX evaluation method after extensive literature reviews on the exprience and practice of other countries .Combined with the actual conditions in our country , this e-valuation system consists of five items of primary index including 'doctor-patient communication skills','management and teamwork a-bility','lifelong learning and research ability','professional attitude'and'practical ability in medical law and ethics'and forty items of secondary index as the main content of the evaluation system .