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首页> 外文期刊>The Laryngoscope: A Medical Journal for Clinical and Research Contributions in Otolaryngology, Head and Neck Medicine and Surgery, Facial Plastic and Reconstructive Surgery .. >Monitoring stress levels in postgraduate medical training.
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Monitoring stress levels in postgraduate medical training.

机译：在研究生医学培训中监测压力水平。

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OBJECTIVES: The Accreditation Council for Graduate Medical Education (ACGME) mandates that residency Program Directors (PD) monitor resident well-being, including stress. Burnout, as a measure of work-related stress, is defined by a high degree of emotional exhaustion and depersonalization, and a low degree of personal accomplishment using the Maslach Burnout Inventory-Human Services Survey (MBI-HSS). The purpose of this study is to describe the use of the MBI-HSS as a method of monitoring stress levels in an academic otolaryngology residency training program and introduce this survey as a tool for wider use in meeting ACGME requirements. METHODS: The MBI-HSS was administered to residents in an academic otolaryngology residency training program on three separate occasions: at the beginning, middle, and end of different academic years. In addition, at the time of the third administration, the MBI-HSS was completed by faculty and staff in the same department. Surveys were completed and collected anonymously. Responses were scored against normative data from the MBI-HSS overall sample and the medicine subscale. Low, average, and high levels of burnout were identified for the individual categories of emotional exhaustion (EE), depersonalization (DP), and personal accomplishment (PA); average levels for each category were calculated. RESULTS: Twenty-two residents completed the first survey, taken near the end of an academic year; 19 completed the second administration in the middle of the following academic year; and 24 completed the third survey at the beginning of the subsequent academic year. Thirteen faculty and 23 staff also completed the third survey. We found that three, one, and one residents reported high levels of burnout on the first, second, and third surveys, respectively. These figures compare to one faculty member and no staff members in the same department reporting high levels of burnout. CONCLUSIONS: The MBI-HSS is an established and validated tool for identifying burnout in resident physicians. Residency PDs may find the MBI-HSS useful as an aid in monitoring resident well-being and stress. In our own department, we found levels of burnout comparable to those previously reported for residents and faculty in this specialty.
机译：目标：研究生医学教育认证委员会（ACGME）要求居住计划主任（PD）监督居民的幸福感，包括压力。倦怠是衡量工作压力的一种方式，它的定义是，高度疲惫和人格解体，而使用Maslach倦怠量表-人类服务调查（MBI-HSS）则个人成就感低下。这项研究的目的是描述MBI-HSS在耳鼻喉科学住院医师培训计划中作为监测压力水平的方法的用途，并将本次调查作为更广泛地用于满足ACGME要求的工具进行介绍。方法：MBI-HSS在三种不同的情况下在耳鼻喉科学住院医师培训计划中向居民进行管理：在不同学年的开始，中期和结束时。此外，在第三次管理时，MBI-HSS由同一部门的教职员工完成。调查已完成并匿名收集。根据MBI-HSS总体样本和药物分量表中的标准数据对反应评分。对于情绪疲惫（EE），人格解体（DP）和个人成就感（PA）的各个类别，可以确定出低，平均和高水平的倦怠;计算每个类别的平均水平。结果：22名居民完成了第一学期的调查，该调查是在学年末完成的。 19日在下个学年中完成了第二次管理; 24位在下一个学年开始时完成了第三次调查。 13位教职员工和23名员工也完成了第三次调查。我们发现，分别在第一次，第二次和第三次调查中，三，一和一个居民报告的倦怠程度很高。这些数字与一位教职员工相比，同一部门没有工作人员报告倦怠程度高。结论：MBI-HSS是一种建立和验证的工具，可用于识别住院医师的职业倦怠。居住区PD可能会发现MBI-HSS有助于监测居民的福祉和压力。在我们自己的部门中，我们发现职业倦怠的水平与以前为该专业的居民和教职员工所报告的水平相当。

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