Relationship between COVID-19 care and burnout among postgraduate clinical residents in Japan: a nationwide cross-sectional study

被引:1
|
作者
Nishizaki, Yuji [1 ]
Nagasaki, Kazuya [2 ]
Shikino, Kiyoshi [3 ]
Kurihara, Masaru [4 ]
Shinozaki, Tomohiro [5 ]
Kataoka, Koshi [1 ]
Shimizu, Taro [6 ]
Yamamoto, Yu [7 ]
Fukui, Sho [8 ]
Nishiguchi, Sho [9 ]
Katayama, Kohta [10 ]
Kobayashi, Hiroyuki [2 ]
Tokuda, Yasuharu [11 ,12 ]
机构
[1] Juntendo Univ, Sch Med, Div Med Educ, Tokyo, Japan
[2] Univ Tsukuba, Mito Kyodo Gen Hosp, Dept Internal Med, Tsukuba, Ibaraki, Japan
[3] Chiba Univ Hosp, Dept Gen Med, Chiba, Japan
[4] Nagoya Univ Hosp, Dept Patient Safety, Nagoya, Aichi, Japan
[5] Tokyo Univ Sci, Fac Engn, Dept Informat & Comp Technol, Tokyo, Japan
[6] Dokkyo Med Univ Hosp, Dept Diagnost & Generalist Med, Tochigi, Japan
[7] Jichi Med Univ, Ctr Community Med, Div Gen Med, Tochigi, Japan
[8] Kyorin Univ, Dept Emergency & Gen Med, Tokyo, Japan
[9] Shonan Kamakura Gen Hosp, Dept Gen Internal Med, Kanagawa, Japan
[10] St Marianna Univ, Sch Med, Dept Internal Med, Div Gen Internal Med, Kanagawa, Japan
[11] Muribushi Okinawa Ctr Teaching Hosp, Okinawa, Japan
[12] Tokyo Fdn Policy Res, Tokyo, Japan
来源
BMJ OPEN | 2023年 / 13卷 / 01期
关键词
COVID-19; medical education & training; general medicine (see internal medicine); mental health; IN-TRAINING EXAMINATION; INTERNAL-MEDICINE; DEPRESSION; VALIDATION; PHYSICIANS; VALIDITY;
D O I
10.1136/bmjopen-2022-066348
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
ObjectiveThe relationship between the care of patients with COVID-19 and mental health among resident physicians in Japan is imperative for ensuring appropriate care of patients with COVID-19 and should be clarified. We herein assessed the relationship between the care of patients with COVID-19 and mental health among postgraduate year 1 (PGY-1) and PGY-2 resident physicians and factors associated with mental health.DesignThis nationwide cross-sectional study analysed data obtained using the clinical training environment self-reported questionnaire.SettingAn observational study across Japan among resident physicians (PGY-1 and PGY-2) from 583 teaching hospitals.ParticipantsExaminees who took the general medicine in-training examination of academic year 2020.Primary and secondary outcome measuresThe Patient Health Questionnaire and Mini-Z 2.0 were used to assess mental health, and experience of caring for patients with COVID-19 was divided into three groups (none, 1-10 and >= 11). The prevalence of mental conditions in the three groups was compared using the 'modified' Poisson generalised estimating equations by adjusting for prefecture-level, hospital-level and resident-level variables.ResultsOf the 5976 participants analysed, 50.9% were PGY-1. The prevalence of burnout was 21.4%. Moreover, 47.0% of all resident physicians had no experience in the care of patients with COVID-19. The well-experienced group accounted for only 7.9% of the total participants. A positive association was found between the number of caring patients with COVID-19 and burnout (prevalence ratio 1.25; 95% CI 1.02 to 1.53). Moreover, the shortage of personal protective equipment was identified as a major contributor to burnout (prevalence ratio 1.60; 95% CI 1.36 to 1.88).ConclusionsResident physicians who experienced more care of patients with COVID-19 had slightly greater burnout prevalence than those who did not. Approximately half of resident physicians did not participate in the care of patients with COVID-19, which posed a challenge from an educational perspective.
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页数:12
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