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의과대학 교수의 소진에 대한 이해

A Review of Burnout in Medical School Professors

김형태|유효현
연세대학교 의과대학 (Yonsei University College of Medicine)|2023.02|의학교육논단 (Korean Medical Education Review)|제25권 제1호|pp. 35-44

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참고문헌

키워드

PreventionProfessional burnoutMedical school faculty

초록

The purpose of this study was to promote an enhanced understanding of burnout among medical school professors by reviewing the literature on burnout in domestic and international medical professors, and to seek measures to prevent burnout. To this end, the general concept of burnout and the physical, cognitive, psychological, social, and behavioral symptoms that result from burnout were explained. In addition, the causes and results of high burnout among medical school professors were summarized in terms of demographic characteristics and the duties of educators, researchers, and physicians, and measures to prevent burnout in medical school professors were divided into individual and organizational levels. In order to prevent burnout among medical school professors, sensitive interest in themselves and self-reflection are required at the personal level. At the organizational level, it is necessary to regularly monitor burnout among medical school professors, improve systems, encourage participation in the policy-making process, and develop customized education programs. At the social level, it is necessary to recognize that burnout of medical school professors is a social problem, for which further research is needed. Therefore, in order for medical school professors not to burn out, there must be appropriate interactions among the individuals, organizations, and society, and the consistent attention should be paid to this issue.

Abstract

The purpose of this study was to promote an enhanced understanding of burnout among medical school professors by reviewing the literature on burnout in domestic and international medical professors, and to seek measures to prevent burnout. To this end, the general concept of burnout and the physical, cognitive, psychological, social, and behavioral symptoms that result from burnout were explained. In addition, the causes and results of high burnout among medical school professors were summarized in terms of demographic characteristics and the duties of educators, researchers, and physicians, and measures to prevent burnout in medical school professors were divided into individual and organizational levels. In order to prevent burnout among medical school professors, sensitive interest in themselves and self-reflection are required at the personal level. At the organizational level, it is necessary to regularly monitor burnout among medical school professors, improve systems, encourage participation in the policy-making process, and develop customized education programs. At the social level, it is necessary to recognize that burnout of medical school professors is a social problem, for which further research is needed. Therefore, in order for medical school professors not to burn out, there must be appropriate interactions among the individuals, organizations, and society, and the consistent attention should be paid to this issue.

참고문헌 (81)

  1. Wilmar B. Schaufeli, "Burnout: 35 years of research and practice", Career Development International, 14(3), pp.204~220 (2009), Emerald[DOI]
  2. Darrell A. Campbell, "Burnout among American surgeons", Surgery, 130(4), pp.696~705 (2001), Elsevier BV[DOI]
  3. Tait D Shanafelt, "The well-being of physicians", The American Journal of Medicine, 114(6), pp.513~519 (2003), Elsevier BV[DOI]
  4. "Medical Schools" (2019)[URL]
  5. Matthew Walton, "Mental health care for medical staff and affiliated healthcare workers during the COVID-19 pandemic", European Heart Journal: Acute Cardiovascular Care, 9(3), pp.241~247 (2020), Oxford University Press (OUP)[DOI]
  6. Paul Crisford, "Factors associated with physical activity promotion by allied and other non-medical health professionals: A systematic review", Patient Education and Counseling, 101(10), pp.1775~1785 (2018), Elsevier BV[DOI]
  7. Fatima Cody Stanford, "Factors that Influence Physicians’ and Medical Students’ Confidence in Counseling Patients About Physical Activity", The Journal of Primary Prevention, 35(3), pp.193~201 (2014), Springer Science and Business Media LLC[DOI]
  8. Louise H. Hall, "Healthcare Staff Wellbeing, Burnout, and Patient Safety: A Systematic Review", PLOS ONE, 11(7), pp.e0159015~ (2016), Public Library of Science (PLoS)[DOI]
  9. 황매향, "국내 소진척도 개발 및 사용 현황과 과제", 교육과학연구, 53(3), pp.209~237 (2022), 교육과학연구소
  10. 박현환, "사회과학 학문분야의 직무스트레스에 대한 연구경향분석: 한국연구재단 우수 및 등재지 게재논문(2017년-2021년)을 대상으로", 지방정부연구, 25(2), pp.275~303 (2021), 한국지방정부학회[DOI]
  11. Seo Ji-Hyun, "Burnout of Faculty Members of Medical Schools in Korea", Journal of Korean Medical Science, 37(9), pp.1~13 (2022), 대한의학회[DOI]
  12. Herbert J. Freudenberger, "Staff Burn‐Out", Journal of Social Issues, 30(1), pp.159~165 (1974), Wiley[DOI]
  13. Christina Maslach, "The measurement of experienced burnout", Journal of Organizational Behavior, 2(2), pp.99~113 (1981), Wiley[DOI]
  14. Christina Maslach, "Job Burnout", Annual Review of Psychology, 52(1), pp.397~422 (2001), Annual Reviews[DOI]
  15. "Burn-out an “occupational phenomenon”: International Classification of Diseases" (2019)[URL]
  16. Maslach C, "Professional burnout: recent developments in theory and research", pp.1~16 (2017), Routledge
  17. Sam Cheol Kim, "Burnout Syndrome Worst at the Beginning of the Year", Journal of Traditional Medicine & Clinical Naturopathy, 07(01), pp.1000e144~ (2018), OMICS Publishing Group[DOI]
  18. Denise Albieri Jodas Salvagioni, "Physical, psychological and occupational consequences of job burnout: A systematic review of prospective studies", PLOS ONE, 12(10), pp.e0185781~ (2017), Public Library of Science (PLoS)[DOI]
  19. Wilmar B. Schaufeli, "Job demands, job resources, and their relationship with burnout and engagement: a multi‐sample study", Journal of Organizational Behavior, 25(3), pp.293~315 (2004), Wiley[DOI]
  20. Jihye Yu, "Professional self-concept and burnout among medical school faculty in South Korea: a cross-sectional study", BMC Medical Education, 19(1), pp.248~ (2019), Springer Science and Business Media LLC[DOI]
  21. Jose Luis Gómez-Urquiza, "Prevalence of Burnout Syndrome in Emergency Nurses: A Meta-Analysis", Critical Care Nurse, 37(5), pp.e1~e9 (2017), AACN Publishing[DOI]
  22. Shailesh Kumar, "Burnout and Doctors: Prevalence, Prevention and Intervention", Healthcare, 4(3), pp.37~ (2016), MDPI AG[DOI]
  23. B.H. Davis, "Faculty burnout in a large department of pediatrics", Journal of Hospital Administration, 4(2), pp.74~77 (2015), Sciedu Press[DOI]
  24. Dandar V, "Burnout among US medical school faculty", Anal Brief, 19(1), pp.1~3 (2019)
  25. Zareena Akram, "Assessment of burnout and associated factors among medical educators", Pakistan Journal of Medical Sciences, 37(3), pp.827~832 (2021), Pakistan Journal of Medical Sciences[DOI]
  26. S.A.M. Abdo, "Burnout among physicians and nursing staff working in the emergency hospital of Tanta university, Egypt", Eastern Mediterranean Health Journal, 21(12), pp.906~915 (2015), World Health Organization Regional Office for the Eastern Mediterranean (WHO[DOI]
  27. Zeinab Arvandi, "Linking medical faculty stress", burnout to willingness to implement medical school curriculum change: a preliminary investigation, 2015, pp.22(1), 86~92[DOI]
  28. Liselotte Dyrbye, "A narrative review on burnout experienced by medical students and residents", Medical Education, 50(1), pp.132~149 (2015), Wiley[DOI]
  29. George R. Bergus, "Job Satisfaction and Workplace Characteristics of Primary and Specialty Care Physicians at a Bimodal Medical School", Academic Medicine, 76(11), pp.1148~1152 (2001), Ovid Technologies (Wolters Kluwer Health)[DOI]
  30. Joeri K. Tijdink, "Publication Pressure and Burn Out among Dutch Medical Professors: A Nationwide Survey", PLoS ONE, 8(9), pp.e73381~ (2013), Public Library of Science (PLoS)[DOI]
  31. Daniele Fanelli, "Do Pressures to Publish Increase Scientists' Bias? An Empirical Support from US States Data", PLoS ONE, 5(4), pp.e10271~ (2010), Public Library of Science (PLoS)[DOI]
  32. Nancy J. Adler, "When Knowledge Wins: Transcending the Sense and Nonsense of Academic Rankings", Academy of Management Learning & Education, 8(1), pp.72~95 (2009), Academy of Management[DOI]
  33. Alan N. Miller, "Publish or perish: academic life as management faculty live it", Career Development International, 16(5), pp.422~445 (2011), Emerald[DOI]
  34. Kristine Olson, "Cross‐sectional survey of workplace stressors associated with physician burnout measured by the Mini‐Z and the Maslach Burnout Inventory", Stress and Health, 35(2), pp.157~175 (2019), Wiley[DOI]
  35. Rikinkumar Patel, "Factors Related to Physician Burnout and Its Consequences: A Review", Behavioral Sciences, 8(11), pp.98~ (2018), MDPI AG[DOI]
  36. Christina Maslach, "Early predictors of job burnout and engagement", Journal of Applied Psychology, 93(3), pp.498~512 (2008), American Psychological Association (APA)[DOI]
  37. Sandhya K. Rao, "The Impact of Administrative Burden on Academic Physicians: Results of a Hospital-Wide Physician Survey", Academic Medicine, 92(2), pp.237~243 (2017), Ovid Technologies (Wolters Kluwer Health)[DOI]
  38. Tait D. Shanafelt, "Impact of Organizational Leadership on Physician Burnout and Satisfaction", Mayo Clinic Proceedings, 90(4), pp.432~440 (2015), Elsevier BV[DOI]
  39. Tait D. Shanafelt, "Burnout and Self-Reported Patient Care in an Internal Medicine Residency Program", Annals of Internal Medicine, 136(5), pp.358~367 (2002), American College of Physicians[DOI]
  40. Colin P. West, "Association of perceived medical errors with resident distress and empathy: a prospective longitudinal study", JAMA, 296(9), pp.1071~1078 (2006), American Medical Association (AMA)[DOI]
  41. Matthew R. Thomas, "How Do Distress and Well-being Relate to Medical Student Empathy? A Multicenter Study", Journal of General Internal Medicine, 22(2), pp.177~183 (2007), Springer Science and Business Media LLC[DOI]
  42. Eric S. Williams, "The relationship of organizational culture, stress, satisfaction, and burnout with physician-reported error and suboptimal patient care", Health Care Management Review, 32(3), pp.203~212 (2007), Ovid Technologies (Wolters Kluwer Health)[DOI]
  43. Anthony Montgomery, "The inevitability of physician burnout: Implications for interventions", Burnout Research, 1(1), pp.50~56 (2014), Elsevier BV[DOI]
  44. Mustafa Armutlukuyu, "Evaluation of Burnout Levels of the Academic Staff and Research Assistants Working at Medical Faculties", Eurasian Journal of Family Medicine, 8(1), pp.10~18 (2019), Eurasian Society of Family Medicine[DOI]
  45. Joeri K Tijdink, "Emotional exhaustion and burnout among medical professors; a nationwide survey", BMC Medical Education, 14(1), pp.183~ (2014), Springer Science and Business Media LLC[DOI]
  46. Kara Zivin, "Relationship Between Faculty Characteristics and Emotional Exhaustion in a Large Academic Medical Center", J Occup Environ Med, 62(8), pp.611~617 (2020), Ovid Technologies (Wolters Kluwer Health)[DOI]
  47. A Chichra, "Job stress and satisfaction in faculty of a teaching hospital in south India: a cross-sectional survey", Journal of Postgraduate Medicine, 65(4), pp.201~206 (2019), Medknow[DOI]
  48. Liselotte N. Dyrbye, "Physician Satisfaction and Burnout at Different Career Stages", Mayo Clinic Proceedings, 88(12), pp.1358~1367 (2013), Elsevier BV[DOI]
  49. C. Peisah, "Secrets to psychological success: Why older doctors might have lower psychological distress and burnout than younger doctors", Aging & Mental Health, 13(2), pp.300~307 (2009), Informa UK Limited[DOI]
  50. Kristie Keeton, "Predictors of Physician Career Satisfaction, Work–Life Balance, and Burnout", Obstetrics & Gynecology, 109(4), pp.949~955 (2007), Ovid Technologies (Wolters Kluwer Health)[DOI]
  51. James R. Lackritz, "Exploring burnout among university faculty: incidence, performance, and demographic issues", Teaching and Teacher Education, 20(7), pp.713~729 (2004), Elsevier BV[DOI]
  52. Rebecca S. Lufler, "The glass ceiling thickens: the impact of COVID-19 on academic medicine faculty in the United States", Medical Education Online, 27(1), pp.2058314~ (2022), Informa UK Limited[DOI]
  53. Anderson WA, "Why do faculty leave academic medicine?", J Gen Intern Med, 18(Suppl 1), pp.99~ (2003)
  54. Seema S. Sonnad, "Issues in the recruitment and success of women in academic surgery", Surgery, 132(2), pp.415~419 (2002), Elsevier BV[DOI]
  55. Lynn Nonnemaker, "Women Physicians in Academic Medicine — New Insights from Cohort Studies", New England Journal of Medicine, 342(6), pp.399~405 (2000), Massachusetts Medical Society[DOI]
  56. Tatyana Deryugina, "COVID-19 Disruptions Disproportionately Affect Female Academics", AEA Papers and Proceedings, 111, pp.164~168 (2021), American Economic Association[DOI]
  57. Ali Madeeh Hashmi, "The challenge of Burnout in Public Medical Teachers in Pakistan: A mixed methods study", Pakistan Journal of Medical Sciences, 37(5), pp.1268~1275 (2021), Pakistan Journal of Medical Sciences[DOI]
  58. Lenore M. Buckley, "Attitudes of clinical faculty about career progress, career success and recognition, and commitment to academic medicine: results of a survey", Archives of Internal Medicine, 160(17), pp.2625~2629 (2000), American Medical Association (AMA)[DOI]
  59. Khalid T, "Faculty perceptions about roles and functions of a department of medical education", J Coll Physicians Surg Pak, 23(1), pp.56~61 (2013)
  60. 강복수, "국내의과대학 의학교유학교실 운영 실태", Korean Journal of Medical Education, 18(1), pp.13~22 (2006), 한국의학교육학회
  61. 박귀화, "의학교육 전문부서 교원의 탈진현상", 의학교육논단, 16(2), pp.92~98 (2014), 연세대학교 의과대학
  62. L. Fortney, "Abbreviated Mindfulness Intervention for Job Satisfaction, Quality of Life, and Compassion in Primary Care Clinicians: A Pilot Study", The Annals of Family Medicine, 11(5), pp.412~420 (2013), Annals of Family Medicine[DOI]
  63. Martin Lamothe, "Outcomes of MBSR or MBSR-based interventions in health care providers: A systematic review with a focus on empathy and emotional competencies", Complementary Therapies in Medicine, 24, pp.19~28 (2016), Elsevier BV[DOI]
  64. Colin P West, "Interventions to prevent and reduce physician burnout: a systematic review and meta-analysis", The Lancet, 388(10057), pp.2272~2281 (2016), Elsevier BV[DOI]
  65. Erin K. Howie, "Associations between physical activity, sleep, and self-reported health with burnout of medical students, faculty and staff in an academic health center", Sport Sciences for Health, 18(4), pp.1311~1319 (2022), Springer Science and Business Media LLC[DOI]
  66. Tara McKinley, "Toward Useful Interventions for Burnout in Academic Medical Faculty: The Case for Unit-Specific Approaches", Journal of Continuing Education in the Health Professions, 42(1), pp.e69~e74 (2021), Ovid Technologies (Wolters Kluwer Health)[DOI]
  67. Linda Pololi, "A Study of the Relational Aspects of the Culture of Academic Medicine", Academic Medicine, 84(1), pp.106~114 (2009), Ovid Technologies (Wolters Kluwer Health)[DOI]
  68. Hitchcock MA, "Professional networks: the influence of colleagues on the academic success of faculty", Academic Medicine, 70(12), pp.1108~1116 (1995), Ovid Technologies (Wolters Kluwer Health)[DOI]
  69. Rowe MM, "Four-year longitudinal study of behavioral changes in coping with stress", Am J Health Behav, 30(6), pp.602~612 (2006)[DOI]
  70. Liselotte N. Dyrbye, "Effect of a professional coaching intervention on the well-being and distress of physicians: a pilot randomized clinical trial", JAMA Internal Medicine, 179(10), pp.1406~1414 (2019), American Medical Association (AMA)[DOI]
  71. Linda H. Pololi, "Helping medical school faculty realize their dreams: an innovative, collaborative mentoring program", Academic Medicine, 77(5), pp.377~384 (2002), Ovid Technologies (Wolters Kluwer Health)[DOI]
  72. Jeffrey A. Morzinski, "A Nationwide Study of the Influence of Faculty Development Programs on Colleague Relationships", Academic Medicine, 77(5), pp.402~406 (2002), Ovid Technologies (Wolters Kluwer Health)[DOI]
  73. Oh YI, "The mediating effect of job burnout on the relationship between job stressors and job turnover in salaried doctors: focusing on a moderated mediation effect of medical professionalism", pp.2022
  74. Catherine F. Pipas, "A Curriculum to Promote a Culture of Wellness Among Medical Students and Faculty", PRiMER, 4, pp.13~ (2020), Society of Teachers of Family Medicine[DOI]
  75. Ellis C. Dillon, "Frontline Perspectives on Physician Burnout and Strategies to Improve Well-Being: Interviews with Physicians and Health System Leaders", Journal of General Internal Medicine, 35(1), pp.261~267 (2019), Springer Science and Business Media LLC[DOI]
  76. Christina Guthier, "Reciprocal effects between job stressors and burnout: A continuous time meta-analysis of longitudinal studies", Psychological Bulletin, 146(12), pp.1146~1173 (2020), American Psychological Association (APA)[DOI]
  77. Forbes DL, "Toward a unified model of human motivation", Rev Gen Psychol, 15(2), pp.85~98 (2011)[DOI]
  78. Stephen Swensen, "Physician-Organization Collaboration Reduces Physician Burnout and Promotes Engagement: The Mayo Clinic Experience", Journal of Healthcare Management, 61(2), pp.105~127 (2016), Ovid Technologies (Wolters Kluwer Health)[DOI]
  79. Laura Halliday, "Grit and burnout in UK doctors: a cross-sectional study across specialties and stages of training", Postgraduate Medical Journal, 93(1101), pp.389~394 (2016), Oxford University Press (OUP)[DOI]
  80. Iris Schrijver, "An exploration of key issues and potential solutions that impact physician wellbeing and professional fulfillment at an academic center", PeerJ, 4, pp.e1783~ (2016), PeerJ[DOI]
  81. Kelly Callahan, "Battling burnout: strategies for promoting physician wellness", Advances in Pediatrics, 65(1), pp.1~17 (2018), Elsevier BV[DOI]

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