Among Musculoskeletal Surgeons, Job Dissatisfaction Is Associated With Burnout

Palthe, Olivier D. R. van Wulfften; Neuhaus, Valentin; Janssen, Stein J.; Guitton, Thierry G.; Ring, David

doi:10.1007/s11999-016-4848-6

Cited by 26 publications

(24 citation statements)

References 34 publications

(45 reference statements)

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“…In addition, respondents who endorsed feeling supported outside of residency, who believed their opinion was valued within the department, and who self-identified as mentors to junior trainees and students all scored significantly higher in empathy than those who did not. This finding corroborates previous work showing the benefits of establishing social support systems and the importance of promoting engagement in and deriving meaning from work 29 , 34 , 35 .…”

Section: Discussionsupporting

confidence: 91%

Empathy Among Orthopaedic Surgery Trainees

et al. 2021

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Background: It has been postulated that the process of—and stresses associated with—medical training may cause a loss of empathy among trainees. Because empathy is considered an important value for clinicians and may even be associated with better patient outcomes, we assessed the empathy of orthopaedic surgery trainees and identified factors associated with empathy. Methods: Between June and September 2020, an anonymous survey was distributed electronically to trainees in 23 Accreditation Council for Graduate Medical Education-accredited orthopaedic surgery residency programs via the Collaborative Orthopaedic Educational Research Group. The survey comprised the validated Short-Form 8-Item Empathy Quotient (EQ-8) questionnaire—scored on a scale of 0, least empathetic, to 16, most empathetic—and single-item measure of emotional exhaustion and depersonalization derived from the Maslach Burnout Index—scored using a frequency scale. In total, 438 of 605 (72%) trainees completed the survey. The scores were compared via one-way analysis of variance, with Bonferroni correction and Tukey post-hoc testing, α = 0.05. Results: The mean (±SD) EQ-8 score among respondents was 11.3 ± 3.3. Women scored significantly higher (mean, 12.2 ± 2.8) than men (mean, 11.2 ± 3.3) (p = 0.02). Mean scores were significantly higher for trainees planning on a career in academic medicine (12.0 ± 2.9) than those intending to pursue private practice (10.9 ± 3.3) or those with a military commitment (10.4 ± 3.4) (p = 0.01). An inverse relationship was found between EQ-8 scores and single-item Maslach Burnout Index measures in depersonalization and emotional exhaustion (both, p < 0.01). No significant differences were found in EQ-8 scores across postgraduate year, program location, primary training setting, intended fellowship, relationship status, or whether they reported having children. Conclusions: We found no association between postgraduate year and EQ-8 score. Women and those intending to pursue a career in academic medicine had significantly higher levels of empathy. A significant inverse relationship was found between burnout and empathy. Respondents with higher levels of emotional exhaustion and depersonalization had lower levels of empathy.

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Section: Discussionsupporting

confidence: 91%

Empathy Among Orthopaedic Surgery Trainees

et al. 2021

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“…In the past years, job satisfaction and burnout rates among physicians have gained attention in recent literature. [18][19][20] Prior research showed that 80% of US neurosurgeons reported to be at least somewhat satisfied with their career and 52% believed their professional lives would worsen in the future. According to their survey, 56.7% of these surgeons had a burnout.…”

Section: Discussionmentioning

confidence: 99%

Safety Culture and Attitudes Among Spine Professionals: Results of an International Survey

Gadjradj

Harhangi

2019

Global Spine Journal

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Study Design: International survey. Objective: A positive safety culture has been linked to better surgical outcomes, less hospital costs and less patient harm and severity-adjusted mortality, making safety attitudes relevant for society and both patient and health care provider. The aim of the current study is to assess attitudes toward safety culture among spinal care professionals. Methods: An online survey was distributed to members of AOSpine International in 2016. The survey consisted out of 3 parts: (1) demographics, (2) the Safety Attitude Questionnaire (SAQ), and (3) expectations of responsibility for improving the safety culture. The SAQ measured job satisfaction, teamwork, and safety climate, perceptions of management, stress recognition, and working conditions. Multivariate logistic regression was performed to identify factors associated with safety attitudes. Results: A total of 356 respondents replied. The SAQ showed that respondents in Africa have a significant lower score (odds ratio [OR] 0.19, P < .05) on working conditions, compared with spine professionals in Asia. Respondents in North America had the highest odds of having a higher score (OR 4.04, P < .05) compared with respondents in Asia. Gender, continent, occupation, tenure, and the number of employees in the clinic were not associated with the dimensions of safety culture ( P > .05). The majority expected the surgeon to be mainly responsible for improving the safety culture in the operating room and at management level. Conclusions: There was a lot of variety among different respondents worldwide albeit respondents in Africa scored significantly lower on working conditions, compared with spine professionals in Asia and North America, suggesting that wealthier countries have better working conditions which may lead toward better safety attitudes. Closer collaboration between hospital management and clinicians seems to be a target for improvement in safety culture. Furthermore, to show clinical relevance in this field, studies correlating safety attitudes with outcomes after spine surgery are warranted.

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“…Workload and stress levels are higher than in other medical specialties [3, 7]. The high stress levels can contribute to burnout [9], which has been shown to be associated with lower satisfaction with various aspects of the work situation in a variety of studies [4, 10–12]. Surgeons do indeed report lower job satisfaction than other physicians [13].…”

Section: Introductionmentioning

confidence: 99%

The workday of hospital surgeons: what they do, what makes them satisfied, and the role of core tasks and administrative tasks; a diary study

et al. 2019

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Background Many surgeons report passion for their work, but not all tasks are likely to be satisfying. Little is known about how hospital surgeons spend their days, how they like specific tasks, and the role of core tasks (i.e. surgery-related tasks) versus tasks that may keep them from core tasks (e.g., administrative work). This study aimed at a more detailed picture of hospital surgeons’ daily work - how much time they spend with different tasks, how they like them, and associations with satisfaction. Methods Hospital surgeons ( N = 105) responded to a general survey, and 81 of these provided up to five daily questionnaires concerning daily activities and their attractiveness, as well as their job satisfaction. The data were analyzed using t-tests, analysis of variance, as well as analysis of covariance and repeated measures analysis of variance for comparing means across tasks. Results Among 14 tasks, surgery-related tasks took 21.2%, patient-related tasks 21.7% of the surgeons’ time; 10.4% entailed meetings and communicating about patients, and 18.6% documentation and administration. The remaining time was spent with teaching, research, leadership and management, and not task-related activities (e.g. walking between rooms). Surgery was rated as most (4.25; SD = .66), administration as least attractive (2.63; SD = .78). A higher percentage of administration predicted lower perceived legitimacy; perceived legitimacy of administrative work predicted job satisfaction ( r = .47). Residents were least satisfied; there were few gender differences. Conclusions Surgeons seem to thrive on their core tasks, most notably surgery. By contrast, administrative duties are likely perceived as keeping them from their core medical tasks. Increasing the percentage of medical tasks proper, notably surgery, and reducing administrative duties may contribute to hospital surgeons’ job satisfaction. Electronic supplementary material The online version of this article (10.1186/s12893-019-0570-0) contains supplementary material, which is available to authorized users.

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Among Musculoskeletal Surgeons, Job Dissatisfaction Is Associated With Burnout

Cited by 26 publications

References 34 publications

Empathy Among Orthopaedic Surgery Trainees

Empathy Among Orthopaedic Surgery Trainees

Safety Culture and Attitudes Among Spine Professionals: Results of an International Survey

The workday of hospital surgeons: what they do, what makes them satisfied, and the role of core tasks and administrative tasks; a diary study

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