Association of Surgical Resident Wellness With Medical Errors and Patient Outcomes

Hewitt, D. Brock; Ellis, Ryan J.; Chung, Jeanette W.; Cheung, Elaine O.; Moskowitz, Judith T.; Huang, Reiping; Merkow, Ryan P.; Yang, Anthony D.; Hu, Yue; Cohen, Mark E.; Ko, Clifford Y.; Hoyt, David B.; Bilimoria, Karl Y.

doi:10.1097/sla.0000000000003909

Cited by 38 publications

(41 citation statements)

References 37 publications

(99 reference statements)

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“…Another important discovery in this analysis was regarding the well-being and burnout of residents of surgical programs during the pandemic. The depletion rate was higher than the traditional rates reported in the literature [ 16 , 22 , 23 ]. A national survey of general surgery residents in the United States reported a burnout rate of 33.1% [ 16 ].…”

Section: Discussioncontrasting

confidence: 61%

Analysis of the impact of the pandemic on surgical residency programs during the first wave in Argentina: A cross – sectional study

Huatuco¹,

Liaño²,

Moreno³

et al. 2021

Annals of Medicine and Surgery

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Section: Discussioncontrasting

confidence: 61%

Analysis of the impact of the pandemic on surgical residency programs during the first wave in Argentina: A cross – sectional study

Huatuco¹,

Liaño²,

Moreno³

et al. 2021

Annals of Medicine and Surgery

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“…The burn out rate was higher than the traditional rates reported in literature. 8 , 9 , 10 Hewitt et al in a national survey of general surgery residents reported a burnout rate of 22%.9. In our study 65.1% of respondents reported having 5 or more days off per month during the pandemic, compared to 4 days per month before.…”

Section: Discussionmentioning

confidence: 99%

“…We found that the PGY 1 class experienced more burnout than the other classes. 9 , 10 At this time, the immediate concerns pertaining to COVID-19 are on the forefront of research and planning. However, as time goes on, it can be anticipated that people will experience anxiety and depression.…”

Section: Discussionmentioning

confidence: 99%

Effect of COVID-19 on Surgical Training Across the United States: A National Survey of General Surgery Residents

Aziz

James

Remulla

et al. 2021

Journal of Surgical Education

190

208

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Introduction COVID-19 emerged as a global pandemic in 2020 and has affected millions of lives. Surgical training has also been significantly affected by this pandemic, but the exact effect remains unknown. We sought to perform a national survey of general surgery residents in the United States to assess the effect of COVID-19 on surgical resident training, education, and burnout. Methods An anonymous online survey was created and distributed to general surgery residents across the United States. The survey aimed to assess changes to surgical residents’ clinical schedules, operative volume, and educational curricula as a result of the COVID-19 pandemic. Additionally, we sought to assess the impact of COVID-19 on resident burnout. Results One thousand one hundred and two general surgery residents completed the survey. Residents reported a significant decline in the number of cases performed during the pandemic. Educational curricula were largely shifted toward online didactics. The majority of residents reported spending more time on educational didactics than before the pandemic. The majority of residents feared contracting COVID-19 or transmitting it to their family during the pandemic. Conclusions COVID-19 has had significant impact on surgical training and education. One positive consequence of the pandemic is increased educational didactics. Online didactics should continue to be a part of surgical education in the post-COVID-19 era. Steps need to be taken to ensure that graduating surgical residents are adequately prepared for fellowship and independent practice despite the significantly decreased case volumes during this pandemic. Surgery training programs should focus on providing nontechnical clinical training and professional development during this time.

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“…In OTS residents in France [ 27 ] and in US abdominal transplant surgery fellows, higher burnout was associated with a greater risk of having made a medical error in the past 3 months [ 48 ]. In a study of US general surgery residents, it was found that overall burnout and each of the emotional exhaustion and depersonalisation facets were significantly associated with a higher self-reported risk of having made a medical error that resulted in harm, and making a near-miss that did not result in harm [ 71 ].…”

Section: Consequences Of Burnoutmentioning

confidence: 99%

Burnout in Surgical Trainees: a Narrative Review of Trends, Contributors, Consequences and Possible Interventions

et al. 2021

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Surgical disciplines are popular and training places are competitive to obtain, but trainees report higher levels of burnout than either their non-surgical peers or attending or consultant surgeons. In this review, we critically summarise evidence on trends and changes in burnout over the past decade, contributors to surgical trainee burnout, the personal and professional consequences of burnout and consider the evidence for interventions. There is no evidence for a linear increase in burnout levels in surgeons over the past decade but the impact of the COVID-19 pandemic has yet to be established and is likely to be significant. Working long hours and experiencing stressful interpersonal interactions at work are associated with higher burnout in trainees but feeling more supported by training programmes and receiving workplace supervision are associated with reduced burnout. Burnout is associated with poorer overall mental and physical well-being in surgical trainees and has also been linked with the delivery of less safe patient care in this group. Useful interventions could include mentorship and improving work conditions, but there is a need for more and higher quality studies.

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Association of Surgical Resident Wellness With Medical Errors and Patient Outcomes

Abstract: Supplemental Digital Content is available in the text

Cited by 38 publications

References 37 publications

Analysis of the impact of the pandemic on surgical residency programs during the first wave in Argentina: A cross – sectional study

Analysis of the impact of the pandemic on surgical residency programs during the first wave in Argentina: A cross – sectional study

Effect of COVID-19 on Surgical Training Across the United States: A National Survey of General Surgery Residents

Burnout in Surgical Trainees: a Narrative Review of Trends, Contributors, Consequences and Possible Interventions

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