Burnout Among United States Orthopaedic Surgery Residents

Somerson, Jeremy S.; Patton, Andrew; Ahmed, Awad A.; Ramey, Stephen J.; Holliday, Emma B.

doi:10.1016/j.jsurg.2020.02.019

Cited by 41 publications

(64 citation statements)

References 32 publications

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“…This is encouraging as several studies to date paint a negative picture of job satisfaction and burnout among surgical residents. 7 , 9 - 11 , 21 , 31 - 36 The domain that residents are least satisfied with is “feedback given to residents,” with respondents commenting on the need for more frequent, formal, and mandatory feedback sessions. Previous studies have shown that enhancing the frequency and quality of resident feedback enhances both teacher and learner satisfaction.…”

Section: Discussionmentioning

confidence: 99%

Job Satisfaction Among Plastic Surgery Residents in Canada

et al. 2021

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Objective: Resident wellness is a focus of medical training and is prioritized in both Canadian and American accreditation processes. Job satisfaction is an important component of wellness that is not examined in the literature. The purpose of this study was to analyze job satisfaction in a national sample of plastic surgery residents, and identify factors that influence satisfaction. Methods: We designed a cross-sectional survey adapted from existing instruments, with attention to thorough item generation and reduction as well as pilot and clinical sensibility testing. All plastic surgery residents at Canadian institutions were surveyed regarding overall job satisfaction as well as personal- and program-specific factors that may affect satisfaction. Predictors of satisfaction were identified using multivariable regression models. Results: The response rate was 40%. Median overall job satisfaction was 4.0 on a 5-point Likert scale. Operative experience was considered both the most important element of a training program, and the area in most need of improvement. Senior training year ( P < .01), shorter commute time ( P = .04), fewer duty hours ( P = .02), fewer residents ( P < .01), and more fellows ( P < .01) were associated with significantly greater job satisfaction. Conclusions: This is the first study to gather cross-sectional data on job satisfaction from a national sample of plastic surgery residents. The results from this study can inform programs in making tangible changes tailored to their trainees’ needs. Moreover, our findings may be used to inform a prospectively studied targeted intervention to increase job satisfaction and resident wellness to address North American accreditation standards.

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Section: Discussionmentioning

confidence: 99%

Job Satisfaction Among Plastic Surgery Residents in Canada

et al. 2021

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“…With risk factors to physician burnout being well documented and studies illustrating that greater than 50% of residents either in orthopaedics or another specialty meet the criteria for burnout, the onset of a worldwide call to treat a novel pathogen tipped an already delicate balance into a spiral. [5][6][7]17 Studies such as the one undertaken by Kannampallil et al 37 have demonstrated the deleterious effects that exposure to patients with COVID-19 can have on physician trainees' rates of depression, anxiety, stress, burnout, and professional fulfillment. Further exacerbating the situation, the postponement of elective surgical procedures and in-person conferences, as well as the inability to socialize at work and outside the hospital, during the COVID-19 pandemic changed the landscape of what residency programs had access to regarding wellness initiatives.…”

Section: Wellness During Covid-19mentioning

confidence: 99%

“…2,4 About orthopaedic surgery in particular, the rate of burnout among residents has been cited anywhere between 38% and 56%. 5-7…”

mentioning

confidence: 99%

“…2,4 About orthopaedic surgery in particular, the rate of burnout among residents has been cited anywhere between 38% and 56%. [5][6][7] This high potential for emotional exhaustion and lack of fulfillment has contributed to diminished clinical and academic performance. For example, a recent study showed that performance on the Orthopaedic In-Training Examination was worse among residents exhibiting burnout symptoms, even when controlling for test-taking ability.…”

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confidence: 99%

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Promoting Wellness in Orthopaedic Surgery Residency

Federico

Higgins²,

Nolte³

et al. 2022

JAAOS Glob Res Rev

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“…Family medicine residents across 12 programs completed burnout assessments each year of the program and found 52% scored in the moderate risk group, 25% scored as high risk, and only 23% scored as low risk. 8 Thirty-eight percent of survey respondents in orthopedic surgery residency programs reported symptoms of burnout, 9 and a cohort study of psychiatry residents reported 78% of its residents met criteria for burnout. 10 Despite this clear evidence of the prevalence of burnout, a lack of understanding on how to reduce it persists.…”

Section: Introductionmentioning

confidence: 99%

Skills-Based Programs Used to Reduce Physician Burnout in Graduate Medical Education: A Systematic Review

Vasquez

Bylund

2021

Journal of Graduate Medical Education

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Background Physician burnout is pervasive within graduate medical education (GME), yet programs designed to reduce it have not been systematically evaluated. Effective approaches to burnout, aimed at addressing the impact of prolonged stress, may differ from those needed to improve wellness. Objective We systematically reviewed the literature of existing educational programs aimed to reduce burnout in GME. Methods Following the PRISMA guidelines, we identified peer-reviewed publications on GME burnout reduction programs through October 2019. Titles and abstracts were reviewed for relevance, and full-text studies were acquired for analysis. Article quality was assessed using the Medical Education Research Study Quality Instrument (MERSQI). Results A total of 3534 articles met the search criteria, and 24 studies were included in the final analysis. Article quality varied, with MERSQI assessment scores varying between 8.5 and 14. Evaluation was based on participant scores on burnout reduction scales. Eleven produced significant results pertaining to burnout, 10 of which yielded a decrease in burnout. Curricula to reduce burnout among GME trainees varies. Content taught most frequently included stress management (n = 8), burnout reduction (n = 7), resilience (n = 7), and general wellness (n = 7). The most frequent pedagogical methods were discussion groups (n = 14), didactic sessions (n = 13), and small groups (n = 11). Most programs occurred during residents' protected education time. Conclusions There is not a consistent pattern of successful or unsuccessful programs. Further randomized controlled trials within GME are necessary to draw conclusions on which components most effectively reduce burnout.

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Burnout Among United States Orthopaedic Surgery Residents

Cited by 41 publications

References 32 publications

Job Satisfaction Among Plastic Surgery Residents in Canada

Job Satisfaction Among Plastic Surgery Residents in Canada

Promoting Wellness in Orthopaedic Surgery Residency

Skills-Based Programs Used to Reduce Physician Burnout in Graduate Medical Education: A Systematic Review

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