Burnout and Stress Among US Surgery Residents: Psychological Distress and Resilience

Lebares, Carter C.; Guvva, Ekaterina V.; Ascher, Nancy L.; O’Sullivan, Patricia; Harris, Hobart W.; Epel, Elissa S.

doi:10.1016/j.jamcollsurg.2017.10.010

Cited by 282 publications

(253 citation statements)

References 84 publications

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“…Individual factors such as gender or postgraduate year associated with non-urological-surgeon burnout in other studies were not predictive of burnout in our present analysis [21][22][23][24]. A prior study of burnout in practicing urologists similarly revealed no association between gender and burnout [9].…”

Section: Discussioncontrasting

confidence: 69%

Resident burnout in USA and European urology residents: an international concern

et al. 2019

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Objective To describe the prevalence and predictors of burnout in USA and European urology residents, as although the rate of burnout in urologists is high and associated with severe negative sequelae, the extent and predictors of burnout in urology trainees remains poorly understood. Subjects and methods An anonymous 32‐question survey of urology trainees across the USA and four European countries, analysing personal, programme, and institutional factors, was conducted. Burnout was assessed using the validated abridged Maslach Burnout Inventory. Univariate analysis and multivariable logistic regression models assessed drivers of burnout in the two cohorts. Results Overall, 40% of participants met the criteria for burnout as follows: Portugal (68%), Italy (49%), USA (38%), Belgium (36%), and France (26%). Response rates were: USA, 20.9%; Italy, 45.2%; Portugal, 30.5%; France, 12.5%; and Belgium, 9.4%. Burnout was not associated with gender or level of training. In both cohorts, work–life balance (WLB) dissatisfaction was associated with increased burnout (odds ratio [OR] 4.5, P < 0.001), whilst non‐medical reading (OR 0.6, P = 0.001) and structured mentorship (OR 0.4, P = 0.002) were associated with decreased burnout risk. Lack of access to mental health services was associated with burnout in the USA only (OR 3.5, P = 0.006), whilst more weekends on‐call was associated with burnout in Europe only (OR 8.3, P = 0.033). In both cohorts, burned out residents were more likely to not choose a career in urology again (USA 54% vs 19%, P < 0.001; Europe 43% vs 25%, P = 0.047). Conclusion In this study of USA and European urology residents, we found high rates of burnout on both continents. Despite regional differences in the predictors of burnout, awareness of the unique institutional drivers may help inform directions of future interventions.

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Section: Discussioncontrasting

confidence: 69%

Resident burnout in USA and European urology residents: an international concern

et al. 2019

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“…For transplant surgery, this is especially important given the heavily skewed male/female ratio. 7 Burnout and distress remain significant issues for surgeons in general, 14,15 and transplant surgeons in particular. 16 Recent studies indicate rates of self-reported emotional exhaustion are between 38%-40% among transplant surgeons, 17,18 and 77% of thoracic transplant fellows rated thoracic transplant as a less than favorable profession.…”

Section: Discussionmentioning

confidence: 99%

The effect of an organ procurement experience on preclinical medical student perceptions of transplant surgery

Feinstein

Marcus

Amara

et al. 2019

Clinical Transplantation

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Transplant surgery is a predominantly male specialty with high burnout rates. There are currently limited data regarding how programs can attract a diverse applicant pool to the field of transplant surgery. This study evaluated the effect of an Organ Procurement Experience elective on preclinical medical students' perceptions of transplant surgery in a prospective, longitudinal study. Preclinical medical students were anonymously surveyed before and after attending a deceased donor organ procurement. Questions focused on the following themes: Personal Beliefs, Personal/Professional Life, Diversity, and Gender Equality. Responses were rated on a five‐point Likert scale. Ninety‐nine and 45 students completed pre/post‐procurement survey, respectively. Post‐procurement responses demonstrated increased education about the field (2.1/5 vs 3.89/5, P < 0.001) and perceptions of the personalities and collegiality between surgeons (3.06/5 vs 3.73/5, P = 0.005). Post‐procurement, women were less likely to feel that female transplant surgeons are treated differently (3.98/5 vs. 3.45/5, P < 0.017). Post‐procurement, 19% agreed that transplant surgeons have a high quality of life. One percent of respondents felt the current gender distribution in transplant surgery is satisfactory. The Organ Procurement Experience significantly improved preclinical students’ perceptions of the field. However, there remains a strong concern about quality of life and gender diversity within the field.

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“…Demand for formal stress-resilience training existed within surgery, since there were 2–5 times higher rates of burnout in surgical trainees than in the general population 38. Likewise, institutional faculty confirmed the desire for ways to mitigate professional stress.…”

Section: Feasibility Of Formal Mindfulness-based Stress-resilience Trmentioning

confidence: 98%

Quality & safety in the literature: May 2019

2019

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Burnout and Stress Among US Surgery Residents: Psychological Distress and Resilience

Cited by 282 publications

References 84 publications

Resident burnout in USA and European urology residents: an international concern

Resident burnout in USA and European urology residents: an international concern

The effect of an organ procurement experience on preclinical medical student perceptions of transplant surgery

Quality & safety in the literature: May 2019

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