Burnout Assessment Among Surgeons and Surgical Trainees During the COVID-19 Pandemic: A Systematic Review

Shaikh, Chanza; Kelly, Elizabeth Palmer; Paro, Alessandro; Cloyd, Jordan M.; Ejaz, Aslam; Beal, Eliza W.; Pawlik, Timothy M.

doi:10.1016/j.jsurg.2022.04.015

Cited by 24 publications

(16 citation statements)

References 53 publications

(231 reference statements)

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“…Known-groups method identified that females, participants with a chronic condition, and those with worse health status experienced higher levels of burnout. Several systematic reviews confirm that female gender is associated with high prevalence of burnout among healthcare workers during the pandemic (Claponea et al, 2022; Lluch et al, 2022; Shaikh et al, 2022). Moreover, several studies during the pandemic confirmed that poor physical/mental health was a predictor for increased healthcare workers’ burnout (Arrogante & Aparicio-Zaldivar, 2020; Kim et al, 2022; La Torre et al, 2021; Malagón-Aguilera et al, 2020).…”

Section: Discussionmentioning

confidence: 99%

The COVID-19 burnout scale: Development and initial validation

Galanis

Katsiroumpa

Sourtzi

et al. 2022

Preprint

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We developed and validated a self-assessment instrument to measure COVID-19 pandemic-related burnout in the general population. We assessed the psychometric properties of the COVID-19 burnout scale (COVID-19-BS). Exploratory and confirmatory factor analysis identified three factors for the COVID-19-BS; emotional exhaustion, physical exhaustion, and exhaustion due to measures against the COVID-19. Cronbach’ s alpha coefficients for the three factors and the COVID-19-BS ranged from 0.860 to 0.921. Kaiser-Meyer-Olkin value was 0.945 and p-value for Bartlett test was <0.001 indicating highly acceptable values. Convergent validity results indicated a significant positive correlation between COVID-19-BS and anxiety and depression. Known-groups analysis identified the ability of COVID-19-BS to discriminate groups according to gender, chronic condition, and health status. Our findings indicate that the final 13-item model of COVID-19-BS is a brief, easy to administer, valid and reliable scale for assessing COVID-19-related burnout in the general public.

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Section: Discussionmentioning

confidence: 99%

The COVID-19 burnout scale: Development and initial validation

Galanis

Katsiroumpa

Sourtzi

et al. 2022

Preprint

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“…A prior study evaluating self-efficacy amongst resident physicians noted that enhancing self-efficacy may help buffer the emotional exhaustion and communication of stress that is commonly associated with burnout [ 27 ]. Additionally, in a study of surgical residents, increased self-efficacy was also associated with lower burnout scores [ 28 ]. During the COVID-19 pandemic, there have been studies evaluating burnout amongst resident physicians; however, the majority have been cross-sectional studies, which did not follow the residents over time [ 14 , 15 , 28 ].…”

Section: Discussionmentioning

confidence: 99%

“…Additionally, in a study of surgical residents, increased self-efficacy was also associated with lower burnout scores [ 28 ]. During the COVID-19 pandemic, there have been studies evaluating burnout amongst resident physicians; however, the majority have been cross-sectional studies, which did not follow the residents over time [ 14 , 15 , 28 ]. This present study took place in the early stages of the COVID-19 pandemic which may have posed serious threats to self-efficacy due to inherent difficulties treating a novel condition with undetermined treatment guidelines.…”

Section: Discussionmentioning

confidence: 99%

Factors Associated with Burnout among Resident Physicians Responding to the COVID-19 Pandemic: A 2-Month Longitudinal Observation Study

Mikrut

Spinelli

et al. 2022

IJERPH

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Background: Burnout during residency may be a function of intense professional demands and poor work/life balance. With the onset of the COVID-19 pandemic, NYC hospital systems were quickly overwhelmed, and trainees were required to perform beyond the usual clinical duties with less supervision and limited education. Objective: The present longitudinal study examined the effects of COVID-19 caseload over time on burnout experienced by resident physicians and explored the effects of demographic characteristics and organizational and personal factors as predictors of burnout severity. Methods: This study employed a prospective design with repeated measurements from April 2020 to June 2020. Participants were surveyed about their well-being every 5 days. Predictors included caseload, sociodemographic variables, self-efficacy, hospital support, perceived professional development, meaning in work, and postgraduate training level. Results: In total, 54 resident physicians were recruited, of whom 50% reported burnout on initial assessment. Periods of higher caseload were associated with higher burnout. PGY-3 residents reported more burnout initially but appeared to recover faster compared to PGY-1 residents. Examined individually, higher self-efficacy, professional development, meaningful work, and hospital support were associated with lower burnout. When all four predictors were entered simultaneously, only self-efficacy was associated with burnout. However, professional development, meaningful work, and hospital support were associated with self-efficacy. Conclusion: Burnout among residency is prevalent and may have implications for burnout during later stages of a physician’s career. Self-efficacy is associated with lower burnout and interventions to increase self-efficacy and the interpersonal factors that promote self-efficacy may improve physician physical and emotional well-being.

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“…An online survey of 1,118 U.S. adults showed that there was a disproportionate increase in alcohol-related health problems among male adults, further mediated by drinking motives and social stressors (3). The COVID-19 pandemic contributed to psychological distress and burnout among healthcare workers (7)(8)(9). Front-line healthcare workers may use alcohol or other substances to cope with negative moods and stress (10,11).…”

Section: Introductionmentioning

confidence: 99%

Alcohol misuse, health-related behaviors, and burnout among clinical therapists in China during the early Covid-19 pandemic: A Nationwide survey

Tao

Hsu

Min

et al. 2023

Front. Public Health

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ObjectivesThis study aimed to assess the extent of alcohol use and misuse among clinical therapists working in psychiatric hospitals in China during the early COVID-19 Pandemic, and to identify associated factors.MethodsAn anonymous nationwide survey was conducted in 41 tertiary psychiatric hospitals. We collected demographic data as well as alcohol use using the Alcohol Use Disorders Identification Test-Consumption (AUDIT-C) and burnout using the Maslach Burnout Inventory Human Services Survey.ResultsIn total, 396 clinical therapists completed the survey, representing 89.0% of all potential participants we targeted. The mean age of participants was 33.8 years old, and more than three-quarters (77.5%) were female. Nearly two-fifths (39.1%) self-reported as current alcohol users. The overall prevalence of alcohol misuse was 6.6%. Nearly one-fifth (19.9%) reported symptoms of burnout with high emotional exhaustion in 46 (11.6%), and high depersonalization in 61 (15.4%). Multiple logistic regression showed alcohol use was associated with male gender (OR = 4.392; 95% CI =2.443–7.894), single marital status (OR = 1.652; 95% CI =0.970–2.814), smoking habit (OR = 3.847; 95%CI =1.160–12.758) and regular exercise (OR = 2.719; 95%CI =1.490–4.963). Alcohol misuse was associated with male gender (OR = 3.367; 95% CI =1.174–9.655), a lower education level (OR = 3.788; 95%CI =1.009–14.224), smoking habit (OR = 4.626; 95%CI =1.277–16.754) and high burnout (depersonalization, OR = 4.848; 95%CI =1.433–16.406).ConclusionDuring the COVID-19 pandemic, clinical therapists’ alcohol consumption did not increase significantly. Male gender, cigarette smoking, and burnout are associated with an increased risk of alcohol misuse among clinical therapists. Targeted intervention is needed when developing strategies to reduce alcohol misuse and improve clinical therapists’ wellness and mental health.

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Burnout Assessment Among Surgeons and Surgical Trainees During the COVID-19 Pandemic: A Systematic Review

Cited by 24 publications

References 53 publications

The COVID-19 burnout scale: Development and initial validation

The COVID-19 burnout scale: Development and initial validation

Factors Associated with Burnout among Resident Physicians Responding to the COVID-19 Pandemic: A 2-Month Longitudinal Observation Study

Alcohol misuse, health-related behaviors, and burnout among clinical therapists in China during the early Covid-19 pandemic: A Nationwide survey

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