Burnout, depression, perceived stress, and self-efficacy in vascular surgery trainees

Janko, Matthew; Smeds, Matthew R.

doi:10.1016/j.jvs.2018.07.034

Cited by 65 publications

(82 citation statements)

References 31 publications

(39 reference statements)

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“…21 Yet, recent studies focusing solely on vascular trainees found no association between sex and high levels of burnout. 2 Similarly, we found that female sex did not correlate with burnout, but a trend toward higher rates of burnout among women was appreciated (36% vs 26%; P ¼ .17).…”

Section: Discussionmentioning

confidence: 53%

“…5 Progress has been made with the implementation of the 80-hour work week, and our study confirms what others have found, notably that longer (>80 hours) work weeks are associated with increased risk of burnout. 2,21 Yet burnout rates remain high. Janko and Smeds 2 recently surveyed 177 vascular trainees and found a 25% burnout rate, similar to our findings of 30%.…”

Section: Discussionmentioning

confidence: 99%

“…Resident burnout is on the rise, with recent studies showing that rates exceed 25% among vascular surgery trainees. 1,2 The personal and professional ramifications of physician burnout are significant as 1 in 16 surgeons contemplate suicide each year, and physician discontent leads to suboptimal patient care and overall decreased productivity. 3,4 Apart from the implementation of the 80-hour work week, educators have made little progress in combating resident burnout.…”

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confidence: 99%

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Gender-based discrimination is prevalent in the integrated vascular trainee experience and serves as a predictor of burnout

Wang

Tanious

et al. 2020

Journal of Vascular Surgery

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Objective: Trainee burnout is on the rise and negative training environments may contribute. In addition, as the proportion of women entering vascular surgery increases, identifying factors that challenge recruitment and retention is vital as we grow our workforce to meet demand. This study sought to characterize the learning environment of vascular residents and to determine how gender-based discrimination and bias (GBDB) affect the clinical experience.Methods: A survey was developed to evaluate the trainee experience; demographics and a two-item burnout index were also included. The instrument was sent electronically to all integrated (0 þ 5) vascular surgery residents in the United States. Univariate analyses were performed and predictors of burnout identified.Results: A total of 284 integrated vascular residents were invited to participate and 212 (75%) completed the survey. Participants were predominantly male (64%) and white (56%), with a median age of 30 years (interquartile range, 28-32 years). Seventy-nine percent of respondents endorsed some form of negative workplace experience and 30% met high-risk criteria for burnout. More than a third (38%) of residents endorsed personally experiencing GBDB, with a significant difference between men and women (14% vs 80%; P < .001). Women were more likely than men to report witnessing GBDB (76% vs 56%; P ¼ .003). Patients and nurses were the most frequently cited sources of GBDB (80% and 64%, respectively), with vascular surgery attendings cited by 41% of trainees. One in four female resident respondents indicated being sexually harassed during the course of training; this was significantly higher than for male residents (25% vs 1%; P < .001). Nearly half (46%) of trainees who witnessed or experienced GBDB thought that quality of patient care, job satisfaction, personal well-being, and personal risk of burnout were directly affected as a result of GBDB. GBDB was predictive of burnout (odds ratio, 1.9; 95% confidence interval, 1.1-3.5; P ¼ .04), as were longer work hours (>80 h/wk; odds ratio, 2.8; 95% confidence interval, 1.1-7.1; P ¼ .03).Conclusions: GBDB was experienced by 38% of integrated trainees, with women significantly more affected than men. GBDB is predictive of burnout, and this has significant implications for our specialty in the recruitment and retention of female physicians. Resources addressing these issues are needed to maintain a diverse workforce and to promote physician well-being. (J Vasc Surg 2020;71:220-7.)

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Section: Discussionmentioning

confidence: 53%

Section: Discussionmentioning

confidence: 99%

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confidence: 99%

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Gender-based discrimination is prevalent in the integrated vascular trainee experience and serves as a predictor of burnout

Wang

Tanious

et al. 2020

Journal of Vascular Surgery

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“…This pertains to vascular surgery's attempts to attract new applicants from the medical student/resident pool 28,29 and address the issue of burnout for vascular surgeons and surgical trainees today. 30,31 Social media is dynamic and constantly changing with new platforms being established. Vascular surgery can continue to expand its social media use and explore platforms including podcasts, as exemplified by Audible Bleeding 32 and TikTok, which has been used by other specialties to address multiple health topics.…”

Section: Discussionmentioning

confidence: 99%

The Prevalence and Utility of Vascular Surgery Training Programs' and Vascular Societies’ Social Media Presence

Choinski

Carnevale

Koleilat

et al. 2020

Annals of Vascular Surgery

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“…Among VS trainees, burnout has been associated with higher levels of depression and perceived stress, and lower levels of social support and self-efficacy. 2 All of these factors may be exacerbated by the COVID-19 pandemic. To date, epidemiologic data of the mental health impact of the COVID-19 pandemic on health care professionals, in particular VS trainees, is lacking.…”

Section: Introductionmentioning

confidence: 99%

The Impact of the COVID-19 Pandemic on Vascular Surgery Trainees in the United States

Johnson

Wohlauer

Mouawad

et al. 2021

Annals of Vascular Surgery

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Background The impact of the Coronavirus Disease 19 (COVID-19) pandemic on healthcare workers has been substantial. However, the impact on vascular surgery trainees have not yet been determined. The goals of our study were to gauge the impact of COVID-19 on vascular surgery trainees’ personal and professional life and to assess stressors, coping, and support structures involved in these trainees response to the COVID-19 pandemic. Material and methods This was an anonymous online survey administered in April 12-24, 2020 during the surge phase of the global COVID-19 pandemic. It is a subset analysis of the cross-sectional Society for Vascular Surgery Wellness Committee Pandemic Practice, Anxiety, Coping and Support Survey. The cohort surveyed was Vascular surgery (VS) trainees, integrated residents and fellows, in the United States of America. Assessment of the personal impact of the pandemic on vascular surgery trainees and the coping strategies used by them were based on the validated Generalized Anxiety Disorder 7-item (GAD-7) scale and the validated 28-time Brief Coping Orientation to Problems Experienced (Brief-COPE) inventory. Results A total of 145 vascular surgery trainees responded to the survey, with a 23% response rate (145/638). Significant changes were made to the clinical responsibilities of VS trainees, with 111 (91%) reporting cancellation of elective procedures, 101 (82%) with call schedule changes, 34 (24%) with duties other than related to vascular surgery, and 29 (24%) participation in outpatient care delivery. Over one third (52/144) reported they had performed a procedure on a patient with confirmed COVID-19, 37 (25.7%) reported they were unaware of the COVID-19 status at the time. The majority continued to work after exposure (29/34, 78%). Major stressors included concerns about professional development, infection risk to family/friends, and impact of care delay on patients. Median score for GAD-7was 4 (IQR 1-8) which corresponds to no or low self-reported anxiety levels. VS trainees employed mostly active coping and rarely avoidant coping mechanisms, and the majority were aware and utilized social media and online support systems. No significant difference was observed between integrated residents and fellows, or by gender. Conclusions The pandemic has had significant impact on VS trainees. Trainees reported significant changes to clinical responsibilities, exposure to COVID-19 and pandemic-related stressors but demonstrated healthy coping mechanisms with low self-reported anxiety levels. The VS community should maintain awareness of the impact of the pandemic on the professional and personal development of surgeons in training.We recommend adaptive evolution in training to accommodate a the changing learning environment for trainees.

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Burnout, depression, perceived stress, and self-efficacy in vascular surgery trainees

Cited by 65 publications

References 31 publications

Gender-based discrimination is prevalent in the integrated vascular trainee experience and serves as a predictor of burnout

Gender-based discrimination is prevalent in the integrated vascular trainee experience and serves as a predictor of burnout

The Prevalence and Utility of Vascular Surgery Training Programs' and Vascular Societies’ Social Media Presence

The Impact of the COVID-19 Pandemic on Vascular Surgery Trainees in the United States

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