Professional Burnout Among Microvascular and Reconstructive Free-Flap Head and Neck Surgeons in the United States

Contag, Stephanie P.; Golub, Justin S.; Teknos, Theodoros N.; Nussenbaum, Brian; Stack, Brendan C.; Arnold, David J.; Johns, Michael M.

doi:10.1001/archoto.2010.154

Cited by 49 publications

(16 citation statements)

References 19 publications

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“…Regarding working hours, both surgeons and residents work more than 40 hours/week, which is consistent with the findings of Porto et al, 12 who reported that majority of the OM surgeons worked 30–50 hours/week. Although Contag et al 28 reported that the number of working hours was not associated with the rate of burnout, in the present study, residents were more burned out due to long working hours ( P = 0.003). Furthermore, Hameed et al 29 conducted a similar study and explored the relationship between duty hours and burnout among medical residents in Saudi Arabia.…”

Section: Discussioncontrasting

confidence: 83%

<p>Assessment of Occupational Stress Among Oral and Maxillofacial Surgeons and Residents in Saudi Arabia: A Cross-Sectional Study</p>

Alkindi¹,

Alghamdi²,

Alnofaie³

et al. 2020

AMEP

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Purpose: Considering the important role of oral and maxillofacial surgeons in healthcare services and the stressful nature of their job, this study aimed to assess the occupational stress among oral and maxillofacial surgeons and residents in Saudi Arabia. Materials and Methods: Cross-sectional questionnaires were developed, and they included the perceived stress scale and questions about potential sources of stress. A sample size of 180 was determined using a 0.05 level of significance and a precision of ±8%. The survey was distributed using a consecutive non-random sampling method to all oral and maxillofacial surgeons and residents in all regions in Saudi Arabia from May to December 2019. Results: One hundred and seventy-two responses were received. Males were the predominant gender. The perceived stress scale revealed a moderate stress level among surgeons and residents. However, residents had a significantly higher score (P = 0.005). Increased working days were significantly associated with higher stress levels (P = 0.006). Long on-call periods were significantly and positively correlated with increased stress levels among residents since their work schedule was not flexible (P = 0.000). The majority of surgeons and residents believe that they have unconducive and stressful work environments and that working as a maxillofacial surgeon is stressful. Conclusion: The study results suggest that there is increased occupational stress among oral and maxillofacial surgeons and residents in Saudi Arabia. This study highlights the need for stress management programs to minimize stress factors at the workplace and to ensure a healthy working environment for the practitioners.

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Section: Discussioncontrasting

confidence: 83%

<p>Assessment of Occupational Stress Among Oral and Maxillofacial Surgeons and Residents in Saudi Arabia: A Cross-Sectional Study</p>

Alkindi¹,

Alghamdi²,

Alnofaie³

et al. 2020

AMEP

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“…The inability to accurately identify the receipt status of the electronic invitation to participate among members of the study population (see Methods) complicates the response rate calculation, and likely means that the response rate was higher than reported. Further, practice demographics from our sample compare favorably with those from a larger published study among microvascular and reconstructive free-flap head and neck surgeons, demonstrating very similar numbers of free-flap procedures performed annually, years in practice, and proportion in academic versus private practice [5]. However, these considerations do not eliminate the potential for non-response bias in our study.…”

Section: Discussionmentioning

confidence: 58%

“…Certain notable aspects of microvascular surgery in practice may contribute to physician burnout, as reported in a 2010 cross-sectional study of burnout among microvascular surgeons [5]. Respondents in that study, who were largely derived from academic practices, identified having too little time to do research, too little administrative time, and low levels of control over professional life as leading stressors.…”

Section: Discussionmentioning

confidence: 99%

Fellowship training in microvascular surgery and post-fellowship practice patterns: a cross sectional survey of microvascular surgeons from facial plastic and reconstructive surgery programs

Bennion

Dziegielewski

Boyce

et al. 2019

J of Otolaryngol - Head & Neck Surg

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Background There is a lack of published literature on the training in microvascular reconstructive techniques in facial plastic and reconstructive surgery (FPRS) fellowships or of the extent these techniques are continued in practice. This cross-sectional web-based survey study was conducted to describe the volume, variety, and intended extent of practice of free tissue transfers during fellowship and the post-fellowship pattern of microsurgical practice among FPRS surgeons in various private and academic practice settings across the United States. Methods This survey was sent to recent graduates ( n = 94) of a subset of U.S. Facial Plastic and Reconstructive Surgery fellowship programs that provide significant training in microvascular surgery. Results Among survey respondents ( n = 21, 22% response rate), two-thirds completed 20–100 microvascular cases during fellowship using mainly radial forearm, fibula, anterior lateral thigh, latissimus and rectus free tissue transfers. In post-fellowship practice, those who continue practicing microvascular reconstruction (86%) complete an average of 33 cases annually. The choice of donor tissues for reconstruction mirrored their training. They are assisted primarily by residents (73%) and/or fellows (43%), while some worked with a micro-trained partner, surgical assistant, or performed solo procedures. Interestingly, among those who began in private practice (29%), only half remained with that practice, while those who joined academic practices (71%) largely remained at their initial post-fellowship location (87%). Conclusions These results provide the first formal description of the training and practice patterns of FPRS-trained microvascular surgeons. They describe a diverse fellowship training experience that often results in robust microvascular practice. The maintenance of substantial microsurgical caseloads after fellowship runs counter to the perception of high levels of burnout from free tissue transfers among microvascular surgeons. Trial Registration This study was approved as exempt by the University of Florida Institutional Review Board (#201601526).

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“…Although there is likely great variability in personal and professional choices, factors such as aging/ fatigue, career stressors, burnout (emotional exhaustion/ diminished satisfaction), pursuit of research or other academic endeavors, and rapid evolution of the field may contribute to this phenomenon. [17][18][19][20] Our data show a clear trend toward implementation of the two-team approach within academic ORL-HNS programs, most commonly with H&N fellowship-trained otolaryngologists performing both ablative and reconstructive roles (95.1% of programs, weighted 75.1% of practice). The two-team approach to H&N reconstruction far predates the routine use of H&N MFTT.…”

Section: Discussionmentioning

confidence: 80%

Current practices in microvascular reconstruction in otolaryngology–head and neck surgery

et al. 2018

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Professional Burnout Among Microvascular and Reconstructive Free-Flap Head and Neck Surgeons in the United States

Cited by 49 publications

References 19 publications

<p>Assessment of Occupational Stress Among Oral and Maxillofacial Surgeons and Residents in Saudi Arabia: A Cross-Sectional Study</p>

<p>Assessment of Occupational Stress Among Oral and Maxillofacial Surgeons and Residents in Saudi Arabia: A Cross-Sectional Study</p>

Fellowship training in microvascular surgery and post-fellowship practice patterns: a cross sectional survey of microvascular surgeons from facial plastic and reconstructive surgery programs

Current practices in microvascular reconstruction in otolaryngology–head and neck surgery

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