Reported burnout among U.S. general surgery residents: A survey of the association of program directors in surgery members

Kinslow, Kyle; Sutherland, Mason; McKenney, Mark; Elkbuli, Adel

doi:10.1016/j.amsu.2020.10.012

Cited by 22 publications

(35 citation statements)

References 18 publications

(21 reference statements)

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“…Overall, the study showed that CRAs' job burnout was very serious, and was dominated by emotional exhaustion and depersonalization (76.7% and 65.5%, respectively, of those surveyed), both of which were higher than that reported for jobs in any other eld [29][30] , but similar with the job burnout survey in the clinicians [31][32][33] .…”

Section: Discussionmentioning

confidence: 64%

Influencing Factors and Management of Occupational Burnout Among Clinical Research Associates in China

Fu¹,

Yuan²,

Jiang³

2020

Preprint

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Objective We firstly assessed the extent and nature of occupational burnout among clinical research associates (CRAs) in China for the first time, and evaluated influencing factors in view of developing effective countermeasures. Methods CRAs were evaluated using the Maslach Burnout Inventory and a self-designed questionnaire. Detected occupational burnout was used as the index. We examined possible influencing factors of burnout using wilcoxon rank test, KW rank and Spearman correlation analysis; influencing factors were screened out with multivariate ordinal logistic regression modelling. Results Overall, 438 surveys were completed. Results indicated that 82.2% of participating CRAs had some degree of job burnout; among those, 19.9% had mild burnout, 49.8% had moderate burnout, and 12.5% had severe burnout. A total of 76.7% suffered from emotional exhaustion, 65.5% experienced depersonalization, and 15.3% felt a low sense of accomplishment. For all categories of burnout, statistically significant influencing factors were: work mode, working hours, whether the hospital provided work support and likelihood of promotion (p <0.05). Conclusion Occupational burnout was common among Chinese CRAs. To alleviate this situation and ensure the quality of clinical trials, companies and hospitals should take effective measures to establish support systems involving both hardware and software.

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Section: Discussionmentioning

confidence: 64%

Influencing Factors and Management of Occupational Burnout Among Clinical Research Associates in China

Fu¹,

Yuan²,

Jiang³

2020

Preprint

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“…Among US general surgery residents, females were 2.7 times more likely to report burnout and nearly twice as likely to report contemplating suicide compared to males [47]. A different study that observed higher negative impact on women attributed the effect size to extraneous influences beyond gender [56].…”

Section: Gendermentioning

confidence: 89%

“…Among 81 US general surgery residents, 89.5% of university-hospital affiliated and 95.2% of community teaching hospital affiliated residents attested to burnout. After adjustment, those at community centers showed a nearly fifteen times greater likelihood of burnout [47].…”

Section: Locationmentioning

confidence: 98%

“…In a survey of Canadian EM residents, 62% met the threshold for burnout and a staggering 14% contemplated suicide during their training [46]. This high rate of suicidality among physicians may be even worse specifically for female providers [47].…”

Section: Burnoutmentioning

confidence: 99%

“…Alternatively, job satisfaction was associated with professional values aligning with those of clinical leaders, and efficient teamwork [52]. Among US general surgery residents, burnout rates by hours worked indicated that a stark 100% of those working ≥ 80 hours per week experienced burnout [47].…”

Section: Work Environmentmentioning

confidence: 99%

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Wellness Review 2020, Part 2

Ferguson¹,

Huecker²

2020

JWellness

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Introduction: This article comprises Part 2 of the Journal of Wellness review of 2020 wellness literature (July – December). In this review, JWellness editors continue the goal of offering a cohesive summary of recent publications within the wellness domain. We summarize new science and resilience initiatives published outside of JWellness that seek understanding of either burnout and its prevention or thriving in the medical community. Methods: From the interval of 01 July – 31 Dec 2020, PubMed was queried for empirical research studies, review articles, and editorials in accordance with the following algorithm: an article was required to have two delineating keywords, each from a separate grouping. The first identified medical professionals in either the title or the abstract: (“clinical professionals,” “physicians,” or “caregivers”), and the other identified a wellness-related keyword in the title: (“wellness,” “burnout,” “resilience,” or “resiliency”). Literature in Review: A total of 234 articles resulted. The list for inclusion was then narrowed to sixty-three articles plus one that was hand-picked. Recent literature into physician wellness, burnout and resilience continues to focus heavily on COVID-19. Well-researched topics include burnout surveillance, proposals for and small investigations into resilience, multiple studies attempting to differentiate characteristics that predispose to burnout, and the impact of the pandemic. Less has been written on leadership, financial wellness, and sustainable resilience-building initiatives. We note relatively few control-measured interventional studies—the majority of which remain small in endeavor and short in duration, limiting generalizability. Conclusion: Recent literature into physician wellness, burnout and resilience focuses heavily on COVID-19. Many workplace / organizational factors negatively influence wellness: cumbersome EHRs, cultures not focused on socialization and self-compassion, and high physician task load. We express optimism regarding future interventional studies of burnout mitigation and resilience enhancement.

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Burnout in Surgical Trainees: a Narrative Review of Trends, Contributors, Consequences and Possible Interventions

et al. 2021

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Surgical disciplines are popular and training places are competitive to obtain, but trainees report higher levels of burnout than either their non-surgical peers or attending or consultant surgeons. In this review, we critically summarise evidence on trends and changes in burnout over the past decade, contributors to surgical trainee burnout, the personal and professional consequences of burnout and consider the evidence for interventions. There is no evidence for a linear increase in burnout levels in surgeons over the past decade but the impact of the COVID-19 pandemic has yet to be established and is likely to be significant. Working long hours and experiencing stressful interpersonal interactions at work are associated with higher burnout in trainees but feeling more supported by training programmes and receiving workplace supervision are associated with reduced burnout. Burnout is associated with poorer overall mental and physical well-being in surgical trainees and has also been linked with the delivery of less safe patient care in this group. Useful interventions could include mentorship and improving work conditions, but there is a need for more and higher quality studies.

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Reported burnout among U.S. general surgery residents: A survey of the association of program directors in surgery members

Cited by 22 publications

References 18 publications

Influencing Factors and Management of Occupational Burnout Among Clinical Research Associates in China

Influencing Factors and Management of Occupational Burnout Among Clinical Research Associates in China

Wellness Review 2020, Part 2

Burnout in Surgical Trainees: a Narrative Review of Trends, Contributors, Consequences and Possible Interventions

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