Revealing hidden experiences: Gendered microaggressions and surgical faculty burnout

Lund, Sarah; D’Angelo, Jonathan; Jogerst, Kristen; Warner, Susanne G.; Busch, Rebecca A.; D’Angelo, Anne-Lise D.

doi:10.1016/j.surg.2022.04.032

Cited by 10 publications

(14 citation statements)

References 37 publications

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“…Women were more likely to switch practice due to burnout (50%) or job dissatisfaction (40%). Implicit biases, microaggressions, lower salaries, gender‐based obstacles to academic productivity and career advancement, and challenges in juggling domestic and employment responsibilities have been cited as factors contributing to gender discrepancies in burnout and career dissatisfaction 40,41 …”

Section: Discussionmentioning

confidence: 99%

Gender Differences Among Head and Neck Microvascular Reconstructive Surgeons

Hobday

Armache

Frost

et al. 2023

Otolaryngol.--head neck surg.

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ObjectiveTo determine whether gender differences exist in the training history, practice patterns, and home lives of surgeons who perform microvascular reconstruction of the head and neck.Study DesignCross‐sectional survey.SettingMedical facilities that employ surgeons who practice head and neck microvascular reconstruction in the United States.MethodsA survey was created using the Research Electronic Data Capture Framework and was distributed via email to microvascular reconstructive surgeons. Descriptive statistics were performed using Stata software.ResultsNo significant differences were found in training or current practice patterns between microvascular surgeons who identify as men versus those who identify as women. Women had fewer children (p = .020) and were more likely to be childless (p = .002). Whereas men were more likely to report a spouse/partner as primary caretaker, women were more likely to hire a professional caretaker or cite themselves as a primary caretaker (p < .001). Women were more likely to have finished residency (p = .015) and fellowship (p = .014) more recently and to practice in the Southeast (p = .006). Of the microvascular surgeons who reported practice setting switches, men more commonly changed positions for career advancement, whereas women were more likely to switch due to burnout (p = .002).ConclusionThis study found no gender‐based differences in training or practice patterns. However, significant differences were identified in childbearing, family structure, geographic practice location, and motives for switching practice.

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Section: Discussionmentioning

confidence: 99%

Gender Differences Among Head and Neck Microvascular Reconstructive Surgeons

Hobday

Armache

Frost

et al. 2023

Otolaryngol.--head neck surg.

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“…The prevalence of burnout differs by gender among medical professions (56). Female medical professionals suggested suffer more from burnout, due to discriminative behavior from patients, occupational biases or gendered macro-aggressions (57)(58)(59). However, an investigation assessing the frequency of psychological distress among physician residents showed that, whereas female residents were more likely to suffer from anxiety and depression, male residents were more vulnerable to burnout (60).…”

Section: Discussionmentioning

confidence: 99%

The mediating role of general academic emotions in burnout and procrastination among Chinese medical undergraduates during the COVID-19 pandemic: A cross-sectional study

Ding

et al. 2022

Front. Public Health

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BackgroundAcademic procrastination has become more prevalent during the COVID-19 pandemic due to teaching/learning changes. This phenomenon induces academic burnout, which is already serious among medical students. However, the academic emotion, which is the factor most vulnerable to changes in the academic environment, is still unknown. Therefore, the current study aimed to investigate the mediating role of general academic emotions in procrastination and burnout among Chinese medical students during the COVID-19 pandemic.MethodsThis cross-sectional study enrolled 995 medical students from China Medical University. We applied the Chinese version of the Maslach Burnout Inventory Student Survey (MBI-SS), the Aitken Procrastination Inventory (API) and the General Academic Emotion Questionnaire for College Students (GAEQ) to evaluate the variables of interest. We examined the mediation effects of GAEs by hierarchical linear regression analysis.ResultsCorrelation analyses showed a significant positive correlation between procrastination and burnout. Procrastination and burnout positively and negatively correlated with negative academic emotions, respectively. Hierarchical linear regression analyses showed that procrastination had positive associations with negative academic emotions, while it had negative associations with positive academic emotions. The contributions (as mediators) of GAEs to burnout and procrastination were 21.16% (NAEs), 29.75% (PAEs), 54.25% (NDEs) and 23.69% (PDEs).ConclusionsThe results indicate that academic emotions had mediating effects on procrastination and burnout. Medical students' worries about the uncertainty of the learning environment may have exacerbated academic burnout. Targeted improvements in the teaching environment to communicate encouragement and reduce anxiety and helplessness among medical undergraduates for implementing medical education while preventing and controlling the infection.

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“…Related to this, mistreatment refers in a broader sense to any form of discrimination, abuse, or harassment. Female faculty surgeons are known to experience microaggressions more often than males, and this has been independently associated with burnout [ 26 ]. This observation is also true in trainees, as over 50% of residents have experienced at least one instance of mistreatment [ 22 ], and rates of bullying are associated with higher rates of burnout (61% vs 37%) [ 27 ].…”

Section: Key Factors Associated With Burnoutmentioning

confidence: 99%

Addressing Surgeon Burnout Through a Multi-level Approach: A National Call to Action

et al. 2023

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Purpose of Review Physician burnout is an epidemic and there are unique aspects of surgery that dictate rates of burnout among general surgeons and surgical trainees. This review characterizes the scope of burnout and its drivers within the field of surgery and advocates for strategies to address burnout at the individual, institutional, and national levels. Recent Findings Rates of burnout in surgery are increasing with higher numbers of young and female surgeons affected. Contributing factors are generally related to work-life balance, longer hours, and mistreatment in the workplace. Attempts have been made at implementing structured initiatives in an effort to combat work dissatisfaction and emotional exhaustion. Still, rates of burnout continue to increase. Summary General surgeons and trainees are at high risk for burnout with resulting attrition, depression, and suicidal ideation. The solution to burnout must be addressed at individual, institutional, and national levels. Further research into the factors leading to surgeon burnout and enactment of effective strategies to mitigate burnout must be pursued.

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Revealing hidden experiences: Gendered microaggressions and surgical faculty burnout

Cited by 10 publications

References 37 publications

Gender Differences Among Head and Neck Microvascular Reconstructive Surgeons

Gender Differences Among Head and Neck Microvascular Reconstructive Surgeons

The mediating role of general academic emotions in burnout and procrastination among Chinese medical undergraduates during the COVID-19 pandemic: A cross-sectional study

Addressing Surgeon Burnout Through a Multi-level Approach: A National Call to Action

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