Sleep deprivation leads to burnout and cardiothoracic surgeons have to deal with its consequences

Jarral, Omar A.; Baig, Kamran; Shetty, Kishore; Athanasiou, Thanos

doi:10.1016/j.ijcard.2014.10.020

Cited by 14 publications

(9 citation statements)

References 28 publications

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“…20 Prolonged stress elevates cortisol levels that have been associated with anxiety, impaired learning, risk-averse behavior, and burnout. 21,22 Policy makers need to understand these complex processes to avoid unintended consequences when introducing quality improvement measures. 23 The majority of respondents to the survey were of the opinion that gaming of patient disease status and comorbidities occur during data collection.…”

Section: Discussionmentioning

confidence: 99%

National Survey of UK Consultant Surgeons’ Opinions on Surgeon-Specific Mortality Data in Cardiothoracic Surgery

Jarral

Baig

Pettengell

et al. 2016

Circ: Cardiovascular Quality and Outcomes

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Background-In the United Kingdom, cardiothoracic surgeons have led the outcome reporting revolution seen over the last 20 years. The objective of this survey was to assess cardiothoracic surgeons' opinions on the topic, with the aim of guiding future debate and policy making for all subspecialties. Methods and Results-A questionnaire was developed using interviews with experts in the field. In January 2015, the survey was sent out to all consultant cardiothoracic surgeons in the United Kingdom (n=361). Logistic regression, bivariate correlation, and the χ 2 test were used to assess whether there was a relationship between answers and demographic variables. Free-text responses were analyzed using the grounded theory approach. The response rate was 73% (n=264). The majority of respondents (58.1% oppose, 34.1% favor, and 7.8% neither) oppose the public release of surgeonspecific mortality data and associate it with several adverse consequences. These include risk-averse behavior, gaming of data, and misinterpretation of data by the public. Despite this, the majority overwhelmingly supports publication of team-based measures of outcome. The free-text responses suggest that this is because most believe that quality of care is multifactorial and not represented by an individual's mortality rate. Conclusions-There is evident opposition to surgeon-specific mortality data among UK cardiothoracic surgeons who associate this with several unintended consequences. Policy makers should refine their strategy behind publication of surgeon-specific mortality data and possibly consider shift toward team-based results for which there will be the required support. Stakeholder feedback and inclusive strategy should be completed before introducing major initiatives to avoid unforeseen consequences and disagreements. (Circ Cardiovasc Qual Outcomes. 2016;9:414-423.

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Section: Discussionmentioning

confidence: 99%

National Survey of UK Consultant Surgeons’ Opinions on Surgeon-Specific Mortality Data in Cardiothoracic Surgery

Jarral

Baig

Pettengell

et al. 2016

Circ: Cardiovascular Quality and Outcomes

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“…Burnout poses a risk for the physician and the patient. High scores on the depersonalization and emotional exhaustion subscale are associated with alcohol abuse or dependence (27). Oreskovich et al (28) sampled 25,073 surgeons, out of which 15.4% were identified to have an alcohol abuse disorder.…”

Section: Discussionmentioning

confidence: 99%

Which half are you? Almost half of pediatric oncologists and intensivists are burnt out……

Hoehn¹,

Abraham²,

Gaughan³

et al. 2019

Southwest J Pulm Crit Care

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demographics and lifestyle) were emailed out via the AAP. Measurements and Main Results: We had 231 respondents with a response rate of 15.8% among PICU physicians and 26.1% among hematology-oncology physicians. 45.9% of our participants consisted of hematology-oncology physicians and 54.1% of pediatric critical care physicians. The population was a balanced gender mix but was predominantly Caucasian (82% Caucasian and 10% Asian). The overall rate of burnout was 46.6% (47.8% among hematology-oncology physicians and 45.8% among pediatric intensivists). We found significant rates of emotional exhaustion, with 43.0% of respondents scoring high on this subscale. The prevalence of secondary traumatic stress was 46.8% (42.5% among hematologyoncology physicians and 50.9% among pediatric intensivists). Physicians in practice over 10 to 15 years had significantly higher rates of secondary traumatic stress (p < 0.05). No other demographic or lifestyle variable was significantly associated with an increased risk of burnout or secondary traumatic stress. Conclusion: Our study reports concerning rates of burnout and secondary traumatic stress among pediatricians in the specialties of Hematology/Oncology and Pediatric Critical Care Medicine. The results raise concern for better screening and prevention for

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“…1 I wholeheartedly agree with the proposal by Salas et al 2 Unfortunately, although there are many valid justifications for sleep medicine education, teaching about sleep will not improve burnout among medical students. The link between burnout and sleep is most likely due to sleep deprivation, 3,4 but medical students are not sleep deprived because they lack the knowledge that they ought to sleep. Telling medical students to sleep more while providing no mechanism for them to do so is "rubbing salt in a wound."…”

confidence: 99%

“…We advocate for using evidence-based approaches that integrate clinical patient contact into preclerkship training and basic neuroscience instruction into clerkships. 3,4 Preclerkship neuroscience courses should provide an entry point, teaching sleep fundamentals and providing exposure-which is currently the case of neuroscience curricula at some schools. Clerkship rotations then deepen students' application of sleep physiology to patients and focus on the clinical examination and management of sleep disorders.…”

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confidence: 99%

Core curriculum guidelines for a required clinical neurology experience

2019

Neurology

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Sleep deprivation leads to burnout and cardiothoracic surgeons have to deal with its consequences

Cited by 14 publications

References 28 publications

National Survey of UK Consultant Surgeons’ Opinions on Surgeon-Specific Mortality Data in Cardiothoracic Surgery

National Survey of UK Consultant Surgeons’ Opinions on Surgeon-Specific Mortality Data in Cardiothoracic Surgery

Which half are you? Almost half of pediatric oncologists and intensivists are burnt out……

Core curriculum guidelines for a required clinical neurology experience

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