Stress and Burnout Among Surgeons

Balch, Charles M.; Freischlag, Julie A.; Shanafelt, Tait D.

doi:10.1001/archsurg.2008.575

Cited by 363 publications

(139 citation statements)

References 47 publications

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“…Indeed, the results of the current study are consistent with the limited research to date and suggest that the lower workload was primarily due to the surgeons finding the tasks less stressful [27][28][29], physically demanding [4], and complex, on the robotic system. Collectively, these results suggest that by utilizing robotic technology surgeons can operate at lower workloads, an important benefit given the strong links between work overload and performance errors, stress-related disorders, and burnout [11,30].…”

Section: Discussionmentioning

confidence: 99%

Surgeons’ display reduced mental effort and workload while performing robotically assisted surgical tasks, when compared to conventional laparoscopy

et al. 2014

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DisclaimerThe University of Gloucestershire has obtained warranties from all depositors as to their title in the material deposited and as to their right to deposit such material.The University of Gloucestershire makes no representation or warranties of commercial utility, title, or fitness for a particular purpose or any other warranty, express or implied in respect of any material deposited.The University of Gloucestershire makes no representation that the use of the materials will not infringe any patent, copyright, trademark or other property or proprietary rights.The University of Gloucestershire accepts no liability for any infringement of intellectual property rights in any material deposited but will remove such material from public view pending investigation in the event of an allegation of any such infringement. DisclaimerThe University of Gloucestershire has obtained warranties from all depositors as to their title in the material deposited and as to their right to deposit such material.The University of Gloucestershire makes no representation or warranties of commercial utility, title, or fitness for a particular purpose or any other warranty, express or implied in respect of any material deposited.The University of Gloucestershire makes no representation that the use of the materials will not infringe any patent, copyright, trademark or other property or proprietary rights.The University of Gloucestershire accepts no liability for any infringement of intellectual property rights in any material deposited but will remove such material from public view pending investigation in the event of an allegation of any such infringement. Benefits of robotic surgery 2 PLEASE SCROLL DOWN FOR TEXT AbstractBackground. Research has demonstrated the benefits of robotic surgery for the patient;however, research examining the benefits of robotic technology for the surgeon is limited.This study aimed to adopt validated measures of workload, mental effort, and gaze control to assess the benefits of robotic surgery for the surgeon. We predicted that the performance of surgical training tasks on a surgical robot would require lower investments of workload and mental effort, and would be accompanied by greater gaze control and better performance, when compared to conventional laparoscopy.Methods. Thirty-two surgeons performed two trials on a ball pick-and-drop task and a rope threading task on both robotic and laparoscopic systems. Measures of workload (The SurgeryTask Load Index [SURG-TLX]), mental effort (subjective: Rating Scale for Mental Effort[RSME] and objective: standard deviation of beat-to-beat intervals [SDNN]), gaze control (using a mobile eye movement recorder), and task performance (completion time and number of errors) were recorded.Results. As expected, surgeons performed both tasks more quickly and accurately (with fewer errors) on the robotic system. Self-reported measures of workload and mental effort were significantly lower on the robotic system compared to the laparoscopic system.Similarly, an object...

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Section: Discussionmentioning

confidence: 99%

Surgeons’ display reduced mental effort and workload while performing robotically assisted surgical tasks, when compared to conventional laparoscopy

et al. 2014

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“…Research show that prevalence rates of psychiatric morbidity among doctors range between 15% to 35% [2][3][4] with some studies sug-gesting that burnout may be associated with depression. [5,6] Apart from the direct mental health impact to the doctor, burnout and compassion fatigue are also associated with increased rates of medical errors, malpractice risk, physician turnover and hence increased healthcare manpower costs. [7,8] In addition, emerging research suggests physician burnout to be a chronic condition rather than a transient one with only about a third recovering fully from severe burnout after 5-10 years.…”

Section: Introductionmentioning

confidence: 99%

Addressing physician quality of life: understanding the relationship between burnout, work engagement, compassion fatigue and satisfaction

Chan

Chuang

et al. 2015

JHA

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Burnout and compassion fatigue are now recognized as occupational hazards associated with the medical profession. Interestingly, burnout and compassion fatigue do not occur in every physician and many continue to find joy, meaning and satisfaction in their work despite its challenges and stressors. Our study looked at the relationship between burnout, work engagement, compassion fatigue and satisfaction amongst doctors. We also studied the relationship between these and four measureable intrinsic human factors; self-efficacy, resilient personality type, sense of gratitude and work calling. Our study found that 37% of the doctors were at high risk of burnout and 7.5% were at high risk of compassion fatigue and only 3.3% and 1.5% were at low risk of burnout and compassion fatigue respectively. Only 2.7% and 0.3% had high rates of work engagement and compassion satisfaction respectively. There was a mild but significant negative correlation between burnout and engagement, and a poor negative correlation between compassion fatigue and satisfaction. Only intrinsic human factors were significantly correlated to burnout, work engagement, compassion fatigue and satisfaction. Our preliminary findings suggest that certain intrinsic factors increase work engagement and compassion satisfaction amongst doctors. As some of these intrinsic factors also appear to buffer against burnout and compassion fatigue, increasing work engagement and compassion satisfaction not only builds individual resilience against burnout and compassion fatigue but may also lead to improvement in overall health, professional quality of life and career longevity for doctors.

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“…8,[11][12][13][14][15][16][17][18] There is evidence that stress and burnout are especially prevalent among surgical subspecialties, where long hours and the singularity of focus of the surgical work environment place surgeons at risk for overwork and imbalance. 20 Obstetrics and gynecology residents face the rigors of surgical training as well as the emotional pressures of taking care of women as they experience birth, sickness, loss, and death. According to some reports, obstetrics and gynecology residents have among the highest rates of burnout among medical specialties.…”

Section: Introductionmentioning

confidence: 99%

No Time to Think: Making Room for Reflection in Obstetrics and Gynecology Residency

Winkel¹,

Hermann²,

Graham³

et al. 2010

Journal of Graduate Medical Education

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Background Reflective practice may help physicians identify and connect with what they value and find meaningful in their work. There are many practical obstacles in teaching narrative skills and reflection to residents in surgical subspecialties. We aimed to assess the feasibility of designing and implementing a writing workshop series within an obstetrics and gynecology curriculum. Materials and Methods Between 2008 and 2009, a reflective writing workshop series was introduced into the didactic curriculum of an obstetrics and gynecology residency program. The course included reading fiction and creative writing. Workshops focused on topics residents identified. Residents answered a subjective questionnaire and also completed the Maslach Burnout Inventory and Interpersonal Reactivity Index to assess burnout and empathy. Results Six 1-hour reflective writing workshops took place within the dedicated didactic time for residents. Of the 20 residents in the program, 10 junior residents and 8 senior residents evaluated the workshops. Ten residents participated in more than one workshop, an average of 3.6 workshops. Residents felt that the workshops were enjoyable, and some felt that they influenced their experience of residency, but few felt that it affected their work with patients. Trends in Maslach Burnout Inventory and Interpersonal Reactivity Index scores did not show statistical significance. Conclusion A practical curriculum for introducing reflective practice to obstetrics and gynecology residents is described. This model may be useful to educators looking to incorporate reflective practice into residency curricula and lead to collaborative work that may assess the impact of this work on the experience of residents and their patients.

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Stress and Burnout Among Surgeons

Cited by 363 publications

References 47 publications

Surgeons’ display reduced mental effort and workload while performing robotically assisted surgical tasks, when compared to conventional laparoscopy

Surgeons’ display reduced mental effort and workload while performing robotically assisted surgical tasks, when compared to conventional laparoscopy

Addressing physician quality of life: understanding the relationship between burnout, work engagement, compassion fatigue and satisfaction

No Time to Think: Making Room for Reflection in Obstetrics and Gynecology Residency

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