What Is the Prevalence of Burnout, Depression, and Substance Use Among Orthopaedic Surgery Residents and What Are the Risk Factors? A Collaborative Orthopaedic Educational Research Group Survey Study

Lichstein, Paul M.; He, Jun Kit; Prather, John C.; Dyer, George S.M.; Ponce, Brent A.

doi:10.1097/corr.0000000000001310

Cited by 34 publications

(49 citation statements)

References 37 publications

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“…Therefore, patient safety may be at risk if health professionals (a type of human services) are influenced by burnout. Apart from the patient safety, health professionals experiencing burnout are at risk of various psychosocial problems, including personal dysfunction, physical exhaustion, sleep problems, overuse of alcohol and drugs, family arguments, and marital problems [5,17,18].…”

Section: Introductionmentioning

confidence: 99%

“…Researchers and healthcare providers are extremely interested in understanding the issue of burnout among health professionals because this particular human service is important and related to human life. Indeed, a number of recent papers have discussed burnout among health professionals using the MBI-HSS [14,15,16,17]. However, given that the service recipients of health professionals have unique features (i.e., they are usually ill and sick) from other types of service recipients, burnout among health professionals may be different from other human services workers.…”

Section: Introductionmentioning

confidence: 99%

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Psychometric properties of the Maslach Burnout Inventory for Medical Personnel (MBI-HSS-MP)

Lin

Alimoradi

Griffiths

et al. 2022

Heliyon

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Psychometric properties of the Maslach Burnout Inventory for Medical Personnel (MBI-HSS-MP)

Lin

Alimoradi

Griffiths

et al. 2022

Heliyon

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show abstract

“…Hu et al did a cross-sectional national survey of 7,409 residents and found that 38.5% of these residents reported burnout symptoms weekly ( 10 ). In addition, Lichstein et al conducted an orthopedic educational survey study that showed that 52% (342 of 661) of residents reported burnout and that the factors causing burnout included unmanageable work volume (OR 3.13; 95% CI, 1.45–6.67; P < 0.01) and lack of exercise (OR 1.69; 95% CI, 1.08-2.70; P = 0.02) ( 11 ). In our hospital, there was a large volume of work as there were 92,553 inpatient operations and 186,102 discharges in 2019.…”

Section: Discussionmentioning

confidence: 99%

The “Plan-Do-Check-Action” Plan Helps Improve the Quality of the “Standardized Training of Resident Physicians”: An Analysis of the Results of the First Pass Rate

Tang

Lin

Zhang

et al. 2021

Front. Public Health

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Background: Medical education is a demanding lifelong learning process, which includes three tightly connected stages: college education, post-graduate education, and continuous education. Residency, the first several years after a college education, is a pivotal time in the development of a qualified doctor. Additionally, residents are the main force that undertakes much of the clinical work in hospitals. Therefore, guaranteeing and improving residents' clinical skills and abilities through the standardized training of resident physicians (STRP) is important. However, compared with other hospitals in the Zhejiang Province, the STRP assessment results of residents in our hospital were not satisfactory in recent years. Therefore, the objective of this study was to find the problems causing the unsatisfactory performance and identify the role of the “Plan-Do-Check-Action” (PDCA) plan in providing a valuable framework for future training.Methods: Relevant studies of STRP in China and abroad were investigated by the literature review. According to published data by the Health Commision of Zhejiang Province, we collected the STRP assessment rsults of a total number of 12,036 residents. The inclusion cretria of these residents include: (1) 3rd-year residents. (2) taking STRP in the Zhejiang Province during 2016–2018 or 2017–2019. (3) the first time taking the clinical practice ability examination (CPAE) in 2018 or 2019. The results of 634 3rd-year residents from The Second Affiliated Hospital of Zhejiang University (SAHZU) were provided by the Department of Medical Education and were analyzed in depth. Three hundred and eight residents from SAHZU received normal training and took the CPAE in 2018, whereas 326 residets received PDCA and took the CPAE in 2019. PDCA is a program designed to improve the performance of residency in SAHZU. It includes the formulation and implementation of specific training plans, the check of effects, and continuous improvements. There was no change in the STRP assessment in these 2 years and the indicator of performance in the STRP assessment was the first pass rate (FPR). Statistical analyses were performed using Pearson's chi-squared test, Yates-corrected chi-square test, or Fisher's exact test (SPSS Statistics, version 25). A P-value of < 0.05 was considered significant.Results: A total number of 6,180 and 5,856 examinees in the Zhejiang Province took the clinical practice ability examination in 2018 and 2019, respectively. In 2018, a total of 308 residents from 20 departments of the SAHZU took the STRP assessment. In 2019, a total of 326 residents from 22 departments of the SAHZU underwent the PDCA plan and took the STRP assessment. Compared with the results in 2018, the average FPR in the Zhejiang Province increased by 2.92% from 87.87 to 90.79% (P < 0.001). The FPR of the SAHZU increased by 7.88% from 85.06 to 92.94% (P = 0.001). In the SAHZU, the FPRs of the Department of Emergency and Department of Anesthesiology improved 34.51% (P = 0.024) and 20.36% (P = 0.004), respectively. There were no significant differences between the performances in the 2 years of the other 20 departments. There were improved results in the “Clinical Thinking and Decision-Making” and “Operation of Basic Skills” assessment stations with increases of 3.01% (P = 0.002) and 3.94% (P = 0.002), respectively. No statistically significant differences in the FPRs of the other six stations were found. The performances in all the stations in the final tests were better than in the stimulation tests (P < 0.001).Conclusions: Although our sample size was relatively small, our results showed a small success of the PDCA plan in improving the quality of the STRP, especially for the residents in the Departments of Emergency and Anesthesiology. The PDCA plan also contributed to enhancing residents' abilities in the “Clinical Thinking and Decision-Making” and “Operation of Basic Skills” stations. Taken together, the PDCA plan may provide a practical framework for developing future training plans.

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“…Physician burnout, in addition to its association with medical error, adversely affected patient-provider communication in primary care visits [49]. Few studies evaluated destructive behaviors, however in a large study of 656 orthopedic surgery residents, 61% met criteria for hazardous alcohol use, and 52% met criteria for burnout [50].…”

Section: Burnoutmentioning

confidence: 99%

“…Editors noted a trend reviewing recent literature (including multiple recent prior publications not included in this review) that marital status seems to protect against burnout among both physicians and pharmacists [10,44]. Interestingly, in orthopedic surgeons, being single or divorced was individually associated with drug use in the past year [50].…”

Section: Marital Statusmentioning

confidence: 99%

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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What Is the Prevalence of Burnout, Depression, and Substance Use Among Orthopaedic Surgery Residents and What Are the Risk Factors? A Collaborative Orthopaedic Educational Research Group Survey Study

Cited by 34 publications

References 37 publications

Psychometric properties of the Maslach Burnout Inventory for Medical Personnel (MBI-HSS-MP)

Psychometric properties of the Maslach Burnout Inventory for Medical Personnel (MBI-HSS-MP)

The “Plan-Do-Check-Action” Plan Helps Improve the Quality of the “Standardized Training of Resident Physicians”: An Analysis of the Results of the First Pass Rate

Wellness Review 2020, Part 2

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