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Stress and Burnout in Training; Requiem for the Surgical Dream
- Source :
- Journal of Surgical Education. 77:e1-e8
- Publication Year :
- 2020
- Publisher :
- Elsevier BV, 2020.
-
Abstract
- Burnout among trainee doctors is common with as many as two-thirds reporting poor health. This study aimed to assess burnout in a cohort of UK core and higher general surgical trainees.The Maslach Burnout Inventory for Medical Personnel was distributed to 158 surgical trainees to evaluate emotional exhaustion (EE), depersonalization (DP), and personal accomplishment (PA). High EE (≥27) and DP (≥10), low PA (≤33) scores were taken to indicate burnout.A single UK (Wales) Deanery.One hundred responses were received; 65 core surgical trainees, 31 Higher Surgical Trainees (HST), and 4 not specified.Median EE, DP, and PA scores were 22.0 (range 2-50), 7.5 (0-25), and 36.0 (19-47), respectively. High burnout by domain was: EE (n = 33), DP (n = 39), PA (n = 34), with 59% of trainees demonstrating burnout in ≥1 one domain, with strong interdomain correlation (EE:DP r = 0.351, p0.001; EE:PA r = -0.455, p0.001; DP:PA r = -0.446, p0.001). Female gender (p = 0.020), core surgical training grade (p = 0.012), and being childless (p = 0.033) were independently associated with higher levels of EE; whereas HST grade (p = 0.007), age30 years (p = 0.010), married/partner status (p = 0.001), and parenthood (p = 0.015), were associated with lower levels of burnout with regard to DP. Binary logistic regression revealed lower burnout in all domains to be associated with HST status (hazard ratio 0.116, 95% confidence interval 0.014-0.980, p = 0.048) and male gender (hazard ratio 4.365, (1.246-15.293), p = 0.021).Burnout among surgical trainees was common in at least 1 Maslach Burnout Inventory domain. Urgent counter measures are required to protect the health and wellbeing of trainees at risk, which ought to be associated with commensurate improvement in patient safety.
- Subjects :
- Adult
Male
medicine.medical_specialty
Health Personnel
Burnout, Psychological
Burnout
Logistic regression
Education
03 medical and health sciences
0302 clinical medicine
Physicians
Surveys and Questionnaires
Depersonalization
medicine
Humans
030212 general & internal medicine
Emotional exhaustion
Burnout, Professional
business.industry
Hazard ratio
Confidence interval
Counter measures
030220 oncology & carcinogenesis
Cohort
Physical therapy
Female
Surgery
medicine.symptom
business
Subjects
Details
- ISSN :
- 19317204
- Volume :
- 77
- Database :
- OpenAIRE
- Journal :
- Journal of Surgical Education
- Accession number :
- edsair.doi.dedup.....d9757d6177b0e65266b30218fc6d7e41
- Full Text :
- https://doi.org/10.1016/j.jsurg.2019.07.002