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Updates in Surgery
Published in: Updates in Surgery 2/2019

01-06-2019 | Burnout Syndrome | Original Article

Burnout and psychological distress between surgical and non-surgical residents

Authors: Matteo Serenari, Alessandro Cucchetti, Paolo Maria Russo, Guido Fallani, Katia Mattarozzi, Antonio Daniele Pinna, Valentina Colonnello, Gilberto Poggioli, Matteo Cescon

Published in: Updates in Surgery | Issue 2/2019

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Abstract

Surgical training is considered to be very stressful among residents and medical students choose less often surgery for their career. Our aim was to assess the prevalence of burnout and psychological distress in residents attending surgical specialties (SS) compared to non-surgical specialties (NSS). Residents from the University of Bologna were asked to participate in an anonymous online survey. The residents completed a set of questions regarding their training schedule and three standardized questionnaires: (1) the Maslach Burnout Inventory, assessing the three dimensions of burnout: emotional exhaustion (EE), depersonalization (DP), and personal accomplishment (PA); (2) the Zung Self-Rating Depression Scale; (3) the Psychosomatic Problems Scale. One-hundred and ninety residents completed the survey. Overall, the prevalence of burnout was 73% in the SS group and 56.3% in the NSS group (P = 0.026). More specifically, SS reported higher levels of EE and DP compared to NSS. No significant differences between SS and NSS emerged for PA, depression, or somatic problems. The present findings indicate that burnout is more prevalent in surgical residents than in residents attending non-surgical specialties.
ClinicalTrials.gov identifier: NCT03668080.
Literature
1.
West CP, Dyrbye LN, Erwin PJ et al (2016) Interventions to prevent and reduce physician burnout: a systematic review and meta-analysis. Lancet 388:2272–2281CrossRef
2.
Prins JT, Gazendam-Donofrio SM, Tubben BJ et al (2007) Burnout in medical residents: a review. Med Educ 41:788–800CrossRefPubMed
3.
Maslach C, Schaufeli WB, Leiter MP (2001) Job burnout. Annu Rev Psychol 52:397–422CrossRef
4.
Brazeau CMLR, Schroeder R, Rovi S et al (2010) Relationships between medical student burnout, empathy, and professionalism climate. Acad Med 85:S33–S36CrossRefPubMed
5.
Kuerer HM, Eberlein TJ, Pollock RE et al (2007) Career satisfaction, practice patterns and burnout among surgical oncologists: report on the quality of life of members of the Society of Surgical Oncology. Ann Surg Oncol 14:3043–3053CrossRef
6.
7.
Shanafelt TD, Balch CM, Bechamps GJ et al (2009) Burnout and career satisfaction among american surgeons. Ann Surg 250:463–470PubMed
8.
Shanafelt TD, Balch CM, Bechamps G et al (2010) Burnout and medical errors among American surgeons. Ann Surg 251:995–1000CrossRefPubMed
9.
Garza JA, Schneider KM, Promecene P et al (2004) Burnout in residency: statewide study. South Med J 97:1171–1173CrossRefPubMed
10.
Shanafelt TD, Bradley KA, Wipf JE et al (2002) Burnout and self-reported patient care in an internal medicine residency program. Ann Intern Med 136:358–367CrossRefPubMed
11.
Yeo H, Bucholz E, Ann Sosa J et al (2010) A national study of attrition in general surgery training: which residents leave and where do they go? Ann Surg 252:529–534PubMed
12.
Dyrbye LN, West CP, Satele D et al (2014) Burnout among U.S. medical students, residents, and early career physicians relative to the general U.S. population. Acad Med 89:443–451CrossRefPubMed
13.
14.
Lebares CC, Guvva EV, Ascher NL et al (2018) Burnout and stress among US surgery residents: psychological distress and resilience. J Am Coll Surg 226:80–90CrossRef
15.
Yoo PS, Tackett JJ, Maxfield MW et al (2017) Personal and professional well-being of surgical residents in New England. J Am Coll Surg 224:1015–1019CrossRefPubMed
16.
Chati R, Huet E, Grimberg L et al (2017) Factors associated with burnout among French digestive surgeons in training: results of a national survey on 328 residents and fellows. Am J Surg 213:754–762CrossRefPubMed
17.
Maslach C, Jackson SE, Leiter MP et al (1996) Maslach Burnout Inventory manual, 3rd edn. Consulting Psychologists Press, Palo Alto
18.
Sirigatti S, Stefanile C (1993) MBI—Maslach Burnout Inventory. Adattamento e taratura per l’Italia. In: Firenze, Organizzazioni speciali, pp 33–42
19.
20.
Hagquist C (2008) Psychometric properties of the PsychoSomatic Problems scale: a Rasch analysis on adolescent data. Soc Indic Res 86:511–523CrossRef
21.
Nunnally JC, Bernstein IH (1978) Psychometric theory. McGraw-Hill, New York
22.
Rafferty JP, Lemkau JP, Purdy RR et al (1986) Validity of the Maslach burnout inventory for family practice physicians. J Clin Psychol 42:488–492CrossRefPubMed
23.
Gelfand DV, Podnos YD, Carmichael JC et al (2004) Effect of the 80-hour workweek on resident burnout. Arch Surg 139:933–940CrossRefPubMed
24.
Bertges Yost W, Eshelman A, Raoufi M et al (2005) A national study of burnout among American transplant surgeons. Transplant Proc 37:1399–1401CrossRefPubMed
25.
26.
Kaplowitz M, Hadlock T, Levine R (2004) A comparison of web and mail response rates. Public Opin Q 68:94–101CrossRef
27.
Tschuor C, Raptis DA, Morf MC et al (2014) Job satisfaction among chairs of surgery from Europe and North America. Surgery 156:1069–1077CrossRefPubMed
28.
Bland KI, Isaacs G (2002) Contemporary trends in student selection of medical specialties: the potential impact on general surgery. Arch Surg 137:259–267PubMed
29.
Dorsey ER, Jarjoura D, Rutecki GW (2003) Influence of controllable lifestyle on recent trends in specialty choice by US medical students. JAMA 290:1173–1178 (Erratum in: JAMA. 2003 26;290:2666) CrossRefPubMed
30.
Jarecky RK, Schwartz RW, Haley JV et al (1991) Stability of medical specialty selection at the University of Kentucky. Acad Med 66:756–761CrossRefPubMed
31.
Schwartz RW, Haley JV, Williams C et al (1990) The controllable lifestyle factor and students’ attitudes about specialty selection. Acad Med 65:207–210CrossRefPubMed
32.
Goitein L, Shanafelt TD, Wipf JE et al (2005) The effects of work-hour limitations on resident well-being, patient care, and education in an internal medicine residency program. Arch Intern Med 165:2601–2606CrossRefPubMed
33.
O’Gallagher MK, Lewis G, Mercieca K et al (2013) The impact of the European Working Time Regulations on Ophthalmic Specialist Training—a national trainee survey. Int J Surg 11:837–840CrossRefPubMed
34.
Riall TS, Teiman J, Chang M et al (2017) Maintaining the fire but avoiding burnout: implementation and evaluation of a resident well-being program. J Am Coll Surg 226:369–379CrossRefPubMed
35.
Raptis DA, Schlegel A, Tschuor C et al (2012) Job satisfaction among young board-certified surgeons at academic centers in Europe and North America. Ann Surg 256:796–805CrossRefPubMed
36.
von Websky MW, Oberkofler CE, Rufibach K et al (2012) Trainee satisfaction in surgery residency programs: modern management tools ensure trainee motivation and success. Surgery 152:794–801CrossRef
37.
Spector PE (1997) Job satisfaction: application, assessment, cause, and consequences. Sage, Beverly Hills
38.
Johns MM, Ossoff RH (2005) Burnout in academic chairs of otolaryngology: head and neck surgery. Laryngoscope 115:2056–2061CrossRefPubMed
39.
Appelbaum NP, Lee N, Amendola M, Dodson K, Kaplan B (2019) Surgical resident burnout and job satisfaction: the role of workplace climate and perceived support. J Surg Res 234:20–25CrossRefPubMed
40.
41.
Grogan EL, Stiles RA, France DJ et al (2004) The impact of aviation-based teamwork training on the attitudes of health-care professionals. J Am Coll Surg 199:843–848CrossRefPubMed
42.
Dyrbye LN, Burke SE, Hardeman RR et al (2018) Association of clinical specialty with symptoms of burnout and career choice regret among US resident physicians. JAMA 320:1114–1130CrossRefPubMedCentralPubMed
Metadata
Title
Burnout and psychological distress between surgical and non-surgical residents
Authors
Matteo Serenari
Alessandro Cucchetti
Paolo Maria Russo
Guido Fallani
Katia Mattarozzi
Antonio Daniele Pinna
Valentina Colonnello
Gilberto Poggioli
Matteo Cescon
Publication date
01-06-2019
Publisher
Springer International Publishing
Published in
Updates in Surgery / Issue 2/2019
Print ISSN: 2038-131X
Electronic ISSN: 2038-3312
DOI
https://doi.org/10.1007/s13304-019-00653-0

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