Matthew R Smeds1, Matthew R Janko2, Steven Allen3, Kwame Amankwah4, Tracey Arnell5, Parswa Ansari6, Marcus Balters7, Donald Hess8, Elizabeth Ferguson9, Patrick Jackson10, Mary K Kimbrough11, David Knight12, Melissa Johnson13, Michael Porter14, Brian D Shames15, Rebecca Schroll16, Julia Shelton17, Jeffrey Sussman18, Peter Yoo19. 1. Division of Vascular and Endovascular Surgery, SSM Health St. Louis University Hospital, St. Louis University School of Medicine, Saint Louis, MO, USA. Electronic address: Matt.Smeds@health.slu.edu. 2. Division of Vascular Surgery and Endovascular Therapy, University Hospitals, Case Western Reserve University School of Medicine, Department of Surgery, Cleveland, OH, USA. 3. Department of Surgery, Pennsylvania State University, Hershey, PA, USA. 4. Department of Surgery, Upstate University Hospital, State University of New York, Syracuse, NY, USA. 5. Department of Surgery, Columbia University, New York, NY, USA. 6. Lenox Hill Hospital, New York, NY, USA. 7. Department of General Surgery, Creighton University, Omaha, NE, USA. 8. Department of General Surgery, Boston Medical Center, Boston University School of Medicine, Boston, MA, USA. 9. Department of General Surgery, Maricopa Integrated Health System, Phoenix, AZ, USA. 10. Georgetown University School of Medicine, Washington, DC, USA. 11. Department of Surgery, University of Arkansas for Medical Sciences, USA. 12. Department of General Surgery, Waterbury Hospital, Waterbury, CT, USA. 13. Department of General Surgery, University of South Dakota-Sanford, Sanford, SD, USA. 14. Department of Surgery, University of Kansas-Wichita, Wichita, KS, USA. 15. Department of Surgery, University of Connecticut School of Medicine, Farmington, CT, USA. 16. Department of Surgery, Tulane University, New Orleans, LA, USA. 17. Department of Surgery, University of Iowa, Iowa City, IA, USA. 18. Department of General Surgery, University of Cincinnati, Cincinnati, OH, USA. 19. Department of Surgery, Yale University, New Haven, CT, USA.
Abstract
BACKGROUND: Burnout affects surgical residents' well-being. OBJECTIVE: We sought to identify factors associated with burnout among surgery residents. METHODS: An electronic/anonymous survey was sent to surgical residents at 18 programs, consisting of demographic/programmatic questions and validated scales for burnout, depression, perceived stress, self-efficacy, and social support. Residents were grouped into quartiles based off burnout, and predictors were assessed using univariate and multivariate analyses. RESULTS: 42% of residents surveyed completed it. Burnout was associated with depression, higher perceived stress/debt, fewer weekends off, less programmatic social events, and residents were less likely to reconsider surgery if given the chance. Low burnout was associated with lower depression/stress, higher social support/self-efficacy, more weekends off per month, program mentorship, lower debt, and residents being more likely to choose surgery again if given the chance. On multivariate analysis, higher depression/perceived stress were associated with burnout, and lower burnout scores were associated with lower stress/higher self-efficacy. CONCLUSIONS: Burnout in surgery residents is associated with higher levels of depression and perceived stress. The addition of programmatic social events, limiting weekend work, and formal mentoring programs may decrease burnout.
BACKGROUND: Burnout affects surgical residents' well-being. OBJECTIVE: We sought to identify factors associated with burnout among surgery residents. METHODS: An electronic/anonymous survey was sent to surgical residents at 18 programs, consisting of demographic/programmatic questions and validated scales for burnout, depression, perceived stress, self-efficacy, and social support. Residents were grouped into quartiles based off burnout, and predictors were assessed using univariate and multivariate analyses. RESULTS: 42% of residents surveyed completed it. Burnout was associated with depression, higher perceived stress/debt, fewer weekends off, less programmatic social events, and residents were less likely to reconsider surgery if given the chance. Low burnout was associated with lower depression/stress, higher social support/self-efficacy, more weekends off per month, program mentorship, lower debt, and residents being more likely to choose surgery again if given the chance. On multivariate analysis, higher depression/perceived stress were associated with burnout, and lower burnout scores were associated with lower stress/higher self-efficacy. CONCLUSIONS: Burnout in surgery residents is associated with higher levels of depression and perceived stress. The addition of programmatic social events, limiting weekend work, and formal mentoring programs may decrease burnout.
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