David B T Robinson1, Osian P James2, Luke Hopkins2, Chris Brown2, Chris Bowman2, Tarig Abdelrahman2, Michael J Pollitt3, Richard J Egan4, Damian M Bailey5, Wyn G Lewis2. 1. Wales PGMDE School of Surgery, Health Education and Improvement Wales, Nantgarw, United Kingdom. Electronic address: david.robinson4@outlook.com. 2. Wales PGMDE School of Surgery, Health Education and Improvement Wales, Nantgarw, United Kingdom. 3. Department of Surgery, Prince Charles Hospital, Merthyr Tydfil, United Kingdom. 4. Department of Surgery, Morriston Hospital, Swansea, United Kingdom. 5. Neurovascular Research Laboratory, Faculty of Life Sciences and Education, University of South Wales, Pontypridd, United Kingdom.
Abstract
OBJECTIVE: 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. DESIGN: 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. SETTING: A single UK (Wales) Deanery. PARTICIPANTS: One hundred responses were received; 65 core surgical trainees, 31 Higher Surgical Trainees (HST), and 4 not specified. RESULTS: 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, p < 0.001; EE:PA r = -0.455, p < 0.001; DP:PA r = -0.446, p < 0.001). 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), age >30 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). CONCLUSIONS: 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.
OBJECTIVE: 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. DESIGN: 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. SETTING: A single UK (Wales) Deanery. PARTICIPANTS: One hundred responses were received; 65 core surgical trainees, 31 Higher Surgical Trainees (HST), and 4 not specified. RESULTS: 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, p < 0.001; EE:PA r = -0.455, p < 0.001; DP:PA r = -0.446, p < 0.001). 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), age >30 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). CONCLUSIONS: 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.
Authors: Osian P James; David B T Robinson; Luke Hopkins; Chris Bowman; Arfon G M T Powell; Chris Brown; Damian M Bailey; Richard J Egan; Wyn G Lewis Journal: BMJ Simul Technol Enhanc Learn Date: 2020-08-13
Authors: Luke Hopkins; Benjamin Stacey; David B T Robinson; Osian P James; Christopher Brown; Richard J Egan; Wyn G Lewis; Damian M Bailey Journal: Physiol Rep Date: 2020-06
Authors: D B T Robinson; L Hopkins; O P James; C Brown; A G M T Powell; S Hemington-Gorse; T Abdelrahman; W G Lewis; R J Egan Journal: BJS Open Date: 2020-07-24
Authors: Waleed Burhamah; Abdulaziz AlKhayyat; Melinda Oroszlányová; Hana Jafar; Ali AlKhayat; Jasim Alabbad Journal: Ann Med Surg (Lond) Date: 2021-04-21
Authors: O W Luton; O P James; K Mellor; C Eley; L Hopkins; D B T Robinson; C C Lebares; A G M T Powell; W G Lewis; R J Egan Journal: BJS Open Date: 2021-07-06