Dawn M Coleman1, Samuel R Money2, Andrew J Meltzer2, Max Wohlauer3, Laura M Drudi4, Julie A Freischlag5, Susan Hallbeck6, Brian Halloran7, Thomas S Huber8, Tait Shanafelt9, Malachi G Sheahan10. 1. Section of Vascular Surgery, Department of Surgery, The University of Michigan, Ann Arbor, Mich. Electronic address: dawnbarn@med.umich.edu. 2. The Division of Vascular Surgery, Department of Surgery, Mayo Clinic Arizona, Phoenix, Ariz. 3. Division of Vascular Surgery, Department of Surgery, University of Colorado School of Medicine, Aurora, Colo. 4. Division of Vascular Surgery, Department of Surgery, McGill University, Montreal, Quebec, Canada. 5. Division of Vascular Surgery, Department of Surgery, Wake Forest Baptist Health, Winston-Salem, NC; Rochester, Minn. 6. Department of Health Sciences Research, Mayo Clinic, Rochester, Minn. 7. Department of Surgery, Saint Joseph Mercy Hospital, Ann Arbor, Mich. 8. Division of Vascular Surgery, Department of Surgery, University of Florida, Gainesville, Fla. 9. The Department of Medicine, Stanford University, Palo Alto, Calif. 10. The Division of Vascular Surgery, Department of Surgery, Louisiana State University Health Sciences Center, New Orleans, La.
Abstract
INTRODUCTION: Physician burnout has been linked to medical errors, decreased patient satisfaction, and decreased career longevity. In light of the increasing prevalence of cardiovascular disease, vascular surgeon burnout presents a legitimate public health concern owing to the impact on the adequacy of the vascular surgery workforce. The aims of this study were to define the prevalence of burnout among practicing vascular surgeons and identify factors that contribute to burnout to facilitate future Society for Vascular Surgery (SVS) initiatives to mitigate this crisis. METHODS: In 2018, active SVS members were surveyed electronically and confidentially using the Maslach Burnout Inventory. The survey was tailored to explore specialty-specific issues, and to capture demographic and practice-related characteristics. Emotional exhaustion (EE) and depersonalization (DP) were analyzed as dimensions of burnout. Consistent with convention, surgeons with a high score on the DP and/or EE subscales of the Maslach Burnout Inventory were considered to have at least one manifestation of professional burnout. Risk factors associated with symptoms of burnout were identified using bivariate analyses (χ2, Kruskal-Wallis). Multivariate logistic regression models were developed to identify independent risk factors for burnout. RESULTS: Of 2905 active SVS members, 960 responded to the survey (34% participation rate). After excluding retired surgeons and incomplete submissions, responses from 872 practicing vascular surgeons were analyzed. The mean age was 49.7 ± 11.0 years; the majority of respondents (81%) were male. Primary practice settings were academic (40%), community practice (41%), veteran's hospital (3.3%), active military practice (1.5%), or other. Years in practice averaged 15.7 ± 11.7. Overall, 41% of respondents had at least one symptoms of burnout (ie, high EE and/or high DP), 37% endorsed symptoms of depression in the past month, and 8% indicated they had considered suicide in the last 12 months. In unadjusted analysis, factors significantly associated with burnout (P < .05) included clinical work hours, on-call frequency, electronic medical record and documentation requirements, work-home conflict, and work-related physical pain. On multivariate analysis, age, work-related physical pain and work-home conflict were independent predictors for burnout. CONCLUSIONS: Symptoms of burnout and depression are common among vascular surgeons. Advancing age, work-related physical pain, and work-home conflict are independent predictors for burnout among vascular surgeons. Efforts to promote vascular surgeon well-being must address specialty-specific challenges, including the high prevalence of work-home conflict and occupational factors that contribute to work-related pain.
INTRODUCTION: Physician burnout has been linked to medical errors, decreased patient satisfaction, and decreased career longevity. In light of the increasing prevalence of cardiovascular disease, vascular surgeon burnout presents a legitimate public health concern owing to the impact on the adequacy of the vascular surgery workforce. The aims of this study were to define the prevalence of burnout among practicing vascular surgeons and identify factors that contribute to burnout to facilitate future Society for Vascular Surgery (SVS) initiatives to mitigate this crisis. METHODS: In 2018, active SVS members were surveyed electronically and confidentially using the Maslach Burnout Inventory. The survey was tailored to explore specialty-specific issues, and to capture demographic and practice-related characteristics. Emotional exhaustion (EE) and depersonalization (DP) were analyzed as dimensions of burnout. Consistent with convention, surgeons with a high score on the DP and/or EE subscales of the Maslach Burnout Inventory were considered to have at least one manifestation of professional burnout. Risk factors associated with symptoms of burnout were identified using bivariate analyses (χ2, Kruskal-Wallis). Multivariate logistic regression models were developed to identify independent risk factors for burnout. RESULTS: Of 2905 active SVS members, 960 responded to the survey (34% participation rate). After excluding retired surgeons and incomplete submissions, responses from 872 practicing vascular surgeons were analyzed. The mean age was 49.7 ± 11.0 years; the majority of respondents (81%) were male. Primary practice settings were academic (40%), community practice (41%), veteran's hospital (3.3%), active military practice (1.5%), or other. Years in practice averaged 15.7 ± 11.7. Overall, 41% of respondents had at least one symptoms of burnout (ie, high EE and/or high DP), 37% endorsed symptoms of depression in the past month, and 8% indicated they had considered suicide in the last 12 months. In unadjusted analysis, factors significantly associated with burnout (P < .05) included clinical work hours, on-call frequency, electronic medical record and documentation requirements, work-home conflict, and work-related physical pain. On multivariate analysis, age, work-related physical pain and work-home conflict were independent predictors for burnout. CONCLUSIONS: Symptoms of burnout and depression are common among vascular surgeons. Advancing age, work-related physical pain, and work-home conflict are independent predictors for burnout among vascular surgeons. Efforts to promote vascular surgeon well-being must address specialty-specific challenges, including the high prevalence of work-home conflict and occupational factors that contribute to work-related pain.
Authors: Matthew C Chia; Yue-Yung Hu; Ruojia Debbie Li; Elaine O Cheung; Joshua S Eng; Tiannan Zhan; Malachi G Sheahan; Karl Y Bilimoria; Dawn M Coleman Journal: J Vasc Surg Date: 2021-07-21 Impact factor: 4.268
Authors: Katherine E Hekman; Brian P Sullivan; Michael Bronsert; Kevin Z Chang; Amy Reed; Gabriela Velazquez-Ramirez; Max V Wohlauer Journal: J Vasc Surg Date: 2021-03-03 Impact factor: 4.860
Authors: Devika Nair; Laura Brereton; Courtney Hoge; Laura C Plantinga; Varun Agrawal; Sandeep S Soman; Michael J Choi; Bernard G Jaar Journal: Kidney Med Date: 2022-01-12
Authors: Alexander Hodkinson; Anli Zhou; Judith Johnson; Keith Geraghty; Ruth Riley; Andrew Zhou; Efharis Panagopoulou; Carolyn A Chew-Graham; David Peters; Aneez Esmail; Maria Panagioti Journal: BMJ Date: 2022-09-14
Authors: Kati Karhula; Aki Koskinen; Jenni Ervasti; Tarja Hakola; Veli-Matti Isoviita; Ilkka Kivimäki; Sampsa Puttonen; Tuula Oksanen; Mikko Härmä Journal: BMC Health Serv Res Date: 2022-07-23 Impact factor: 2.908