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per week was associated with decreased BCS for prior team sport athletes (F(3,211) = 11.10, p < 0.0005), but not for non-participants (F(3,211) = 0.476, p = 0.699). Team sport participation was associated with a larger reduction in BCS among senior residents (11.46 pts, p = 0.016), than junior residents (4.33 pts, p = 0.29).CONCLUSION: Prior team sport participation was associated with lower BCS, an effect more pronounced during senior residency, where residents assume formalized leadership responsibilities. Lessons imparted during early team sport experience may have profound impacts on reducing burnout throughout a seven-year neurosurgery residency.