No abstract

Abstract Objectives: To investigate the frequency of job satisfaction, burnout and ethics among physicians across specialties with varied levels of experience and seniority, in hospitals in Makkah, Saudi Arabia. Methods: From April-May 2016, job satisfaction, burnout and ethics were assessed in 136 physicians across specialties from six government hospitals in Makkah. Data collection was via a self-administered questionnaire. SPSS was used to obtain the likelihood ratio chi-square for all categorical bivariate statistical analyses. P value <0.05 was considered significant. Results: A total of 136 physicians participated in the study. Sixty-nine percent physicians were male and 31% were female. Medical specialties varied between genders. There was no significant difference by gender, in job satisfaction among physicians (p-value 0.99). However, a high level of burnout was statistically significant among physicians (51%, p-value <0.0001) and the level of burnout was significantly higher among physicians willing to change their specialty compared to those willing to repeat it (50% vs. 24%, p-value 0.02). Physicians dissatisfied with their salary had double the scores of ethics compared to satisfied physicians. Female physicians were better at resolving ethical dilemmas. Conclusion: This study provided the first evidence of high frequency of burnout and career choice regret among physicians working in Makkah, Saudi Arabia. Preventing physician burnout not only improves the quality of healthcare but also ensures patient safety. Keywords: Physician satisfaction, ethics, burnout, work stress, loss of enthusiasm

Congenital absence of the vas deferens (CAVD) is an uncommon anomaly that occurs in up to 1% of the male population. It can be associated with various other anomalies, including cryptorchidism and renal anomalies, such as renal agenesis. We here present a case of cryptorchidism with ipsilateral congenital absence of the vas deferens and renal agenesis and used the Stephen-Fowler technique for Orchiopexy depending on gubernacular vessels. A 7-month-old boy was referred to our center with left grade 2 hydronephrosis, right renal agenesis, and right impalpable, undescended testis. Examination under anesthesia and laparoscopic exploration with staged Stephen-Fowler orchiopexy were performed. The patient was followed up at 3, 6, and 12 months and had an excellent outcome. Cryptorchidism with congenital ipsilateral absence of the vas deferens and renal agenesis is a rare diagnostic entity. Our case supports the suggested theory that the gubernacular vessels can increase the blood supply to the testis, although further studies are needed to confirm this hypothesis.