Burnout in orthopaedic surgeons: A systematic review

Hui, Rex Wan‐Hin; Leung, Ka Chun; Ge, Shicong; Hwang, Amanda Chin; Lai, Gevon Ge Woon; Leung, Arnold; Leung, John

doi:10.1016/j.jcot.2019.01.028

Cited by 31 publications

(77 citation statements)

References 47 publications

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“…16,22 Amongst orthopedic surgeons, the prevalence of burnout ranges from 50 to 60%, with severe burnout been present in up to 10% of orthopedic surgeons. 1,16,17 The prevalence of burnout was higher in early career orthopedic surgeons. 1,4 Fig.…”

Section: Discussionmentioning

confidence: 99%

“…1,16,17 The prevalence of burnout was higher in early career orthopedic surgeons. 1,4 Fig. 3 SF-36 domains according to the presence or not of severe burnout within residents.…”

Section: Discussionmentioning

confidence: 99%

“…Occupational burnout is a syndrome composed of emotional exhaustion, depersonalization, and a low sense of fulfillment secondary to chronic occupational stress. 1 The syndrome affects negatively personal life and professional performance, and is a growing concern among healthcare professionals. 1 Orthopedic surgeons frequently manage complex cases and need to master a wide range of surgical techniques.…”

Section: Introductionmentioning

confidence: 99%

“…1 The syndrome affects negatively personal life and professional performance, and is a growing concern among healthcare professionals. 1 Orthopedic surgeons frequently manage complex cases and need to master a wide range of surgical techniques. Their practice usually involves heavy workload, night shifts, and long surgeries.…”

Section: Introductionmentioning

confidence: 99%

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Impacto da pandemia COVID-19 na prevalência de burnout entre residentes em ortopedia

Barreto

Tavares

Azi

et al. 2021

Rev Bras Ortop (Sao Paulo)

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Resumo Objetivo O objetivo principal do presente estudo é avaliar o impacto da pandemia de COVID-19 na prevalência da síndrome de burnout entre residentes de ortopedia Como objetivo secundário, foram avaliadas características associadas ao risco de desenvolver a forma grave da síndrome. Método No presente estudo transversal, foram avaliados residentes antes e durante a pandemia de COVID-19. Estudantes de medicina formaram um grupo de controle. Os participantes responderam a um questionário sociodemográfico, ao Inventário Maslach Burnout, e à versão validada brasileira do Short Form Health Survey 36 (SF-36). Cinquenta e dois residentes foram avaliados antes da pandemia e 19 durante a pandemia. Resultados Quarenta e quatro (84,6%) residentes tinham critérios para síndrome de burnout, e a forma grave da síndrome estava presente em 16 (30,7%). Não houve alteração significativa nos escores avaliados após o início da pandemia de COVID-19. Também não houve aumento na prevalência da síndrome de burnout ou da forma grave da síndrome. Observou-se correlação negativa entre os itens SF-36 e o desenvolvimento da forma grave da síndrome de burnout. Conclusão A prevalência da síndrome de burnout e da forma grave da doença foi muito alta entre os residentes em cirurgia ortopédica. A pandemia de COVID-19 não aumentou o burnout nos residentes.

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Section: Discussionmentioning

confidence: 99%

“…1,16,17 The prevalence of burnout was higher in early career orthopedic surgeons. 1,4 Fig. 3 SF-36 domains according to the presence or not of severe burnout within residents.…”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Impacto da pandemia COVID-19 na prevalência de burnout entre residentes em ortopedia

Barreto

Tavares

Azi

et al. 2021

Rev Bras Ortop (Sao Paulo)

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“…In a previous systematic review, sleep deprivation, working in larger training programs, excessive workloads, long work hours, frequency of nights on-call, perception of work-related stress and stressful workplace relationships were all found to be associated with increased burnout risk. 49 …”

Section: Discussionmentioning

confidence: 99%

Physician wellness in orthopaedic surgery

et al. 2021

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Aims Physician burnout and its consequences have been recognized as increasingly prevalent and important issues for both organizations and individuals involved in healthcare delivery. The purpose of this study was to describe and compare the patterns of self-reported wellness in orthopaedic surgeons and trainees from multiple nations with varying health systems. Methods A cross-sectional survey of 774 orthopaedic surgeons and trainees in five countries (Australia, Canada, New Zealand, UK, and USA) was conducted in 2019. Respondents were asked to complete the Mayo Clinic Well-Being Index and the Stanford Professional Fulfillment Index in addition to 31 personal/demographic questions and 27 employment-related questions via an anonymous online survey. Results A total of 684 participants from five countries (Australia (n = 74), Canada (n = 90), New Zealand (n = 69), UK (n = 105), and USA (n = 346)) completed both of the risk assessment questionnaires (Mayo and Stanford). Of these, 42.8% (n = 293) were trainees and 57.2% (n = 391) were attending surgeons. On the Mayo Clinic Well-Being Index, 58.6% of the overall sample reported feeling burned out (n = 401). Significant differences were found between nations with regards to the proportion categorized as being at risk for poor outcomes (27.5% for New Zealand (19/69) vs 54.4% for Canada (49/90) ; p = 0.001). On the Stanford Professional Fulfillment Index, 38.9% of the respondents were classified as being burned out (266/684). Prevalence of burnout ranged from 27% for Australia (20/74 up to 47.8% for Canadian respondents (43/90; p = 0.010). Younger age groups (20 to 29: RR 2.52 (95% confidence interval (CI) 1.39 to 4.58; p = 0.002); 30 to 39: RR 2.40 (95% CI 1.36 to 4.24; p = 0.003); 40 to 49: RR 2.30 (95% CI 1.35 to 3.9; p = 0.002)) and trainee status (RR 1.53 (95% CI 1.15 to 2.03 p = 0.004)) were independently associated with increased relative risk of having a ‘at-risk’ or ‘burnout’ score. Conclusions The rate of self-reported burnout and risk for poor outcomes among orthopaedic surgeons and trainees varies between countries but remains unacceptably high throughout. Both individual and health system characteristics contribute to physician wellness and should be considered in the development of strategies to improve surgeon wellbeing. Level of Evidence: III Cite this article: Bone Jt Open 2021;2(11):932–939.

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Gender Differences in Domestic Responsibilities of Otolaryngologists—A Mixed‐Methods Analysis

Graham,

Aleksa,

Dzioba

et al. 2024

The Laryngoscope

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ObjectivesFemale otolaryngologist‐head and neck surgeons (OHNS) confront unique barriers. This study examines the influence of home life, especially gendered division of household labor, on leadership, productivity, and burnout.MethodsA survey was distributed through social media and national society list‐serv. Demographics, responsibility for household roles, and Maslach Burnout Inventory for Medical Personnel were included. Participants were invited to participate in semi‐structured interviews, employing purposive sampling, with qualitative thematic analysis.ResultsResponse rate was 26.4% (145 of 550 of eligible participants; 38.7% women, 60.7% men). Significantly fewer women were married (64.3% vs. 92% of men, p < 0.001), and significantly more were childless (21.4% of women vs. 9.1% of men, p = 0.037). More men reported exclusive/major responsibility for five duties, including yard work and home maintenance (all p < 0.03). More women reported exclusive/major responsibility for 15 duties, including meal planning and coordinating childcare (all p < 0.03). Women had higher Emotional Exhaustion on univariate analysis (p = 0.015). Across 27 interviews, two main themes were identified, each with three associated subthemes: Theme one, “division of duties,” with subthemes (1) the way household duties were divided, (2) traditional gender norms, and 3. changing duties over time/unexpected circumstances. Theme two, “impact of domestic duties,” with subthemes (1) professional, (2) financial, and (3) burnout/life satisfaction.ConclusionsWomen OHNS disproportionately manage domestic responsibilities, possibly altering career trajectory for some OHNS. Burnout, especially emotional exhaustion, may be elevated due to inequitable labor. Future research should focus on identifying ways to improve equity for this group.Level of EvidenceN/A Laryngoscope, 2024

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Burnout in orthopaedic surgeons: A systematic review

Cited by 31 publications

References 47 publications

Impacto da pandemia COVID-19 na prevalência de burnout entre residentes em ortopedia

Impacto da pandemia COVID-19 na prevalência de burnout entre residentes em ortopedia

Physician wellness in orthopaedic surgery

Gender Differences in Domestic Responsibilities of Otolaryngologists—A Mixed‐Methods Analysis

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