Burnout, Wellness, and Resilience in Anesthesiology

Answine, Joseph F.; Lu, Amy C; Levy, Tal S.M.

doi:10.1097/aia.0000000000000235

Cited by 13 publications

(10 citation statements)

References 17 publications

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“…These include working-time restrictions (e.g., 80 working hours per week restriction as per ACGME-I requirements), protected rest periods during and between shifts, and counseling services. Mindfulness courses, resilience courses, and the provision of mentoring to trainees early in their career could be impactful in tackling burnout, but research in these areas is ongoing [40][41][42].…”

Section: Discussionmentioning

confidence: 99%

The Abbreviated Maslach Burnout Inventory Can Overestimate Burnout: A Study of Anesthesiology Residents

Lim

Ong

et al. 2019

JCM

103

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The Maslach Burnout Inventory for healthcare professionals (MBI-HSS) and its abbreviated version (aMBI), are the most common tools to detect burnout in clinicians. A wide range in burnout prevalence is reported in anesthesiology, so this study aimed to ascertain which of these two tools most accurately detected burnout in our anesthesiology residents. The MBI-HSS and aMBI were distributed amongst 86 residents across three hospitals, with a total of 58 residents completing the survey (67.4% response rate; 17 male and 41 female). Maslach-recommended cut-offs for the MBI-HSS and the aMBI with standard cut-offs were used to estimate burnout prevalence, and actual prevalence was established clinically by a thorough review of multiple data sources. Burnout proportions reported by the MBI-HSS and aMBI were found to be significantly different; 22.4% vs. 62.1% respectively (p < 0.0001). Compared to the actual prevalence of burnout in our cohort, the MBI-HSS detected burnout most accurately; area under receiver operating characteristic of 0.99 (95% confidence interval (CI): 0.92–1.0). Although there was a good correlation between the MBI-HSS and aMBI subscale scores, the positive predictive value of the aMBI was poor; 33.3% (95% CI:27.5–39.8%), therefore caution and clinical correlation are advised when using the aMBI tool because of the high rates of false-positives.

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Section: Discussionmentioning

confidence: 99%

The Abbreviated Maslach Burnout Inventory Can Overestimate Burnout: A Study of Anesthesiology Residents

Lim

Ong

et al. 2019

JCM

103

View full text Add to dashboard Cite

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“…The overload work, long working hours, continuous noise pollution and so on [26][27][28], have caused some physical and mental problem among anesthesiologists, such as psychological distress Burnout Syndrome (BOS) memory and attention disturbance and so on [29][30][31][32]. It was reported that the mental fatigue had served as the principal factor for causing medical error among anesthesiologists [33], and their high proportion of suicides [34]. A study showed that the risk of medical accident increases exponentially with each hour when the doctor had worked for nine hours consecutively.…”

Section: Discussionmentioning

confidence: 99%

Virtual Reality as a Measure to Reduce Stress of Night-Shift Anesthesiologists: Study Protocol for a Cross-Over Design Trial

Chen¹,

Chen²,

Shen³

et al. 2020

Preprint

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Background: Because of the severe deficiency of global anesthesia workforce, anesthesiologists are forced to face work overload and more night shifts, which can disturbe the biological rhythm and cause major stress and depression, causing negative even devastating outcomes for both themselves and the patients eventually. Virtual reality (VR) as a new measure to reduce stress and pain for patients, has been widely used in biomedical fields.The purpose of the study is to evaluate the potential effectiveness of VR technology in reducing the stress of night-shift anesthesiologists.Methods: In this randomized controlled, cross-over design, single-center clinical trial, a total of 30 anesthesiologists are enrolled and randomized in a 1:1 allocation to either the VR immersion group (intervention group) or the routine night-shift group (control group) with a washout of 1 week. Anesthesiologists in the intervention group undergo VR immersion for twice while anesthesiologists in the control group will not watch VR videos during the night shift. The primary outcome is the difference between two groups about the score of NASA-TLX scale. Secondary outcomes include the score of CPSS, VAS and MFI-20 scales, satisfaction degree of the participants, heart rate (HR), blood pressure (BP), the incidence of arrhythmia as well as incidence of chest tightness, headache, palpitations.Discussion: It is unknown whether the use of VR technology during the night shift can reduce the stress of night-shift anesthesiologists. With the widely use of VR technology, a positive result of the trial could spur the hospital to apply the technology to reduce the stress of night shift doctors in every department as well as offer a relatively relaxed working environment.Trial registration: ChiCTR2000031025 on March 21, 2020.

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“…13 While some degree of stress may be beneficial, exaggerated stress may lead to decreased satisfaction, take a toll on health, and contribute to burnout. 14…”

Section: Why Doe S Ind Ia Have a S Hortag E Of Ane S The S Iolog Ismentioning

confidence: 99%

“…While some degree of stress may be beneficial, exaggerated stress may lead to decreased satisfaction, take a toll on health, and contribute to burnout 14 . The likelihood of depression, alcohol and drug abuse, poor marriages, and suicide is known to be high among anesthesiologists and they rank first among physicians in successfully taking their own lives.…”

Section: Work Environment and Stress‐related Problems Among Anesthesimentioning

confidence: 99%

Challenges and Opportunities Facing Pediatric Anesthesia Providers in Low‐ and Middle‐Income Countries (LMICs), India

Dave

Varghese

Jacob³

2020

Pediatric Anesthesia

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India is a vast, populous country with a huge variability in the standards of health care. While the cities have state of the art hospitals with trained doctors, rural areas where most of the population lives, have a severe shortage of resources. Children form nearly 40% of India's population, and there is a great demand for pediatric surgical and anesthesia services. Specialty training in pediatric anesthesia, however, is still in its infancy, with the majority of children being administered anesthesia by general anesthesiologists. This review discusses the reasons behind India's ailing healthcare How to cite this article: Dave N, Varghese E, Jacob R. Challenges and opportunities facing pediatric anesthesia providers in low and middle income countries (LMICs): India.

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Burnout, Wellness, and Resilience in Anesthesiology

Cited by 13 publications

References 17 publications

The Abbreviated Maslach Burnout Inventory Can Overestimate Burnout: A Study of Anesthesiology Residents

The Abbreviated Maslach Burnout Inventory Can Overestimate Burnout: A Study of Anesthesiology Residents

Virtual Reality as a Measure to Reduce Stress of Night-Shift Anesthesiologists: Study Protocol for a Cross-Over Design Trial

Challenges and Opportunities Facing Pediatric Anesthesia Providers in Low‐ and Middle‐Income Countries (LMICs), India

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