Stress and burnout in anaesthesia

Rama-Maceiras, P.; Jokinen, Johanna; Kranke, Peter

doi:10.1097/aco.0000000000000169

Cited by 59 publications

(60 citation statements)

References 55 publications

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“…Burnout, which has been shown to be a potential negative consequence of caring for a dying patient, is not specific to surgery and also affects other specialties such as anaesthetics and oncology. Almost 50 per cent of anaesthetists scored positive for some burnout domains. Interventions to reduce this risk were the creation of a positive work environment, institutional support and autonomy of employees.…”

Section: Discussionmentioning

confidence: 99%

Systematic review of the impact of patient death on surgeons

Joliat

Demartines

Uldry

2019

British Journal of Surgery

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Background: The death of a patient is experienced at some time by most surgeons. The aim of this review was to use existing literature to establish how surgeons have dealt with the death of patients.Methods: A systematic review of the medical literature was performed. MEDLINE/PubMed, Ovid, Web of Science, Embase, and Google Scholar were searched for qualitative and quantitative studies on surgeon reactions when facing death or a dying patient. This systematic review was performed following the recommendations of the Cochrane collaboration and reported following the PRISMA guidelines. Individual and interview-based opinions were summarized and synthesized.Results: An initial search found 652 articles. After exclusion of articles that did not satisfy the inclusion criteria, 20 articles remained and seven were included. Two of these articles were personal opinion of the author and five were interviews or surveys. The main findings were that facing death routinely induces a strong psychological burden and that surgeons are more at risk than the general population to develop psychological morbidity.Conclusion: Although it is a frequent and emotional subject in the surgical world, the impact of patient death on surgeons is not abundantly studied in the literature. Dealing with patient death or taking care of a dying patient might have long-lasting psychological impact on surgeons.

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Section: Discussionmentioning

confidence: 99%

Systematic review of the impact of patient death on surgeons

Joliat

Demartines

Uldry

2019

British Journal of Surgery

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“…This may culminate in decreased quality of patient care and diminished job satisfaction. 5,19,22,25,26 Such issues should be addressed to ensure practitioner well-being and quality patient care.…”

Section: Fitness For Purpose In Medicinementioning

confidence: 99%

Fitness for purpose in anaesthesiology: a review

Kalafatis

Sommerville

Gopalan

2018

Southern African Journal of Anaesthesia and Analgesia

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The purpose of this review is to explore how fitness for purpose can be defined for anaesthesiology graduates and to delineate the parameters of this concept for anaesthesiology. Newly qualified anaesthesiology graduates experience difficulties with the transition from trainee to specialist, with perceptions of unpreparedness especially in non-technical skills. This may be deleterious to the individual, the patient, colleagues and the workplace. It is possible that graduates may be deemed competent yet are unable to fulfil all their specialist roles. Fitness for purpose and its relationship with competence, expertise and excellence in anaesthesiology have been poorly defined in the literature. These concepts are not synonymous but provide a hierarchical framework for the development of a specialist from a beginner to an expert. The uncertainties surrounding competence are numerous, with generic competency frameworks not addressing all aspects unique to anaesthesiology. The applicability of such frameworks in areas outside which they were originally designed and, in particular, in anaesthesiology, is questionable and requires further investigation. Defining fitness for purpose in anaesthesiology will assist training departments, curriculum designers, assessors and regulators to produce specialists that are experts in their chosen field without any deficiencies and thus able to perform all their required roles.

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“…The transition from trainee to specialist has been associated with adverse physician and patient outcomes, primarily due to the perception of newly qualified specialists of unpreparedness. [1][2][3][4][5] To alleviate this additional stressor, graduates need to be fit for purpose to function safely and appropriately.…”

Section: Introductionmentioning

confidence: 99%

Defining fitness for purpose in South African anaesthesiologists using a Delphi technique to assess the CanMEDS framework

Kalafatis

Sommerville

Gopalan

2019

South Afr J Anaesth Analg

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Background: Training of South African anaesthesiologists is based on the Canadian Medical Education Directives for Specialists (CanMEDS). However, the applicability of CanMEDS in this context has not been assessed. An expert panel participated in a Delphi process to create an appropriate expanded list of CanMEDS competencies that may be used in the future to assess fitness for purpose of local graduates. Methods: This descriptive study comprised a representative panel of 16 experts surveyed electronically over three rounds to assess the importance of the existing CanMEDS roles and enabling competencies and suggested additions deemed applicable locally. The primary outcome was the creation of a list of competencies applicable to South Africa. Results: There was a 100% response rate for all three rounds. Based on the existing seven CanMEDS meta-competencies (Medical Expert, Collaborator, Communicator, Leader, Scholar, Professional and Health Advocate), respondents scored the importance of 89 enabling competencies and 19 additional competencies. Seven CanMEDS enabling competencies did not achieve consensus and were excluded. Nineteen new enabling competencies and two new meta-competencies (Humaneness, Context Awareness) achieved consensus and were added. Median ratings of importance of meta-competencies showed highest scores for Medical Expert and Collaborator and lowest scores for Health Advocate. Weighting of meta-competencies revealed highest scores for Medical Expert and Professional with all others equally weighted. Conclusion: This study has formulated an adapted CanMEDS list of enabling competencies with the addition of the two new metacompetencies of Context Awareness and Humaneness for use in South African anaesthesiology. This provides a means with which future graduates may be assessed for fitness for purpose.

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Stress and burnout in anaesthesia

Cited by 59 publications

References 55 publications

Systematic review of the impact of patient death on surgeons

Systematic review of the impact of patient death on surgeons

Fitness for purpose in anaesthesiology: a review

Defining fitness for purpose in South African anaesthesiologists using a Delphi technique to assess the CanMEDS framework

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