The ill surgeon: a review of common work-related health problems amongst UK surgeons

Vijendren, Ananth; Yung, Matthew; Sánchez, José Arnau

doi:10.1007/s00423-014-1233-3

Cited by 41 publications

(36 citation statements)

References 24 publications

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“…6,[10][11][12][13]17 High surgeon burnout rates pose significant health and safety risks for surgeons, including increased depression, diabetes mellitus, heart disease, metabolic syndrome, and myocardial infarction. 9,13,14 Burnout can also have negative effects on patient care, resulting in decreased surgeon performance and increased rates of medical errors. 16,17 Because of the detrimental effects of burnout on surgeon and patient health, the Accreditation Council for Graduate Medical Education restricted resident work hours in 2003 and 2011.…”

Section: Discussionmentioning

confidence: 99%

“…[3][4][5] Several studies of surgeons and nonsurgeons have found that burnout can occur at a very high rate and is increasing in prevalence; 37.9% of physicians reported burnout in 2011, and 46.9% of physicians experienced burnout in 2014. [6][7][8][9] The prevalence of burnout in orthopaedic surgeons is even higher. Reported burnout rates are as high as 65%.…”

Section: Introductionmentioning

confidence: 99%

“…[10][11][12][13] This can lead to significant health risks for surgeons: increased depression, diabetes mellitus, heart disease, metabolic syndrome, myocardial infarction, and suicidal ideation. 9,[13][14][15] Burnout can also have a negative effects on patient care, resulting in decreased performance by surgeons and increased rates of medical errors. 16,17 The Maslach Burnout Inventory (MBI) is a validated 22-item questionnaire that is considered the goldstandard tool for measuring burnout.…”

Section: Introductionmentioning

confidence: 99%

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The Measurement of Orthopaedic Surgeon Burnout Using a Validated Wearable Device

Sochacki

Dong

Peterson

et al. 2019

Arthroscopy, Sports Medicine, and Rehabilitation

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The purpose of this study was (1) to determine the prevalence of burnout in orthopaedic surgeons and (2) to determine whether there is an association or correlation between subject-specific variables (age, attending physician, resident, postgraduate year level, gender, number of calls, total hours worked, and total hours of sleep) and burnout. Methods: Surgeons were prospectively enrolled and provided with a validated wearable device. Subject-specific variables were recorded. Participants completed the Maslach Burnout Inventory and Patient-Reported Outcomes Measurement Information System (PROMIS-29) weekly. Burnout and burnout risk were defined. Multivariate analysis and bivariate correlations were used to determine the association and correlation between subject-specific variables and burnout. Residents were compared to attending surgeons. Results: Of the 26 enrolled subjects, 21 (15 males, 6 females; mean age 37.2 AE 10.9) completed the 4-week study. Residents worked significantly more hours per week than attending surgeons (68.5 AE 15.2 versus 49.9 AE 7.5, P ¼ 0.009). Of the orthopaedic surgeons, 6 (28.6%) experienced burnout, and 7 (33.3%) orthopaedic surgeons were at risk for burnout. There was no significant difference in burnout rates between residents and attending surgeons (P > 0.05). The number of overnight calls was significantly correlated with increased burnout (r ¼ 0.435, P ¼ 0.049). Female gender was significantly associated (P ¼ 0.041) and correlated (r ¼ 0.558, P ¼ 0.009) with burnout. There was no significant association with burnout between the number of hours worked and hours of sleep. Conclusions: The rate of burnout was less than 50% among orthopaedic surgeons. The number of overnight calls and female gender are significantly correlated with increased burnout. There was no significant correlation between hours worked and hours of sleep in surgeon burnout. Clinical Relevance: Burnout is an increasingly common problem among orthopaedic surgeons, and it can have significant negative effects on surgeons' health and patients' outcomes. Identifying the predictors of burnout would allow surgeons to address these risk factors and reduce burnout.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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The Measurement of Orthopaedic Surgeon Burnout Using a Validated Wearable Device

Sochacki

Dong

Peterson

et al. 2019

Arthroscopy, Sports Medicine, and Rehabilitation

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“…The severity of problems reported by MIS surgeons varies, with most surgeons reporting neuromusculoskeletal symptoms during the MIS procedures [8] and others identifying symptoms that persist beyond the operative time [6,14] and extend beyond the work day [12]. Neuromusculoskeletal fatigue, impairment, and injuries have been shown to adversely affect MIS performance, patient safety, and surgeon career longevity [15][16][17][18][19][20]. The impact of suboptimal health on the ability of surgeons to perform quality MIS procedures is a major concern in hospitals worldwide [9,[21][22][23], prompting calls by medical practitioners and human factors engineers to request modification of the "hostile" and "dangerous" environment encountered by MIS surgeons [9,10,24,25].…”

Section: Introductionmentioning

confidence: 99%

Evidence-based intraoperative microbreak activities for reducing musculoskeletal injuries in the operating room

Wood

Lowndes

Buus

et al. 2018

WOR

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“…The study also found that, during an 8-year period, there was an increase in psychiatric morbidity (from 22 to 33%), an increase in burnout (from 27 to 41%), and a decrease in job satisfaction (from 68 to 65%) (10). In the UK, surgeons were shown to exhibit susceptibility to substance abuse, sharps injuries, stress and burnout, and musculoskeletal pain (11). A Korean study demonstrated that, compared with other professions, surgeons were more prone to occupational stress.…”

Section: Introductionmentioning

confidence: 99%

Occupational Stress and Burnout among Surgeons in Fiji

Patel

Huggard

Toledo

2017

Front. Public Health

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AimThis study examined the levels of occupational stress and burnout among surgeons in Fiji.MethodsA document set comprising a cover letter; a consent form; a sociodemographic and supplementary information questionnaire; the Maslach Burnout Inventory (MBI); the 12-item General Health Questionnaire (GHQ-12); the Alcohol Use Disorders Identification Test (AUDIT); and the Professional Quality of Life (ProQOL) questionnaires were provided to surgeons from three public divisional hospitals in Fiji. Thirty-six of 43 (83.7%) invited surgeons participated in the study.ResultsAccording to their MBI scores, surgeons suffered from low (10, 27.8%), moderate (23, 63.9%), and high (3, 8.3%) levels of burnout. Comparatively, 23 (63.9%) demonstrated moderate burnout according to their ProQOL scores. Substantial psychiatric morbidity was observed in 16 (44.0%) surgeons per their GHQ-12 scores. Consumption of alcohol was noted in 29 (80.6%) surgeons, and 12 (33.4%) had AUDIT scores characterizing their alcohol use in excess of low-risk guidelines or as harmful or hazardous drinking. Surgeons of Fijian nationality showed higher MBI emotional exhaustion and depersonalization scores compared with surgeons of other nationalities. Surgeons with an awareness of the availability of counseling services at their hospitals showed low AUDIT and ProQOL burnout scores. Smokers, alcohol drinkers, and kava drinkers showed higher AUDIT scores.ConclusionThis study highlights a level of occupational stress and burnout among surgeons in Fiji and a lack of awareness of their mental and physical well-being. The authors recommend that occupational stress and burnout intervention strategies be put in place in hospitals in Fiji.

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The ill surgeon: a review of common work-related health problems amongst UK surgeons

Abstract: These occupational hazards pose a huge risk to the NHS and the personal well-being of its surgeons. As such, the importance of early awareness and education alongside prompt intervention is duly emphasized.

Cited by 41 publications

References 24 publications

The Measurement of Orthopaedic Surgeon Burnout Using a Validated Wearable Device

The Measurement of Orthopaedic Surgeon Burnout Using a Validated Wearable Device

Evidence-based intraoperative microbreak activities for reducing musculoskeletal injuries in the operating room

Occupational Stress and Burnout among Surgeons in Fiji

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