Factors associated with burnout among US neurosurgery residents: a nationwide survey

被引:115
作者
Attenello, Frank J. [1 ]
Buchanan, Ian A. [1 ]
Wen, Timothy [1 ]
Donoho, Daniel A. [1 ]
McCartney, Shirley [2 ]
Cen, Steven Y. [1 ]
Khalessi, Alexander A. [3 ]
Cohen-Gadol, Aaron A. [4 ]
Cheng, Joseph S. [5 ]
Mack, William J. [1 ]
Schirmer, Clemens M. [6 ]
Swartz, Karin R. [7 ]
Prall, J. Adair [8 ]
Stroink, Ann R. [9 ]
Giannotta, Steven L. [1 ]
Klimo, Paul, Jr. [10 ]
机构
[1] Univ Southern Calif, Keck Sch Med, Dept Neurosurg, Los Angeles, CA USA
[2] Oregon Hlth & Sci Univ, Dept Neurosurg, Portland, OR 97201 USA
[3] Univ Calif San Diego, Dept Neurosurg, San Diego, CA 92103 USA
[4] Indiana Univ, Dept Neurosurg, Goodman Campbell Brain & Spine, Indianapolis, IN 46204 USA
[5] Univ Cincinnati, Coll Med, Dept Neurosurg, Cincinnati, OH 45267 USA
[6] Geisinger Hlth Syst, Wilkes Barre, PA USA
[7] Med Coll Wisconsin, Dept Neurosurg, Milwaukee, WI 53226 USA
[8] Littleton Adventist Hosp, Dept Neurosurg, Littleton, CO USA
[9] Cent Illinois Neuro Hlth Sci, Bloomington, IL USA
[10] Univ Tennessee, Ctr Hlth Sci, Dept Neurosurg, Memphis, TN 38163 USA
关键词
national survey; physician burnout; career satisfaction; neurosurgery; residency training; WORK-LIFE BALANCE; QUALITY-OF-LIFE; CAREER SATISFACTION; PHYSICIAN BURNOUT; MENTORING RELATIONSHIPS; JOB-SATISFACTION; SPECIALTY CHOICE; MEDICAL-STUDENTS; DEPRESSION; STRESS;
D O I
10.3171/2017.9.JNS17996
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
OBJECTIVE Excessive dissatisfaction and stress among physicians can precipitate burnout, which results in diminished productivity, quality of care, and patient satisfaction and treatment adherence. Given the multiplicity of its harms and detriments to workforce retention and in light of the growing physician shortage, burnout has garnered much attention in recent years. Using a national survey, the authors formally evaluated burnout among neurosurgery trainees. METHODS An 86-item questionnaire was disseminated to residents in the American Association of Neurological Surgeons database between June and November 2015. Questions evaluated personal and workplace stressors, mentorship, career satisfaction, and burnout. Burnout was assessed using the previously validated Maslach Burnout Inventory. Factors associated with burnout were determined using univariate and multivariate logistic regression. RESULTS The response rate with completed surveys was 21% (346/1643). The majority of residents were male (78%), 26-35 years old (92%), in a stable relationship (70%), and without children (73%). Respondents were equally distributed across all residency years. Eighty-one percent of residents were satisfied with their career choice, although 41% had at some point given serious thought to quitting. The overall burnout rate was 67%. In the multivariate analysis, notable factors associated with burnout included inadequate operating room exposure (OR 7.57, p = 0.011), hostile faculty (OR 4.07, p = 0.008), and social stressors outside of work (OR 4.52, p = 0.008). Meaningful mentorship was protective against burnout in the multivariate regression models (OR 0.338, p = 0.031). CONCLUSIONS Rates of burnout and career satisfaction are paradoxically high among neurosurgery trainees. While several factors were predictive of burnout, including inadequate operative exposure and social stressors, meaningful mentorship proved to be protective against burnout. The documented negative effects of burnout on patient care and health care economics necessitate further studies for potential solutions to curb its rise.
引用
收藏
页码:1349 / 1363
页数:15
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