National Survey of Burnout among US General Surgery Residents
Open accessAbstract
BACKGROUND: Burnout is a complex syndrome of emotional distress that can disproportionately affect individuals who work in health care professions. STUDY DESIGN: For a national survey of burnout in US general surgery residents, we asked all ACGME-accredited general surgery program directors to email their general surgery residents an invitation to complete an anonymous, online survey. Burnout was assessed with the Maslach Burnout Inventory; total scores for Emotional Exhaustion (EE), Depersonalization (DP), and Personal Accomplishment (PA) subscales were calculated. Burnout was defined as having a score in the highest tertile for EE or DP or lowest tertile for PA. Chi-square tests and one-way ANOVA were used to test associations between burnout tertiles for each subscale and various resident and training-program characteristics as appropriate. RESULTS: From April to December 2014, six hundred and sixty-five residents actively engaged in clinical training had data for analysis; 69% met the criterion for burnout on at least one subscale. Higher burnout on each subscale was reported by residents planning private practice careers compared with academic careers. A greater proportion of women than men reported burnout on EE and PA. Higher burnout on EE and DP was associated with greater work hours per week. Having a structured mentoring program was associated with lower burnout on each subscale. CONCLUSIONS: The high rates of burnout among general surgery residents are concerning, given the potential impact of burnout on the quality of patient care. Efforts to identify at-risk populations and to design targeted interventions to mitigate burnout in surgical trainees are warranted.
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More than half of general surgery residents consider quitting residency.
“More than half of general surgery residents consider quitting residency [15].”
From How can we increase the number of general and rural surgeons in the United States? A study of 789 graduates from 3 campuses who matched into general surgery over 40 Years: 1974 to 2015 (2018) · cites this paper as [15]
The Results (Prevalence of Burnout) report that 44% of surveyed residents considered dropping out of residency, not more than half. The Discussion repeats the 44% figure. (LLM, conf=0.95)
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Maslach, C., Schaufeli, W. B., & Leiter, M. P. (2001) · Annual Review of Psychology · doi:10.1146/annurev.psych.52.1.397 · Cited by 12,852 · cited 2× · see citing works
“Maslach and colleagues conceptualized burnout as an experience that results from a mismatch between one’s values and their work setting on at least one of the following dimensions: workload; perceived control over work experiences; rewards for work; sense of community; perceived fairness in the workplace; and personal…”
Background(1996) · Consulting Psychologists Press eBooks · Cited by 7,863 · see citing works
Burnout and self-reported patient care in an internal medicine residency program
Shanafelt, T. D., Bradley, K. A., Wipf, J. E., & Back, A. L. (2002) · Annals of Internal Medicine · doi:10.7326/0003-4819-136-5-200203050-00008 · Cited by 2,165 · see citing works
Burnout and Medical Errors Among American Surgeons
Shanafelt, T. D., Balch, C. M., Bechamps, G., Russell, T., Dyrbye, L., Satele, D., Collicott, P., Novotny, P. J., Sloan, J., & Freischlag, J. (2010) · Annals of Surgery · doi:10.1097/sla.0b013e3181bfdab3 · Cited by 2,099 · see citing works
Dyrbye, L. N., West, C. P., Satele, D., Boone, S., Tan, L., Sloan, J., & Shanafelt, T. D. (2014) · Academic Medicine · doi:10.1097/acm.0000000000000134 · Cited by 2,040 · see citing works
Emotional exhaustion as a predictor of job performance and voluntary turnover.
Wright, T. A., & Cropanzano, R. (1998) · Journal of Applied Psychology · doi:10.1037/0021-9010.83.3.486 · Cited by 1,703 · see citing works
West, C. P., Huschka, M. M., Novotny, P. J., Sloan, J. A., Kolars, J. C., Habermann, T. M., & Shanafelt, T. D. (2006) · JAMA · doi:10.1001/jama.296.9.1071 · Cited by 1,454 · see citing works
The role of social support in the process of work stress: a meta-analysis
Viswesvaran, C., Sanchez, J. I., & Fisher, J. (1999) · Journal of Vocational Behavior · doi:10.1006/jvbe.1998.1661 · Cited by 1,331 · cited 1× · see citing works
“Social support has been associated with lower levels of work-related stress.(26) In our multivariate logistic regression model, we observed a greater likelihood of burnout with increasing age in general surgery trainees (Table 5).”
BackgroundBurnout and Career Satisfaction Among American Surgeons
Shanafelt, T. D., Balch, C. M., Bechamps, G. J., Russell, T., Dyrbye, L., Satele, D., Collicott, P., Novotny, P. J., Sloan, J., & Freischlag, J. A. (2009) · Annals of Surgery · doi:10.1097/sla.0b013e3181ac4dfd · Cited by 1,275 · see citing works
Thomas, N. K. (2004) · JAMA · doi:10.1001/jama.292.23.2880 · Cited by 750 · see citing works
Burnout During Residency Training: A Literature Review
IsHak, W. W., Lederer, S., Mandili, C., Nikravesh, R., Seligman, L., Vasa, M., Ogunyemi, D., & Bernstein, C. A. (2009) · Journal of Graduate Medical Education · doi:10.4300/jgme-d-09-00054.1 · Cited by 643 · see citing works
Rosen, I. M., Gimotty, P. A., Shea, J. A., & Bellini, L. M. (2006) · Academic Medicine · doi:10.1097/00001888-200601000-00020 · Cited by 495 · see citing works
Employee Burnout: A Meta-Analysis of the Relationship Between Age or Years of Experience
Brewer, E. W., & Shapard, L. (2004) · Human Resource Development Review · doi:10.1177/1534484304263335 · Cited by 456 · see citing works
Stress and Burnout Among Surgeons
Balch, C. M. (2009) · Archives of Surgery · doi:10.1001/archsurg.2008.575 · Cited by 444 · see citing works
Burnout among American surgeons
Campbell, D. A., Sonnad, S. S., Eckhäuser, F. E., Campbell, K. K., & Greenfield, L. J. (2001) · Surgery · doi:10.1067/msy.2001.116676 · Cited by 434 · see citing works
Variation of Mood and Empathy During Internship
Bellini, L. M. (2002) · JAMA · doi:10.1001/jama.287.23.3143 · Cited by 413 · see citing works
Burnout in medical residents: a review
Prins, J. T., Gazendam‐Donofrio, S. M., Tubben, B. J., Van Der Heijden, F. M. M. A., Van De Wiel, H. B. M., & Hoekstra‐Weebers, J. E. H. M. (2007) · Medical Education · doi:10.1111/j.1365-2923.2007.02797.x · Cited by 383 · see citing works
Balch, C. M., Shanafelt, T. D., Sloan, J. A., Satele, D. V., & Freischlag, J. A. (2011) · Annals of Surgery · doi:10.1097/sla.0b013e318230097e · Cited by 342 · see citing works
Burnout Comparison Among Residents in Different Medical Specialties
Martini, S. (2004) · Academic Psychiatry · doi:10.1176/appi.ap.28.3.240 · Cited by 320 · see citing works
Kuerer, H. M., Eberlein, T. J., Pollock, R. E., Huschka, M. M., Baile, W. F., Morrow, M., Michelassi, F., Singletary, S. E., Novotny, P. J., Sloan, J. A., et al. (2007) · Annals of Surgical Oncology · doi:10.1245/s10434-007-9579-1 · Cited by 305 · see citing works
Effect of the 80-Hour Workweek on Resident Burnout
Gelfand, D. V. (2004) · Archives of Surgery · doi:10.1001/archsurg.139.9.933 · Cited by 208 · see citing works
An Exploratory Study of Resident Burnout and Wellness
Eckleberry-Hunt, J., Lick, D., Boura, J., Hunt, R., Balasubramaniam, M., Mulhem, E., & Fisher, C. (2009) · Academic Medicine · doi:10.1097/acm.0b013e3181938a45 · Cited by 205 · see citing works
Golub, J. S., Weiss, P. S., Ramesh, A. K., Ossoff, R. H., & Johns, M. M. (2007) · Academic Medicine · doi:10.1097/acm.0b013e3180556825 · Cited by 175 · see citing works
Sex, Role Models, and Specialty Choices Among Graduates of US Medical Schools in 2006–2008
Jagsi, R., Griffith, K. A., DeCastro, R., & Ubel, P. A. (2013) · Journal of the American College of Surgeons · doi:10.1016/j.jamcollsurg.2013.11.012 · Cited by 168 · see citing works
Factors Associated With General Surgery Residents’ Desire to Leave Residency Programs
Gifford, E. D., Galante, J. M., Kaji, A. H., Nguyen, V., Nelson, M. T., Sidwell, R. A., Hartranft, T. H., Jarman, B. T., Melcher, M. L., Reeves, M. E., et al. (2014) · JAMA Surgery · doi:10.1001/jamasurg.2014.935 · Cited by 160 · see citing works
The Impending Disappearance of the General Surgeon
Fischer, J. E. (2007) · JAMA · doi:10.1001/jama.298.18.2191 · Cited by 158 · see citing works
Why do residents leave general surgery? The hidden problem in today's programs
Dodson, T. F., & Webb, A. L. B. (2005) · Current Surgery · doi:10.1016/j.cursur.2004.07.009 · Cited by 137 · cited 1× · see citing works
“in the literature.(15) Evidence suggests that emotional exhaustion, a key component of burnout, is associated with voluntary job turnover.”
BackgroundA National Study of Burnout Among American Transplant Surgeons
Bertges-Yost, W., Eshelman, A. K., Raoufi, M., & Abouljoud, M. S. (2005) · Transplantation Proceedings · doi:10.1016/j.transproceed.2005.01.055 · Cited by 127 · see citing works
Women in Surgery Residency Programs: Evolving Trends from a National Perspective
Davis, E. C., Risucci, D. A., Blair, P. G., & Sachdeva, A. K. (2011) · Journal of the American College of Surgeons · doi:10.1016/j.jamcollsurg.2010.11.008 · Cited by 124 · see citing works
Sullivan, M. C., Yeo, H., Roman, S. A., Ciarleglio, M. M., Cong, X., Bell, R. H., & Sosa, J. A. (2013) · Journal of the American College of Surgeons · doi:10.1016/j.jamcollsurg.2012.11.005 · Cited by 103 · see citing works
Wong, R. L., Sullivan, M. C., Yeo, H., Roman, S. A., Bell, R. H., & Sosa, J. A. (2012) · Annals of Surgery · doi:10.1097/sla.0b013e318269d2d0 · Cited by 96 · see citing works
Characteristics of Highly Ranked Applicants to General Surgery Residency Programs
Stain, S. C., Hiatt, J. R., Ata, A., Ashley, S. W., Roggin, K. K., Potts, J. R., Moore, R. A., Galante, J. M., Britt, L. D., Deveney, K. E., et al. (2013) · JAMA Surgery · doi:10.1001/jamasurg.2013.180 · Cited by 82 · see citing works
Leibrandt, T. J., Pezzi, C. M., Fassler, S. A., Reilly, E. F., & Morris, J. B. (2006) · Journal of the American College of Surgeons · doi:10.1016/j.jamcollsurg.2005.09.018 · Cited by 82 · see citing works
Attrition from surgical residency training: perspectives from those who left
Bongiovanni, T., Yeo, H., Sosa, J. A., Yoo, P. S., Long, T., Rosenthal, M., Berg, D., Curry, L., & Nunez-Smith, M. (2015) · The American Journal of Surgery · doi:10.1016/j.amjsurg.2015.05.014 · Cited by 81 · see citing works
Schroen, A. T., Brownstein, M. R., & Sheldon, G. F. (2003) · Journal of the American College of Surgeons · doi:10.1016/j.jamcollsurg.2003.07.004 · Cited by 72 · see citing works
General surgery resident attrition and the 80-hour workweek
Everett, C. B., Helmer, S. D., Osland, J. S., & Smith, R. S. (2007) · The American Journal of Surgery · doi:10.1016/j.amjsurg.2007.08.033 · Cited by 70 · see citing works
Exploring the Relationship Between Stereotype Perception and Residents’ Well-Being
Salles, A., Mueller, C. M., & Cohen, G. L. (2015) · Journal of the American College of Surgeons · doi:10.1016/j.jamcollsurg.2015.10.004 · Cited by 64 · see citing works
Kahill, S. (1986) · Psychological Reports · doi:10.2466/pr0.1986.59.3.1043 · Cited by 33 · see citing works
Increasing the Number of Trainees in General Surgery Residencies: Is There Capacity?
Charles, A. G., Walker, E. G., Poley, S., Sheldon, G. F., Ricketts, T. C., & Meyer, A. A. (2011) · Academic Medicine · doi:10.1097/acm.0b013e318212eb17 · Cited by 26 · see citing works
Carter, M. B., Larson, G. M., & Polk, H. C. (2005) · The American Journal of Surgery · doi:10.1016/j.amjsurg.2004.09.019 · Cited by 19 · see citing works
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Discrimination, abuse, harassment, and burnout in surgical residency training
Hu, Y.-Y., Ellis, R. J., Hewitt, D. B., Yang, A. D., Cheung, E. O., Moskowitz, J. T., Potts, J. R., Buyske, J., Hoyt, D. B., Nasca, T. J., et al. (2019) · New England Journal of Medicine · doi:10.1056/nejmsa1903759 · Cited by 928 · see citing works
Burnout syndrome among medical residents: A systematic review and meta-analysis
Rodrigues, H., Cobucci, R., Oliveira, A., Cabral, J. V., Medeiros, L., Gurgel, K., Souza, T., & Gonçalves, A. K. (2018) · PLoS ONE · doi:10.1371/journal.pone.0206840 · Cited by 589 · see citing works
Impostor syndrome and burnout among American medical students: a pilot study
Villwock, J. A., Sobin, L. B., Koester, L. A., & Harris, T. M. (2016) · International Journal of Medical Education · doi:10.5116/ijme.5801.eac4 · Cited by 471 · see citing works
Physician Burnout and Well-Being: A Systematic Review and Framework for Action
Rothenberger, D. A. (2017) · Diseases of the Colon & Rectum · doi:10.1097/dcr.0000000000000844 · Cited by 455 · see citing works
Burnout and Stress Among US Surgery Residents: Psychological Distress and Resilience
Lebares, C. C., Guvva, E. V., Ascher, N. L., O’Sullivan, P., Harris, H. W., & Epel, E. S. (2017) · Journal of the American College of Surgeons · doi:10.1016/j.jamcollsurg.2017.10.010 · Cited by 402 · see citing works
The Current Status of Women in Surgery
Stephens, E. H., Heisler, C. A., Temkin, S. M., & Miller, P. (2020) · JAMA Surgery · doi:10.1001/jamasurg.2020.0312 · Cited by 250 · see citing works
Factors associated with burnout syndrome in surgeons: a systematic review
Galaiya, R., Kinross, J., & Arulampalam, T. (2020) · The Annals of The Royal College of Surgeons of England · doi:10.1308/rcsann.2020.0040 · Cited by 214 · see citing works
Jones, G. M., Roe, N. A., Louden, L., & Tubbs, C. R. (2017) · Hospital Pharmacy · doi:10.1177/0018578717732339 · Cited by 185 · see citing works
Education Outcomes in a Duty-Hour Flexibility Trial in Internal Medicine
Desai, S. V., Asch, D. A., Bellini, L. M., Chaiyachati, K. H., Liu, M., Sternberg, A. L., Tonascia, J. A., Yeager, A. M., Asch, J. M., Katz, J. T., et al. (2018) · New England Journal of Medicine · doi:10.1056/nejmoa1800965 · Cited by 174 · see citing works
Factors Associated With Residency and Career Dissatisfaction in Childbearing Surgical Residents
Rangel, E. L., Lyu, H. G., Haider, A. H., Castillo‐Angeles, M., Doherty, G. M., & Smink, D. S. (2018) · JAMA Surgery · doi:10.1001/jamasurg.2018.2571 · Cited by 168 · see citing works
Factors associated with burnout among US neurosurgery residents: a nationwide survey
Attenello, F. J., Buchanan, I. A., Wen, T., Donoho, D. A., McCartney, S., Cen, S. Y., Khalessi, A. A., Cohen-Gadol, A. A., Cheng, J. S., Mack, W. J., et al. (2018) · Journal of Neurosurgery · doi:10.3171/2017.9.jns17996 · Cited by 145 · see citing works
Impostor Phenomenon and Burnout in General Surgeons and General Surgery Residents
Leach, P. K., Nygaard, R. M., Chipman, J. G., Brunsvold, M. E., & Marek, A. P. (2018) · Journal of surgical education · doi:10.1016/j.jsurg.2018.06.025 · Cited by 140 · see citing works
Dahlke, A. R., Johnson, J. K., Greenberg, C. C., Love, R., Kreutzer, L., Hewitt, D. B., Quinn, C. M., Engelhardt, K. E., & Bilimoria, K. Y. (2018) · Annals of Surgery · doi:10.1097/sla.0000000000002700 · Cited by 137 · see citing works
Surgical time out: Our counts are still short on racial diversity in academic surgery
Abelson, J. S., Symer, M. M., Yeo, H., Butler, P. D., Dolan, P. T., Moo, T. A., & Watkins, A. C. (2017) · The American Journal of Surgery · doi:10.1016/j.amjsurg.2017.06.028 · Cited by 135 · see citing works
Lebares, C. C., Hershberger, A. O., Guvva, E. V., Desai, A., Mitchell, J., Shen, W., Reilly, L. M., Delucchi, K. L., O’Sullivan, P. S., Ascher, N. L., et al. (2018) · JAMA Surgery · doi:10.1001/jamasurg.2018.2734 · Cited by 134 · see citing works
Lin, M., Battaglioli, N., Melamed, M., Mott, S. E., Chung, A. S., & Robinson, D. (2019) · Annals of Emergency Medicine · doi:10.1016/j.annemergmed.2019.01.037 · Cited by 132 · see citing works
Khan, N. A., Palepu, A., Dodek, P., Salmon, A., Leitch, H. A., Ruzycki, S. M., Townson, A. F., & Lacaille, D. V. (2021) · BMJ Open · doi:10.1136/bmjopen-2021-050380 · Cited by 127 · see citing works
Association for Academic Surgery presidential address: sticky floors and glass ceilings
Greenberg, C. C. (2017) · Journal of Surgical Research · doi:10.1016/j.jss.2017.09.006 · Cited by 122 · see citing works
The prevalence and correlates of burnout among Chinese preschool teachers
Li, S., Li, Y., Lv, H., Jiang, R., Zhao, P., Zheng, X., Wang, L., Li, J., & Mao, F. (2020) · BMC Public Health · doi:10.1186/s12889-020-8287-7 · Cited by 120 · see citing works
The Relationship Between Self-Efficacy and Well-Being Among Surgical Residents
Milam, L. A., Cohen, G. L., Mueller, C. M., & Salles, A. (2018) · Journal of surgical education · doi:10.1016/j.jsurg.2018.07.028 · Cited by 118 · see citing works
Burnout in Pediatric Residents: Three Years of National Survey Data
Kemper, K. J., Schwartz, A., Wilson, P. M., Mahan, J. D., Schubert, C. J., Staples, B. B., McClafferty, H. H., Serwint, J. R., & Batra, M. (2019) · PEDIATRICS · doi:10.1542/peds.2019-1030 · Cited by 111 · see citing works
Surgical Resident Burnout and Job Satisfaction: The Role of Workplace Climate and Perceived Support
Appelbaum, N., Lee, N., Amendola, M. F., Dodson, K. M., & Kaplan, B. J. (2018) · Journal of Surgical Research · doi:10.1016/j.jss.2018.08.035 · Cited by 109 · see citing works
Huo, L., Zhou, Y., Li, S., Ning, Y., Zeng, L., Liu, Z., Qian, W., Yang, J., Zhou, X., Liu, T., et al. (2021) · Frontiers in Psychology · doi:10.3389/fpsyg.2021.616369 · Cited by 109 · see citing works
Understanding the Barriers to Reporting Sexual Harassment in Surgical Training
Freedman-Weiss, M. R., Chiu, A. S., Heller, D. R., Cutler, A. S., Longo, W. E., Ahuja, N., & Yoo, P. S. (2019) · Annals of Surgery · doi:10.1097/sla.0000000000003295 · Cited by 105 · see citing works
A 2-Question Summative Score Correlates with the Maslach Burnout Inventory
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Hewitt, D. B., Ellis, R. J., Hu, Y., Cheung, E. O., Moskowitz, J. T., Agarwal, G., & Bilimoria, K. Y. (2020) · JAMA Surgery · doi:10.1001/jamasurg.2020.3351 · Cited by 105 · see citing works
Williford, M. L., Scarlet, S., Meyers, M. O., Luckett, D. J., Fine, J. P., Goettler, C. E., Green, J. M., Clancy, T. V., Hildreth, A. N., Meltzer-Brody, S. E., et al. (2018) · JAMA Surgery · doi:10.1001/jamasurg.2018.0974 · Cited by 104 · see citing works
Naji, L., Singh, B., Shah, A., Naji, F. N., Dennis, B. B., Kavanagh, O. V., Banfield, L. E., Alyass, A., Razak, F. A., Samaan, Z., et al. (2021) · CMAJ Open · doi:10.9778/cmajo.20200068 · Cited by 104 · see citing works
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Shakir, H. J., Cappuzzo, J. M., Shallwani, H., Kwasnicki, A., Bullis, C., Wang, J., Hess, R. M., & Levy, E. I. (2020) · World Neurosurgery · doi:10.1016/j.wneu.2019.10.043 · Cited by 99 · see citing works
The Science of Health Care Worker Burnout: Assessing and Improving Health Care Worker Well-Being
Rehder, K. J., Adair, K. C., & Sexton, J. B. (2021) · Archives of Pathology & Laboratory Medicine · doi:10.5858/arpa.2020-0557-ra · Cited by 99 · see citing works
Perspectives of pregnancy and motherhood among general surgery residents: A qualitative analysis
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Burnout and safety outcomes - a cross-sectional nationwide survey of EMS-workers in Germany
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Burnout: Moving beyond the status quo.
Bianchi, R., Schonfeld, I. S., & Laurent, E. (2019) · International Journal of Stress Management · doi:10.1037/str0000088 · Cited by 93 · see citing works
Riall, T. S., Teiman, J., Chang, M., Cole, D., Leighn, T., McClafferty, H., & Nfonsam, V. N. (2018) · Journal of the American College of Surgeons · doi:10.1016/j.jamcollsurg.2017.12.017 · Cited by 92 · see citing works
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Burnout, depression, perceived stress, and self-efficacy in vascular surgery trainees
Janko, M. R., & Smeds, M. R. (2018) · Journal of Vascular Surgery · doi:10.1016/j.jvs.2018.07.034 · Cited by 89 · see citing works
Smeds, M. R., Janko, M. R., Allen, S. R., Amankwah, K. S., Arnell, T. D., Ansari, P., Balters, M. W., Hess, D. T., Ferguson, E. H., Jackson, P. G., et al. (2019) · The American Journal of Surgery · doi:10.1016/j.amjsurg.2019.07.004 · Cited by 89 · see citing works
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Resident burnout in USA and European urology residents: an international concern
Marchalik, D., Goldman, C. C., Carvalho, F. L. F., Talso, M., Lynch, J. H., Esperto, F., Pradère, B., Besien, J. V., & Krasnow, R. E. (2019) · British Journal of Urology · doi:10.1111/bju.14774 · Cited by 82 · see citing works
Sharp, G., Bourke, L., & Rickard, M. J. F. X. (2020) · ANZ Journal of Surgery · doi:10.1111/ans.15671 · Cited by 82 · see citing works
Cofer, K. D., Hollis, R. H., Goss, L. E., Morris, M. S., Porterfield, J. R., & Chu, D. I. (2018) · Journal of surgical education · doi:10.1016/j.jsurg.2018.01.021 · Cited by 82 · see citing works
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Mulcahey, M. K., Nemeth, C., Trojan, J. D., & O’Connor, M. I. (2018) · Journal of the American Academy of Orthopaedic Surgeons · doi:10.5435/jaaos-d-18-00216 · Cited by 74 · see citing works
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Burnout in Surgery Viewed Through the Lens of Psychological Safety
Swendiman, R. A., Edmondson, A. C., & Mahmoud, N. N. (2018) · Annals of Surgery · doi:10.1097/sla.0000000000003019 · Cited by 70 · see citing works
Burnout syndrome should not be underestimated
Güler, Y., Şengül, S., Çalış, H., & Karabulut, Z. (2019) · Revista da Associação Médica Brasileira · doi:10.1590/1806-9282.65.11.1356 · Cited by 69 · see citing works
Cheng, M. Y., Neves, S. L., Rainwater, J. A., Wang, J., Davari, P., Maverakis, E. M., Rea, M. M., Servis, M. E., Nuovo, J., & Fazel, N. (2020) · Medical Science Educator · doi:10.1007/s40670-019-00905-z · Cited by 69 · see citing works
Ellis, R. J., Nicolas, J. D., Cheung, E. O., Zhang, L. M., Ma, M., Turner, P. L., Nussbaum, M. S., Are, C., Smink, D. S., Etkin, C. D., et al. (2021) · Annals of Surgery · doi:10.1097/sla.0000000000004796 · Cited by 68 · see citing works
Personality Testing May Identify Applicants Who Will Become Successful in General Surgery Residency
Hughes, B. D., Perone, J. A., Cummins, C. B., Sommerhalder, C., Tyler, D. S., Bowen, K. A., & Radhakrishnan, R. S. (2018) · Journal of Surgical Research · doi:10.1016/j.jss.2018.08.003 · Cited by 65 · see citing works
Huang, L., Caspari, J. H., Sun, X., Thai, J. B., Li, Y., Chen, F., & Zhao, X.-D. (2020) · BMC Health Services Research · doi:10.1186/s12913-020-05816-z · Cited by 65 · see citing works
Wang, L. J., Tanious, A., Go, C. C., Coleman, D. M., McKinley, S. K., Eagleton, M. J., Clouse, W. D., & Conrad, M. F. (2019) · Journal of Vascular Surgery · doi:10.1016/j.jvs.2019.02.064 · Cited by 64 · see citing works
Surgeon Burnout: Defining, Identifying, and Addressing the New Reality
Senturk, J., & Melnitchouk, N. (2019) · Clinics in Colon and Rectal Surgery · doi:10.1055/s-0039-1692709 · Cited by 62 · see citing works
Mentorship in Orthopedics: A National Survey of Orthopedic Surgery Residents
Oladeji, L. O., Ponce, B. A., Worley, J. R., & Keeney, J. A. (2018) · Journal of surgical education · doi:10.1016/j.jsurg.2018.04.007 · Cited by 59 · see citing works
Lichstein, P. M., He, J. K., Estok, D. M., Prather, J. C., Dyer, G. S. M., & Ponce, B. A. (2020) · Clinical Orthopaedics and Related Research · doi:10.1097/corr.0000000000001310 · Cited by 59 · see citing works
A study of resident duty hours and burnout in a sample of Saudi residents
Hameed, T. K., Masuadi, E., Asmary, N. A. A., Al‐Anzi, F., & Dubayee, M. S. A. (2018) · BMC Medical Education · doi:10.1186/s12909-018-1300-5 · Cited by 57 · see citing works
The current status of the diversity pipeline in surgical training
Kim, Y., Kassam, A., McElroy, I. E., Lee, S., Tanious, A., Chou, E. L., Patel, S. S., Pendleton, A. A., & Dua, A. (2021) · The American Journal of Surgery · doi:10.1016/j.amjsurg.2021.11.006 · Cited by 57 · see citing works
Jesuyajolu, D. A., Nicholas, A., Okeke, C., Obi, C., Aremu, G., Obiekwe, K., & Ikegwuonu, O. (2022) · Surgery in Practice and Science · doi:10.1016/j.sipas.2022.100094 · Cited by 56 · see citing works
Burnout within UK surgical specialties: a systematic review
Balendran, B., Bath, M., Awopetu, A., & Kreckler, S. M. (2021) · Annals of The Royal College of Surgeons of England · doi:10.1308/rcsann.2020.7058 · Cited by 56 · see citing works
A Randomized Controlled Trial of Balint Groups to Prevent Burnout Among Residents in China
Huang, L., Harsh, J., Cui, H., Wu, J., Thai, J., Zhang, X., Cheng, L., & Wu, W. (2020) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2019.00957 · Cited by 55 · see citing works
Parsons, M., Bailitz, J. M., Chung, A. S., Mannix, A., Battaglioli, N., Clinton, M., & Gottlieb, M. A. (2020) · Western Journal of Emergency Medicine · doi:10.5811/westjem.2019.11.42961 · Cited by 55 · see citing works
Practice Characteristics and Job Satisfaction of Private Practice and Academic Surgeons
Mahoney, S. T., Irish, W. D., Strassle, P. D., Schroen, A. T., Freischlag, J. A., Tuttle-Newhall, J. E., & Brownstein, M. R. (2020) · JAMA Surgery · doi:10.1001/jamasurg.2020.5670 · Cited by 55 · see citing works
Mentorship Programs in Residency: A Scoping Review
Joe, M. B., Cusano, A., Leckie, J., Czuczman, N., Exner, K., Yong, H., Ruzycki, S. M., & Lithgow, K. C. (2023) · Journal of Graduate Medical Education · doi:10.4300/jgme-d-22-00415.1 · Cited by 54 · see citing works
Scholarly activity in academic plastic surgery: the gender difference
Sasor, S. E., Cook, J. A., Duquette, S. P., Loewenstein, S. N., Gallagher, S., Tholpady, S. S., Chu, M., & Koniaris, L. G. (2018) · Journal of Surgical Research · doi:10.1016/j.jss.2018.04.031 · Cited by 54 · see citing works
Physician burnout is better conceptualised as depression
Bianchi, R., Schonfeld, I. S., & Laurent, É. (2017) · The Lancet · doi:10.1016/s0140-6736(17)30897-8 · Cited by 54 · see citing works
Perceptions of mistreatment among trainees vary at different stages of clinical training
Kulaylat, A. N., Qin, D., Sun, S. X., Hollenbeak, C. S., Schubart, J. R., Aboud, A. J., Flemming, D. J., Dillon, P. W., Bollard, E. R., & Han, D. C. (2017) · BMC Medical Education · doi:10.1186/s12909-016-0853-4 · Cited by 53 · see citing works
Medical Malpractice Lawsuits Involving Surgical Residents
Thiels, C. A., Choudhry, A. J., Ray-Zack, M. D., Lindor, R. A., Bergquist, J. R., Habermann, E. B., & Zielinski, M. D. (2017) · JAMA Surgery · doi:10.1001/jamasurg.2017.2979 · Cited by 53 · see citing works
The impact of program-driven wellness initiatives on burnout and depression among surgical trainees
Bui, A. H., Ripp, J. A., Oh, K. Y., Basloe, F., Hassan, D., Akhtar, S. R., & Leitman, I. M. (2019) · The American Journal of Surgery · doi:10.1016/j.amjsurg.2019.10.027 · Cited by 53 · see citing works
Burnout and cognitive impairment: Associated with serum BDNF in a Chinese Han population
He, S., Zhang, Y. Y., Zhan, J. Y., Wang, C., Du, X., Yin, G. Z., Cao, B., Ning, Y., Soares, J. C., & Zhang, X. Y. (2017) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2017.01.002 · Cited by 51 · see citing works
Brajcich, B. C., Chung, J. W., Wood, D. E., Horvath, K. D., Tolley, P. D., Yates, E. F., Are, C., Ellis, R. J., Hu, Y., & Bilimoria, K. Y. (2021) · JAMA Network Open · doi:10.1001/jamanetworkopen.2021.23412 · Cited by 50 · see citing works
Work-Related Quality of Life of US General Surgery Residents: Is It Really so Bad?
Zubair, M. H., Hussain, L. R., Williams, K. N., & Grannan, K. J. (2017) · Journal of surgical education · doi:10.1016/j.jsurg.2017.09.018 · Cited by 49 · see citing works
A Model for a Formal Mentorship Program in Surgical Residency
Bingmer, K. E., Wojnarski, C. M., Brady, J. T., Stein, S. L., Ho, V. P., & Steinhagen, E. F. (2019) · Journal of Surgical Research · doi:10.1016/j.jss.2019.04.068 · Cited by 49 · see citing works
A review of the factors related to burnout at the early-career stage of medicine
Hariharan, T., & Griffin, B. (2019) · Medical Teacher · doi:10.1080/0142159x.2019.1641189 · Cited by 49 · see citing works
Emotional Intelligence and Burnout in Surgical Residents: A 5-Year Study
Gleason, F., Baker, S. J., Wood, T. E., Wood, L. N., Hollis, R. H., Chu, D. I., & Lindeman, B. M. (2020) · Journal of surgical education · doi:10.1016/j.jsurg.2020.07.044 · Cited by 49 · see citing works
Alahmari, M. A., Moaleem, M. M. A., Hamdi, B. A., Hamzi, M. A., Aljadaani, A. T., Khormi, F. A. H., Darraj, M. A., Shrwani, R. J., Alomar, A. A., Tahhah, M. K., et al. (2022) · Medical Science Monitor · doi:10.12659/msm.938798 · Cited by 48 · see citing works
Association of Expectations of Training With Attrition in General Surgery Residents
Abelson, J. S., Sosa, J. A., Symer, M. M., Mao, J., Michelassi, F., Bell, R., Sedrakyan, A., & Yeo, H. (2018) · JAMA Surgery · doi:10.1001/jamasurg.2018.0611 · Cited by 48 · see citing works
Kassam, A., Cortez, A. R., Winer, L. K., Conzen, K. D., El‐Hinnawi, A., Jones, C. M., Matsuoka, L. K., Watkins, A. C., Collins, K. M., Bhati, C. S., et al. (2020) · American Journal of Transplantation · doi:10.1111/ajt.16075 · Cited by 48 · see citing works
Effects of Mentorship on Surgery Residents’ Burnout and Well-Being: A Scoping Review
Gaeta, E. D., Gilbert, M., Johns, A. J., Jurkovich, G. J., & Wieck, M. M. (2024) · Journal of surgical education · doi:10.1016/j.jsurg.2024.08.001 · Cited by 47 · see citing works
Burnout and gender in surgical training: A call to re-evaluate coping and dysfunction
Lebares, C. C., Braun, H. J., Guvva, E. V., Epel, E. S., & Hecht, F. M. (2018) · The American Journal of Surgery · doi:10.1016/j.amjsurg.2018.07.058 · Cited by 46 · see citing works
Cortez, A. R., Winer, L. K., Kassam, A., Hanseman, D. J., Kuethe, J. W., Sussman, J. J., & Quillin, R. C. (2019) · The American Journal of Surgery · doi:10.1016/j.amjsurg.2019.09.041 · Cited by 46 · see citing works
Yeo, H., Abelson, J. S., Mao, J., Lewis, F. R., Michelassi, F., Bell, R., Sedrakyan, A., & Sosa, J. A. (2017) · Annals of Surgery · doi:10.1097/sla.0000000000002384 · Cited by 44 · see citing works
Key factors for implementing mindfulness-based burnout interventions in surgery
Lebares, C. C., Guvva, E. V., Desai, A., Herschberger, A., Ascher, N. L., Harris, H. W., & O’Sullivan, P. (2020) · The American Journal of Surgery · doi:10.1016/j.amjsurg.2019.10.025 · Cited by 43 · see citing works
Evaluating and Exploring Variations in Surgical Resident Emotional Intelligence and Burnout
Beierle, S. P., Kirkpatrick, B. A., Heidel, R. E., Russ, A., Ramshaw, B., McCallum, R. S., & Lewis, J. (2019) · Journal of surgical education · doi:10.1016/j.jsurg.2018.11.004 · Cited by 43 · see citing works
Stress and Burnout in Training; Requiem for the Surgical Dream
Robinson, D. B. T., James, O. P., Hopkins, L. G., Brown, C., Bowman, C., Abdelrahman, T., Pollitt, M. J., Egan, R. J., Bailey, D. M., & Lewis, W. G. (2019) · Journal of surgical education · doi:10.1016/j.jsurg.2019.07.002 · Cited by 43 · see citing works
Specialty differences in resident resilience and burnout - A national survey
Nituica, C., Bota, O. A., & Blebea, J. (2020) · The American Journal of Surgery · doi:10.1016/j.amjsurg.2020.12.039 · Cited by 43 · see citing works
Song, Y., Swendiman, R. A., Shannon, A. B., Torres-Landa, S., Khan, F. N., Williams, N. N., Dumon, K. R., Brooks, A. D., DeMatteo, R. P., & Aarons, C. B. (2020) · Journal of Surgical Education · doi:10.1016/j.jsurg.2020.04.014 · Cited by 42 · see citing works
Leaving surgical training: some of the reasons are in surgery
Forel, D., Vandepeer, M., Duncan, J. K., Tivey, D. R., & Tobin, S. (2018) · ANZ Journal of Surgery · doi:10.1111/ans.14393 · Cited by 42 · see citing works
Appelbaum, N., Santen, S. A., Aboff, B. M., Vega, R. J., Munoz, J. L., & Hemphill, R. R. (2018) · Journal of Graduate Medical Education · doi:10.4300/jgme-d-18-00286.1 · Cited by 41 · see citing works
Zhang, X., Wang, J., Hao, Y., Wu, K., Jiao, M., Liang, L., Gao, L., Ning, N., Kang, Z., Shan, L., et al. (2021) · Frontiers in Psychology · doi:10.3389/fpsyg.2021.680614 · Cited by 41 · see citing works
Burnout and psychological distress between surgical and non-surgical residents
Serenari, M., Cucchetti, A., Russo, P. M., Fallani, G., Mattarozzi, K., Pinna, A. D., Colonnello, V., Poggioli, G., & Cescon, M. (2019) · Updates in Surgery · doi:10.1007/s13304-019-00653-0 · Cited by 40 · see citing works
Kim, Y., Pendleton, A. A., Boitano, L. T., Tanious, A., Png, C. Y. M., Feldman, Z. M., Yi, J. A., & Dua, A. (2021) · Journal of surgical education · doi:10.1016/j.jsurg.2021.05.002 · Cited by 40 · see citing works
Atassi, H. A., Shapiro, M. C., Rao, S. R., Dean, J., & Salama, A. (2018) · Journal of Oral and Maxillofacial Surgery · doi:10.1016/j.joms.2018.06.018 · Cited by 40 · see citing works
Kovar, A., Carmichael, H., Harms, B. A., Nehler, M. R., & Tevis, S. E. A. (2020) · Journal of Surgical Research · doi:10.1016/j.jss.2020.07.084 · Cited by 40 · see citing works
A Scoping Review of Burnout in Neurosurgery
Mackel, C. E., Nelton, E. B., Reynolds, R. M., Fox, W. C., Spiotta, A. M., & Stippler, M. (2020) · Neurosurgery · doi:10.1093/neuros/nyaa564 · Cited by 40 · see citing works
Awan, M., Zagales, I., McKenney, M. G., Kinslow, K., & Elkbuli, A. (2021) · Journal of surgical education · doi:10.1016/j.jsurg.2021.06.001 · Cited by 40 · see citing works
Taking control: Is job crafting related to the intention to leave surgical training?
Domínguez, L. C., Stassen, L. P. S., de Grave, W. S., Sanabria, Á., Alfonso, E., & Dolmans, D. H. J. M. (2018) · PLoS ONE · doi:10.1371/journal.pone.0197276 · Cited by 38 · see citing works
Trends in Surgeon Burnout in the US and Canada: Systematic Review and Meta-Regression Analysis
Etheridge, J. C., Evans, D. L., Zhao, L., Ibrahim, N., Wick, E. C., Freischlag, J. A., & Brownstein, M. R. (2022) · Journal of the American College of Surgeons · doi:10.1097/xcs.0000000000000402 · Cited by 37 · see citing works
Qualities and Methods of Highly Effective Surgical Educators: A Grounded Theory Model
Swendiman, R. A., Hoffman, D. I., Shannon, A. B., Blinman, T. A., Nance, M. L., & Chou, C. M. (2019) · Journal of surgical education · doi:10.1016/j.jsurg.2019.02.011 · Cited by 37 · see citing works
Ngaage, L. M., Ngadimin, C., Harris, C., Rawes, C. M. A., Wu, Y., Landford, W. N., Slezak, S. S., & Rasko, Y. M. (2020) · Plastic & Reconstructive Surgery · doi:10.1097/prs.0000000000007089 · Cited by 37 · see citing works
- Authors
- Elmore, L. C., Jeffe, D. B., Jin, L., Awad, M. M., & Turnbull, I. R.
- Affiliations
- National Institutes of Health (US)
- Washington University in St. Louis (US)
- Corresponding author
- Turnbull, Isaiah R.
- Venue
- Journal of the American College of Surgeons
- Published
- 2016-09
- Volume
- 223
- Issue
- 3
- Pages
- 440-451
- ISSN
- 1072-7515 (ISSN-L)
- PMC
- PMC5476455
- OpenAlex
- W2399168037
- Cited by
- 476
- References
- 40
- Citations by year
- 2026: 36 · 2025: 40 · 2024: 36 · 2023: 36 · 2022: 46 · 2021: 69 · 2020: 74 · 2019: 55 · 2018: 44 · 2017: 33 · 2016: 7
- FWCI
- 85.50
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of the American College of Surgeons (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Cancer Institute (T32CA009621, P30CA091842)
- Topics
- Health Sciences › Health Professions › General Health Professions › Healthcare professionals’ stress and burnout
- Social Sciences › Psychology › Social Psychology › Stress and Burnout Research
- Health Sciences › Health Professions › Occupational Therapy › Occupational Health and Burnout
- Keywords
- burnout, general surgery residents, surgical training, emotional exhaustion, depersonalization, personal accomplishment, Maslach Burnout Inventory, mentoring programs, working hours, career choice, gender differences, resident well-being
- MeSH terms
- Adult, Burnout, Professional, Female, Humans, Internship and Residency, Male, Surveys and Questionnaires, Socioeconomic Factors, General Surgery, United States, Prevalence, Workload
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