Cited by 476Healthcare professionals’ stress and burnoutStress and Burnout ResearchOccupational Health and Burnout

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National Survey of Burnout among US General Surgery Residents

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Elmore, Leisha C., Jeffe, Donna B., Jin, Linda, Awad, Michael M., Turnbull, Isaiah R.·2016·Journal of the American College of Surgeons

DOI 10.1016/j.jamcollsurg.2016.05.014PMC PMC5476455

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Abstract

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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Job burnout
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Background
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Burnout 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
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[41]Sullivan MC Yeo H Roman SA Surgical residency and attrition: defining the individual and programmatic factors predictive of trainee losses J Am Coll Surg 2013 216 461 771 23266420

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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.
ORCID: Jeffe, Donna B.
Jin, Linda
Awad, Michael M.
Turnbull, Isaiah R.
Venue: Journal of the American College of Surgeons
Publisher: Ovid Technologies (Wolters Kluwer Health)
Published: 2016-09
Volume: 223
Issue: 3
Pages: 440-451
ISSN: 1072-7515 (ISSN-L)
DOI: 10.1016/j.jamcollsurg.2016.05.014
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
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
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 › Medicine › Public Health, Environmental and Occupational Health › 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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