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Cited by 33Healthcare professionals’ stress and burnoutDiversity and Career in MedicineStress and Burnout Research

In Pursuit of Balance: The UPMC Neurosurgery Wellness Initiative

Ares, William J., Maroon, Joseph C., Jankowitz, Brian T.·2019·World Neurosurgery
DOI 10.1016/j.wneu.2019.08.034
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Abstract

Background Burnout among physicians has been a topic of growing interest in both the scientific and the lay press. It has been well established that burnout and perceived inequity in work-life balance can contribute to poor physician work satisfaction and poorer patient outcomes. To better understand burnout among neurosurgery residents at our institution, we systematically surveyed residents for symptoms of burnout and enacted responsive protocols to try to combat its deleterious effects. Methods Before and after the institution of a series of initiatives aimed at combating burnout, residents were surveyed to assess for symptoms of burnout, strength of relationships, and status of physical and mental health. Initiatives included gym access and group gym visits, a mentoring program, and a lecture series targeting multiple facets of health and well-being. Results Nearly two thirds of neurosurgery residents demonstrated ≥1 signs of burnout at a moderate to severe level before and after the first year of our wellness initiative. Residents reported that work schedule and time availability were obstacles in focusing on their own personal health and wellness (utilization preventive health care visits, participation in group gym activities). Less than half of residents were content with their work-life balance. Conclusions Making a significant change in burnout rates in neurosurgery will require a number of key factors, including targeted initiatives that focus on specific local needs, honest buy-in by departmental leaders, and recognition by the physicians themselves that a problem exists.

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  • In the coaching intervention subgroup, emotional exhaustion (EE) was significantly reduced: Cohen's d SMD -0.24 (95% CI -0.40 to -0.07, p = 0.04, I2 = 41.6%).

    “Subgroup analyses of coaching intervention [59–72, 74, 75] demonstrated a post-intervention Cohen’s d SMD in EE (-0.24, 95% CI -0.40 to -0.07, p = 0.04, I2 = 41.6%).”

    From Individual and organizational interventions to reduce burnout in resident physicians: a systematic review and meta-analysis (2024) · cites this paper as [59]

  • The majority of studies employed non-randomized, non-concurrent designs, with 9 using historical controls, 13 utilizing self-control studies, and 11 randomized controlled concurrent trials.

    “The majority of studies employed non-randomized, non-concurrent designs, with 9 (27.2%) using historical controls [44, 48, 49, 56, 59, 68, 71, 75, 76] and 13 (39.4%) utilizing self-control studies [47, 50, 53, 54, 58, 61, 65–67, 69, 70, 72, 73]. Eleven (33.3%) studies were randomized, controlled, concurrent trials [45, 51, 52, 55, 57, 60–64, 74].”

    From Individual and organizational interventions to reduce burnout in resident physicians: a systematic review and meta-analysis (2024) · cites this paper as [59]

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Authors
Ares, W. J., Maroon, J. C., & Jankowitz, B. T.
Affiliations
  • Endeavor Health (US)
  • University of Pittsburgh Medical Center (US)
  • Cooper University Hospital (US)
Corresponding author
Jankowitz, Brian T.
ORCID
Venue
World Neurosurgery
Publisher
Elsevier BV
Published
2019-12
Volume
132
Pages
e704-e709
ISSN
1878-8750 (ISSN-L)
DOI
10.1016/j.wneu.2019.08.034
OpenAlex
W2967148043
Cited by
33
References
23
Citations by year
2026: 2 · 2025: 2 · 2024: 6 · 2023: 4 · 2022: 6 · 2021: 5 · 2020: 8
FWCI
6.24
Type
journal article
Language
en
Open access
closed
Licence
Locations
  • World Neurosurgery (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Health Professions › General Health Professions › Healthcare professionals’ stress and burnout
  • Social Sciences › Gender Studies › Diversity and Career in Medicine
  • Social Sciences › Psychology › Social Psychology › Stress and Burnout Research
Keywords
physician burnout, neurosurgery residents, work-life balance, wellness programs, resident well-being, mentoring programs, physical activity, preventive medicine, work schedules
MeSH terms
Neurosurgeons, Burnout, Professional, Health Promotion, Humans, Internship and Residency, Job Satisfaction, Mental Health, Mentors, Neurosurgery, Work Schedule Tolerance, Exercise

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