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Factors associated with burnout among US neurosurgery residents: a nationwide survey
Open accessAbstract
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.
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“Mentorship is protective against resident burnout [5, 13].”
From A National Cross-Sectional Study on the Prevalence of Burnout in Filipino Neurosurgery Residents (2024) · cites this paper as [13]
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“Our findings are within the prevalence range in published studies [4, 9, 10, 13].”
From A National Cross-Sectional Study on the Prevalence of Burnout in Filipino Neurosurgery Residents (2024) · cites this paper as [13]
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Cites
(1996) · Consulting Psychologists Press eBooks · Cited by 7,863
Freudenberger, H. J. (1974) · Journal of Social Issues · doi:10.1111/j.1540-4560.1974.tb00706.x · Cited by 5,463
Shanafelt, T. D., Boone, S., Tan, L., Dyrbye, L. N., Sotile, W., Satele, D., West, C. P., Sloan, J., & Oreskovich, M. R. (2012) · Archives of Internal Medicine · doi:10.1001/archinternmed.2012.3199 · Cited by 3,439
Shanafelt, T. D., Hasan, O., Dyrbye, L. N., Sinsky, C., Satele, D., Sloan, J., & West, C. P. (2015) · Mayo Clinic Proceedings · doi:10.1016/j.mayocp.2015.08.023 · Cited by 2,885
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
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
Burnout and Suicidal Ideation among U.S. Medical Students
Dyrbye, L. N., Thomas, M. R., Massie, F. S., Power, D. V., Eacker, A., Harper, W., Durning, S., Moutier, C., Szydlo, D. W., Novotny, P. J., et al. (2008) · Annals of Internal Medicine · doi:10.7326/0003-4819-149-5-200809020-00008 · Cited by 1,532
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
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
Rates of medication errors among depressed and burnt out residents: prospective cohort study
Fahrenkopf, A. M., Sectish, T. C., Barger, L. K., Sharek, P. J., Lewin, D., Chiang, V. W., Edwards, S., Wiedermann, B. L., & Landrigan, C. P. (2008) · BMJ · doi:10.1136/bmj.39469.763218.be · Cited by 1,175
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Jamjoom, A. B., Gahtani, A. Y., Jamjoom, J. M., Sharab, B. M., Jamjoom, O. M., & Alzahrani, M. T. (2024) · Cureus · doi:10.7759/cureus.64785 · Cited by 2
Are Neurosurgery Residents Burned Out?
Pan, J., & Mocco, J. (2018) · World Neurosurgery · doi:10.1016/j.wneu.2018.06.131 · Cited by 2
Letter to the Editor. “Burned out” at work but satisfied with one’s job: anatomy of a false paradox
Laurent, É., Schonfeld, I. S., & Bianchi, R. (2018) · Journal of neurosurgery · doi:10.3171/2018.2.jns18430 · Cited by 2
García, A. J., Gil-Monte, P. R., Merino‐Soto, C., & García-Rivas, J. (2019) · Journal of neurosurgery · doi:10.3171/2018.10.jns183014 · Cited by 2
Lee, K. S., & Zhang, J. J. Y. (2020) · World Neurosurgery · doi:10.1016/j.wneu.2020.02.094 · Cited by 2
Letter to the Editor. Rethinking the mentorship system in neurosurgery
Beucler, N., Sellier, A., Desse, N., Joubert, C., & Dagain, A. (2021) · Journal of neurosurgery · doi:10.3171/2020.11.jns204050 · Cited by 2
Le burnout en ophtalmologie : revue de la littérature
Ghazali, R., & Postolache, L. (2025) · Journal Français d Ophtalmologie · doi:10.1016/j.jfo.2025.104584 · Cited by 1
Alshehri, A., Alwadani, S. T., AlFraih, Y., & Altokhais, T. I. (2026) · BMC Health Services Research · doi:10.1186/s12913-026-14288-6 · Cited by 1
Motivators of becoming and staying a neurosurgeon in the Netherlands: a survey and focus group
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Bischoff, A., Solecruz, E., Mainard, N., Faivre, G., & Canavese, F. (2023) · Revue de Chirurgie Orthopédique et Traumatologique · doi:10.1016/j.rcot.2023.04.010 · Cited by 1
Laskay, N. M. B., Boudreau, H. S., Estévez-Ordoñez, D., George, J. A., Atchley, T. J., Bentley, J. N., & Rozzelle, C. J. (2023) · World Neurosurgery · doi:10.1016/j.wneu.2023.10.098 · Cited by 1
A survey of surveys: an evaluation of the quality of published surveys in neurosurgery
Venkatesan, S., Kalvapudi, S., Muppidi, V., Ajith, K., Dutt, A., & Madhugiri, V. S. (2024) · Acta Neurochirurgica · doi:10.1007/s00701-024-06042-w · Cited by 1
Work-life balance and career satisfaction: a bibliometric and systematic literature analysis
Perera, G. D. N., Tharanganie, M. G., Iddagoda, A., Dissanayake, H., Manta, O. P., & Palazzo, M. (2025) · The TQM Journal · doi:10.1108/tqm-06-2024-0219 · Cited by 1
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Ribas, J. J., Martins, J. T., Scholze, A. R., Costa, V. M. L., Galdino, M. J. Q., Ribeiro, R. P., & Moreira, A. A. O. (2019) · Cogitare Enfermagem · doi:10.5380/ce.v24i0.61706 · Cited by 1
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Kohar, R. C., Pertiwi, J. M., & Warouw, F. (2021) · International Journal of Research in Medical Sciences · doi:10.18203/2320-6012.ijrms20214717 · Cited by 1
Yoon, J. S., Tang, O. Y., & Lawton, M. T. (2020) · World Neurosurgery · doi:10.1016/j.wneu.2020.03.177 · Cited by 1
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Rutka, J. T. (2021) · Journal of neurosurgery · doi:10.3171/2020.12.jns203671 · Cited by 1
Zaed, I., & Chibbaro, S. (2022) · World Neurosurgery · doi:10.1016/j.wneu.2022.06.011 · Cited by 1
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Mercado, C. M., Torres, G. M., & Sih, I. M. (2024) · Research Square (preprint) · doi:10.21203/rs.3.rs-5351715/v1
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Alali, A. S. (2018) · Neurosurgery · doi:10.1093/neuros/nyy612
Letter: Balint Groups: An Overlooked Tool in Neurosurgical Training?
Kotecha, A., & Kaliaperumal, C. (2020) · Neurosurgery · doi:10.1093/neuros/nyaa343
Moran, T. P. (2020) · Journal of Wellness · doi:10.18297/jwellness/vol2/iss2/2
Letter to the Editor. How to reduce unsolicited patient complaints to neurosurgeons
Ogiwara, T., & Horiuchi, T. (2020) · Journal of neurosurgery · doi:10.3171/2020.8.jns203240
Staying fit: a must to be a successful Neurosurgeon
Thapa, A. (2021) · Nepal Journal of Neuroscience · doi:10.3126/njn.v18i1.34939
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Zhou, L., Guo, W., Song, L., Zhang, G., Zhong, M., Sun, C.-Y., Mo, Y.-W., Zheng, S., Chen, Y.-G., Liang, X., et al. (2020) · doi:10.2196/preprints.20125
Orrange, S. M., Adragna, M. S., & Jeanlus, A. (2023) · Oxford University Press eBooks · doi:10.1093/med/9780197658185.003.0005
Schüpper, A. J., Asfaw, Z. K., & Shrivastava, R. K. (2023) · World Neurosurgery · doi:10.1016/j.wneu.2023.04.038
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Prentice, S., Mullner, H., Benson, J., & Kay, M. P. (2024) · BJGP Open · doi:10.3399/bjgpo.2023.0230
Kankam, S. B., Jalloh, M., Habibzadeh, A., & Fakorede, O. (2024) · Neurosurgical Review · doi:10.1007/s10143-024-02373-5
Sundar, S. J., Whiting, B. B., Li, S., Nelson, C. N., Schlenk, R. P., Krishnaney, A. A., Benzel, E. C., Habboub, G., Steinmetz, M. P., & Benzil, D. L. (2024) · World Neurosurgery · doi:10.1016/j.wneu.2024.08.104
Naughton, S., Marques, L., Murphy, F., & Clarke, M. (2025) · Medical Science Educator · doi:10.1007/s40670-024-02276-6
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우, 제., 이, 철., & 서, 광. (2024) · 한국체육학회지 · doi:10.23949/kjpe.2024.11.63.6.45
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Andrade, N. S. (2025) · medRxiv · doi:10.1101/2025.02.15.25321677
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Tanaka, T., Suehiro, E., Inagawa, S., & Matsuno, A. (2025) · Cureus · doi:10.7759/cureus.82720
Kim, H. G., Cho, W. C., & Ahn, S. (2025) · Journal of Korean Neurosurgical Society · doi:10.3340/jkns.2025.0172
Kejela, S., & Tiruneh, A. G. (2022) · Figshare · doi:10.6084/m9.figshare.20098684
Mygrijev, M., Uusiautti, S., Netti, E., Sorto, P., Kovalainen, A., Huhtakangas, J., & Niemelä, M. (2025) · Mentoring & Tutoring Partnership in Learning · doi:10.1080/13611267.2025.2600363
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Avellino, A. M., McBride, L. A., & Raskin, J. S. (2026) · Pediatric Neurosurgery · doi:10.1159/000550661
Burnout Syndrome in Neurosurgeons: Prevalence, Determinants and Prevention Strategies
Subedi, R. P., Baniya, A., Bhandari, B., Thulung, S., Bishokarma, S., & Ghimire, S. (2026) · IntechOpen eBooks · doi:10.5772/intechopen.1014819 · Cited by 1
Adegbenro, T. M., Bangash, A. H., Fluss, R., Haranhalli, N., Altschul, D., Gelfand, Y. J., Murthy, S., Ramos, R. D. L. G., LASALA, P. A., Flamm, E. S., et al. (2026) · The American Journal of Surgery · doi:10.1016/j.amjsurg.2026.116996
Harris, L. S., Murphy, S., & Mukerji, N. (2026) · British Journal of Neurosurgery · doi:10.1080/02688697.2026.2661535
Reyes, C. B. M., Orata, R. U., & Ontok, A. A. (2026) · Cureus · doi:10.7759/cureus.107769
Verastegui, A., González-Urquijo, M., Maldonado, D., Leyva‐Alvizo, A., & Rodarte‐Shade, M. (2026) · Global Surgical Education - Journal of the Association for Surgical Education · doi:10.1007/s44186-026-00557-9
Alshyyab, M. A., Momany, B. S., FitzGerald, G., & Albsoul, R. A. (2026) · International Journal of Health Care Quality Assurance · doi:10.1108/ijhcqa-05-2025-0069
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Dalton, T., Raghavan, A., McDaniel, K., Goodwin, C. R., Codd, P., & Galanos, A. N. (2026) · Journal of surgical education · doi:10.1016/j.jsurg.2026.104153
Metadata
- Authors
- 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., Schirmer, C. M., Swartz, K. R., Prall, J. A., Stroink, A. R., Giannotta, S. L., & Klimo, P.
- Affiliations
- University of Southern California (US)
- Oregon Health & Science University (US)
- University of California San Diego (US)
- Goodman Campbell Brain and Spine, Department of Neurosurgery, Indiana University, Indianapolis, Indiana;
- University of Cincinnati (US)
- Geisinger Health System (US)
- Medical College of Wisconsin (US)
- Littleton Adventist Hospital (US)
- Central Illinois Neuro Health Science, Bloomington, Illinois; and
- University of Tennessee Health Science Center (US)
- ORCID
- Venue
- Journal of Neurosurgery
- Published
- 2018-11
- Volume
- 129
- Issue
- 5
- Pages
- 1349-1363
- ISSN
- 0022-3085 (ISSN-L)
- 1933-0693
- OpenAlex
- W2786344603
- Cited by
- 145
- References
- 70
- Citations by year
- 2026: 11 · 2025: 10 · 2024: 20 · 2023: 12 · 2022: 19 · 2021: 21 · 2020: 31 · 2019: 13 · 2018: 8
- FWCI
- 27.87
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Journal of neurosurgery (publishedVersion)
- PubMed (publishedVersion)
- Funders
- University of Southern California
- 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, surgical residency training, career satisfaction, mentoring, social stressors, Maslach Burnout Inventory, resident retention, physician shortage
- MeSH terms
- Adult, Burnout, Professional, Career Choice, Female, Health Surveys, Humans, Internship and Residency, Job Satisfaction, Male, Neurosurgery, Risk Factors, United States, Young Adult
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