The DOI matches its Crossref record; 70 of the 70 references it cites were found in a registry or an index.
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.
Overview
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Verification
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
The source backs part of the claim, not all of it — or backs it for a different population, condition or comparison.
In the citing paper
“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]
Experimental — accuracy not yet measuredThe cited source says what the claim attributes to it.
In the citing paper
“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]
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Citations
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
Cited by
Sorted by citations
Prevalence of Burnout in Medical and Surgical Residents: A Meta-Analysis
Low, Z. X., Yeo, K. A., Sharma, V. K., Leung, G. K., McIntyre, R. S., Guerrero, A., Lu, B., Sin Fai Lam, C. C., Tran, B. X., Nguyen, L. H., et al. (2019) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph16091479 · Cited by 415
“, 2017 [66] Y Y N Y N N N NA Y NA Y N NA N Baer et al.”
BackgroundLin, 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
Khalafallah, A. M., Lam, S., Gami, A., Dornbos, D. L., Sivakumar, W., Johnson, J. N., & Mukherjee, D. (2020) · Journal of Clinical Neuroscience · doi:10.1016/j.jocn.2020.08.012 · Cited by 101
Relationship of Grit and Resilience to Burnout Among U.S. Neurosurgery Residents
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
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 105
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
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
