The Prevalence of Burnout in Limb Lengthening and Reconstruction Surgeons.

IF 1 Q3 ORTHOPEDICS

Strategies in Trauma and Limb Reconstruction Pub Date : 2024-05-01 Epub Date: 2024-08-14 DOI:10.5005/jp-journals-10080-1623

Christopher Iobst, Kirsten Tulchin-Francis, Heather M Richard

{"title":"The Prevalence of Burnout in Limb Lengthening and Reconstruction Surgeons.","authors":"Christopher Iobst, Kirsten Tulchin-Francis, Heather M Richard","doi":"10.5005/jp-journals-10080-1623","DOIUrl":null,"url":null,"abstract":"Aim: To evaluate the level of burnout among international limb reconstruction surgeons.Background: Burnout describes chronic workplace stress that has not been successfully managed. Limb reconstruction surgeons may be particularly at risk for burnout. The development of necessary skills and expertise has a steep learning curve and the patients are among the most complex in orthopaedics, with multiple failed surgeries and high complication rates.Methods: An internet-based REDCap survey consisted of demographic questions, four open-ended questions, and two valid, reliable measures: (1) Patient Health Questionnaire 4 (PHQ-4)-a screening tool for anxiety and depression, and (2) The Maslach Burnout Inventory-Human Services Survey for Medical Personnel (MBI-HSS-MP) which measures levels of depersonalization, emotional exhaustion, and low personal achievement. The surveys were distributed to international limb reconstruction surgeons. Statistical analysis consisted of descriptive and non-parametric analysis: Chi-square and Kruskal-Wallis tests.Results: There were 103 surgeon responses from at least one country of each of the six populated continents. Eighty-three percent of the respondents were male. The career level distribution was early (1-10 years' experience) = 51%, mid (11-20 years' experience) = 30%, and late (>20 years' experience) = 20%. Twenty-four percent stated they were currently being treated or had been treated in the past for mood or anxiety or both with medication or counselling. Based on the MBI-HSS-MP scores, 38% of limb reconstruction surgeons displayed burnout symptoms, and 16% exhibited severe burnout. The mid-career had the highest levels of overall burnout; there was no statistical significance between the groups. The PHQ-4 scores were within normal limits.Discussion: In this study sample, 38% displayed burnout symptoms and 16% exhibited severe burnout. The mid-career group had the highest level of burnout.Clinical significance: Unmanaged burnout can lead to major depression or suicidal ideation, or both. Support systems for limb reconstruction surgeons need to be developed and maintained.How to cite this article: Iobst C, Tulchin-Francis K, Richard HM. The Prevalence of Burnout in Limb Lengthening and Reconstruction Surgeons. Strategies Trauma Limb Reconstr 2024;19(2):67-72.","PeriodicalId":21979,"journal":{"name":"Strategies in Trauma and Limb Reconstruction","volume":null,"pages":null},"PeriodicalIF":1.0000,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11443611/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Strategies in Trauma and Limb Reconstruction","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.5005/jp-journals-10080-1623","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/8/14 0:00:00","PubModel":"Epub","JCR":"Q3","JCRName":"ORTHOPEDICS","Score":null,"Total":0}

引用次数: 0

Abstract

Aim: To evaluate the level of burnout among international limb reconstruction surgeons.

Background: Burnout describes chronic workplace stress that has not been successfully managed. Limb reconstruction surgeons may be particularly at risk for burnout. The development of necessary skills and expertise has a steep learning curve and the patients are among the most complex in orthopaedics, with multiple failed surgeries and high complication rates.

Methods: An internet-based REDCap survey consisted of demographic questions, four open-ended questions, and two valid, reliable measures: (1) Patient Health Questionnaire 4 (PHQ-4)-a screening tool for anxiety and depression, and (2) The Maslach Burnout Inventory-Human Services Survey for Medical Personnel (MBI-HSS-MP) which measures levels of depersonalization, emotional exhaustion, and low personal achievement. The surveys were distributed to international limb reconstruction surgeons. Statistical analysis consisted of descriptive and non-parametric analysis: Chi-square and Kruskal-Wallis tests.

Results: There were 103 surgeon responses from at least one country of each of the six populated continents. Eighty-three percent of the respondents were male. The career level distribution was early (1-10 years' experience) = 51%, mid (11-20 years' experience) = 30%, and late (>20 years' experience) = 20%. Twenty-four percent stated they were currently being treated or had been treated in the past for mood or anxiety or both with medication or counselling. Based on the MBI-HSS-MP scores, 38% of limb reconstruction surgeons displayed burnout symptoms, and 16% exhibited severe burnout. The mid-career had the highest levels of overall burnout; there was no statistical significance between the groups. The PHQ-4 scores were within normal limits.

Discussion: In this study sample, 38% displayed burnout symptoms and 16% exhibited severe burnout. The mid-career group had the highest level of burnout.

Clinical significance: Unmanaged burnout can lead to major depression or suicidal ideation, or both. Support systems for limb reconstruction surgeons need to be developed and maintained.

How to cite this article: Iobst C, Tulchin-Francis K, Richard HM. The Prevalence of Burnout in Limb Lengthening and Reconstruction Surgeons. Strategies Trauma Limb Reconstr 2024;19(2):67-72.

查看原文本刊更多论文

肢体延长与重建外科医生的职业倦怠发生率。

目的：评估国际肢体重建外科医生的职业倦怠程度：背景：职业倦怠是指工作场所的长期压力没有得到成功控制。肢体重建外科医生可能特别容易产生职业倦怠。开发必要的技能和专业知识的学习曲线非常陡峭，而且病人是骨科中最复杂的病人之一，多次手术失败，并发症发生率高：基于互联网的 REDCap 调查包括人口统计学问题、四个开放式问题和两个有效、可靠的测量方法：(1) 患者健康问卷 4 (PHQ-4)--一种焦虑和抑郁筛查工具；(2) 马斯拉赫医务人员职业倦怠调查 (MBI-HSS-MP)--用于测量人格解体、情感衰竭和个人成就感低的程度。调查对象为国际肢体重建外科医生。统计分析包括描述性分析和非参数分析：结果：共有 103 名外科医生回答了调查问卷，他们至少来自六大洲中的一个国家。83%的受访者为男性。职业级别分布为早期（1-10 年经验）=51%，中期（11-20 年经验）=30%，晚期（20 年以上经验）=20%。24%的人表示，他们目前正在接受或过去曾经接受过情绪或焦虑或两者兼有的药物或心理咨询治疗。根据MBI-HSS-MP评分，38%的肢体重建外科医生表现出职业倦怠症状，16%表现出严重的职业倦怠。职业生涯中期的整体倦怠程度最高，但各组之间没有统计学意义。PHQ-4评分在正常范围内：讨论：在这项研究的样本中，38%的人表现出职业倦怠症状，16%的人表现出严重的职业倦怠。临床意义：临床意义：未经管理的职业倦怠可导致重度抑郁症或自杀倾向，或两者兼而有之。需要为肢体重建外科医生开发和维护支持系统：Iobst C, Tulchin-Francis K, Richard HM.肢体延长与重建外科医生职业倦怠的普遍性》（The Prevalence of Burnout in Limb Lengthening and Reconstruction Surgeons.Strategies Trauma Limb Reconstr 2024;19(2):67-72.

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Strategies in Trauma and Limb Reconstruction Medicine-Orthopedics and Sports Medicine

CiteScore

1.50

自引率

0.00%

发文量

期刊介绍： Strategies in Trauma and Limb Reconstruction is dedicated to surgeons, allied medical professionals and researchers in the field of orthopaedics and trauma. The scope of the journal is to discuss the fields of skeletal injury, and the complications thereof, congenital and acquired limb deformities and deficiencies, and orthopaedic-related infection, together with their surgical and non-surgical treatments. The journal publishes original articles, reviews, case reports, descriptions of new or recognised treatment techniques, forum discussions of clinical scenarios and relevant correspondence. It aims to provide a widely accessible source of useful information to practitioners in the field through the problem- or technique-based approach of published articles.