房间里有大象吗？骨科训练中的职业倦怠：范围审查

Q2 Medicine

Journal of Clinical Orthopaedics and Trauma Pub Date : 2025-05-26 DOI:10.1016/j.jcot.2025.103077

Benjamin Man , Chandramohan Ravichandran , Jay Panchal , Shaun Zacharia , Preyeamvadha Ravi Kumar , Vishnu V. Nair

{"title":"房间里有大象吗？骨科训练中的职业倦怠：范围审查","authors":"Benjamin Man , Chandramohan Ravichandran , Jay Panchal , Shaun Zacharia , Preyeamvadha Ravi Kumar , Vishnu V. Nair","doi":"10.1016/j.jcot.2025.103077","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><div>Burnout is a growing concern among orthopaedic residents, with numerous studies reporting high prevalence rates. It impacts both mental and physical well-being and typically manifests as emotional exhaustion, depersonalisation, and a reduced sense of personal accomplishment. The medical culture of perseverance often obscures recognition of these issues, leading to underreporting and insufficient support. Burnout not only affects the health of residents but also poses significant risks to patient safety and care quality. This review explores the contributing factors to burnout among orthopaedic residents and evaluates strategies for its prevention and management.</div></div><div><h3>Methods</h3><div>comprehensive search was conducted across PubMed, Scopus, Medline and Web of Science from 2015 to 2025, using a combination of keywords, including ‘Orthopaedic', ‘Orthopaedic surgeon', ‘Orthopaedic resident', ‘Burnout', and ‘Burnout prevention’. Studies were selected based on specific inclusion criteria. This included peer-reviewed articles addressing burnout prevalence, causes, and prevention strategies in orthopaedic residents. Systematic reviews, randomized controlled trials (RCT), cross-sectional studies, and pilot studies were included. Narrative reviews and commentaries were also incorporated due to the limited availability of studies to provide context and synthesise broader perspectives on burnout and resilience. Studies that showed no relevance to orthopaedics were removed. Two independent reviewers assessed the studies. A thematic analysis was performed on the identified studies to synthesise common management strategies.</div></div><div><h3>Results</h3><div>The review identified 69 studies that met the search criteria discussing burnout in orthopaedic residents. These studies highlighted key factors influencing burnout, which were categorized into three domains: work life, personal aspects and home life. There were limited studies on strategies to prevent burnout in orthopaedic residents, specifically with only 2 studies. Individual-level strategies, such as resilience and mindfulness training, show promise in reducing burnout. Organisational changes were also emphasized; however, there were no studies specifically addressing this.</div></div><div><h3>Conclusion</h3><div>To address burnout, individual-level strategies such as mindfulness and resilience training show promise; however, sustainable change requires structural reforms including workload redistribution and supportive leadership. Future research should prioritise high-quality, orthopaedic-specific studies, particularly multicentre RCTs to evaluate the feasibility and effectiveness of these strategies. A comprehensive approach addressing both individual and organisational factors is essential to improve resident well-being and maintain high standards in orthopaedic training and care.</div></div>","PeriodicalId":53594,"journal":{"name":"Journal of Clinical Orthopaedics and Trauma","volume":"68 ","pages":"Article 103077"},"PeriodicalIF":0.0000,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Is there an elephant in the Room? Burnout in orthopaedic training: A scoping review\",\"authors\":\"Benjamin Man , Chandramohan Ravichandran , Jay Panchal , Shaun Zacharia , Preyeamvadha Ravi Kumar , Vishnu V. Nair\",\"doi\":\"10.1016/j.jcot.2025.103077\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Background</h3><div>Burnout is a growing concern among orthopaedic residents, with numerous studies reporting high prevalence rates. It impacts both mental and physical well-being and typically manifests as emotional exhaustion, depersonalisation, and a reduced sense of personal accomplishment. The medical culture of perseverance often obscures recognition of these issues, leading to underreporting and insufficient support. Burnout not only affects the health of residents but also poses significant risks to patient safety and care quality. This review explores the contributing factors to burnout among orthopaedic residents and evaluates strategies for its prevention and management.</div></div><div><h3>Methods</h3><div>comprehensive search was conducted across PubMed, Scopus, Medline and Web of Science from 2015 to 2025, using a combination of keywords, including ‘Orthopaedic', ‘Orthopaedic surgeon', ‘Orthopaedic resident', ‘Burnout', and ‘Burnout prevention’. Studies were selected based on specific inclusion criteria. This included peer-reviewed articles addressing burnout prevalence, causes, and prevention strategies in orthopaedic residents. Systematic reviews, randomized controlled trials (RCT), cross-sectional studies, and pilot studies were included. Narrative reviews and commentaries were also incorporated due to the limited availability of studies to provide context and synthesise broader perspectives on burnout and resilience. Studies that showed no relevance to orthopaedics were removed. Two independent reviewers assessed the studies. A thematic analysis was performed on the identified studies to synthesise common management strategies.</div></div><div><h3>Results</h3><div>The review identified 69 studies that met the search criteria discussing burnout in orthopaedic residents. These studies highlighted key factors influencing burnout, which were categorized into three domains: work life, personal aspects and home life. There were limited studies on strategies to prevent burnout in orthopaedic residents, specifically with only 2 studies. Individual-level strategies, such as resilience and mindfulness training, show promise in reducing burnout. Organisational changes were also emphasized; however, there were no studies specifically addressing this.</div></div><div><h3>Conclusion</h3><div>To address burnout, individual-level strategies such as mindfulness and resilience training show promise; however, sustainable change requires structural reforms including workload redistribution and supportive leadership. Future research should prioritise high-quality, orthopaedic-specific studies, particularly multicentre RCTs to evaluate the feasibility and effectiveness of these strategies. A comprehensive approach addressing both individual and organisational factors is essential to improve resident well-being and maintain high standards in orthopaedic training and care.</div></div>\",\"PeriodicalId\":53594,\"journal\":{\"name\":\"Journal of Clinical Orthopaedics and Trauma\",\"volume\":\"68 \",\"pages\":\"Article 103077\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2025-05-26\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Clinical Orthopaedics and Trauma\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S0976566225001754\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"Medicine\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Clinical Orthopaedics and Trauma","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0976566225001754","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"Medicine","Score":null,"Total":0}

引用次数: 0

摘要

职业倦怠是骨科住院医师日益关注的问题，许多研究报告了其高患病率。它会影响精神和身体健康，通常表现为情绪衰竭、人格解体和个人成就感降低。坚持不懈的医学文化往往掩盖了对这些问题的认识，导致少报和支持不足。职业倦怠不仅影响住院医师的健康，而且对患者安全和护理质量构成重大风险。本文旨在探讨骨科住院医师职业倦怠的影响因素，并探讨其预防和管理策略。方法综合检索2015 - 2025年PubMed、Scopus、Medline和Web of Science，检索关键词包括“Orthopaedic”、“Orthopaedic surgeon”、“Orthopaedic resident”、“Burnout”和“Burnout prevention”。根据特定的纳入标准选择研究。这包括同行评议的文章，讨论骨科住院医生的职业倦怠患病率、原因和预防策略。包括系统评价、随机对照试验（RCT）、横断面研究和试点研究。由于研究的可用性有限，叙述性评论和评论也被纳入其中，以提供背景并综合有关倦怠和恢复力的更广泛观点。删除与骨科无关的研究。两名独立评审员对这些研究进行了评估。对确定的研究进行了专题分析，以综合共同管理战略。结果本综述确定了69项符合搜索标准的关于骨科住院医师职业倦怠的研究。这些研究强调了影响倦怠的关键因素，将其分为三个领域：工作生活、个人方面和家庭生活。关于骨科住院医师预防职业倦怠策略的研究有限，特别是只有2项研究。个人层面的策略，如恢复力和正念训练，有望减少倦怠。还强调了组织变革；然而，没有专门针对这一问题的研究。结论正念和弹性训练等个体层面的策略可以有效地解决倦怠问题；然而，可持续变革需要结构性改革，包括工作量重新分配和支持性领导。未来的研究应优先考虑高质量的骨科特异性研究，特别是多中心随机对照试验，以评估这些策略的可行性和有效性。解决个人和组织因素的综合方法对于提高居民福祉和保持骨科培训和护理的高标准至关重要。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文本刊更多论文

Is there an elephant in the Room? Burnout in orthopaedic training: A scoping review

Background

Burnout is a growing concern among orthopaedic residents, with numerous studies reporting high prevalence rates. It impacts both mental and physical well-being and typically manifests as emotional exhaustion, depersonalisation, and a reduced sense of personal accomplishment. The medical culture of perseverance often obscures recognition of these issues, leading to underreporting and insufficient support. Burnout not only affects the health of residents but also poses significant risks to patient safety and care quality. This review explores the contributing factors to burnout among orthopaedic residents and evaluates strategies for its prevention and management.

Methods

comprehensive search was conducted across PubMed, Scopus, Medline and Web of Science from 2015 to 2025, using a combination of keywords, including ‘Orthopaedic', ‘Orthopaedic surgeon', ‘Orthopaedic resident', ‘Burnout', and ‘Burnout prevention’. Studies were selected based on specific inclusion criteria. This included peer-reviewed articles addressing burnout prevalence, causes, and prevention strategies in orthopaedic residents. Systematic reviews, randomized controlled trials (RCT), cross-sectional studies, and pilot studies were included. Narrative reviews and commentaries were also incorporated due to the limited availability of studies to provide context and synthesise broader perspectives on burnout and resilience. Studies that showed no relevance to orthopaedics were removed. Two independent reviewers assessed the studies. A thematic analysis was performed on the identified studies to synthesise common management strategies.

Results

The review identified 69 studies that met the search criteria discussing burnout in orthopaedic residents. These studies highlighted key factors influencing burnout, which were categorized into three domains: work life, personal aspects and home life. There were limited studies on strategies to prevent burnout in orthopaedic residents, specifically with only 2 studies. Individual-level strategies, such as resilience and mindfulness training, show promise in reducing burnout. Organisational changes were also emphasized; however, there were no studies specifically addressing this.

Conclusion

To address burnout, individual-level strategies such as mindfulness and resilience training show promise; however, sustainable change requires structural reforms including workload redistribution and supportive leadership. Future research should prioritise high-quality, orthopaedic-specific studies, particularly multicentre RCTs to evaluate the feasibility and effectiveness of these strategies. A comprehensive approach addressing both individual and organisational factors is essential to improve resident well-being and maintain high standards in orthopaedic training and care.

求助全文

通过发布文献求助，成功后即可免费获取论文全文。去求助

来源期刊

Journal of Clinical Orthopaedics and Trauma Medicine-Orthopedics and Sports Medicine

CiteScore

4.30

自引率

0.00%

发文量

181

审稿时长

92 days

期刊介绍： Journal of Clinical Orthopaedics and Trauma (JCOT) aims to provide its readers with the latest clinical and basic research, and informed opinions that shape today''s orthopedic practice, thereby providing an opportunity to practice evidence-based medicine. With contributions from leading clinicians and researchers around the world, we aim to be the premier journal providing an international perspective advancing knowledge of the musculoskeletal system. JCOT publishes content of value to both general orthopedic practitioners and specialists on all aspects of musculoskeletal research, diagnoses, and treatment. We accept following types of articles: • Original articles focusing on current clinical issues. • Review articles with learning value for professionals as well as students. • Research articles providing the latest in basic biological or engineering research on musculoskeletal diseases. • Regular columns by experts discussing issues affecting the field of orthopedics. • "Symposia" devoted to a single topic offering the general reader an overview of a field, but providing the specialist current in-depth information. • Video of any orthopedic surgery which is innovative and adds to present concepts. • Articles emphasizing or demonstrating a new clinical sign in the art of patient examination is also considered for publication. Contributions from anywhere in the world are welcome and considered on their merits.