Ammara A Watkins, Dena G Shehata, Emma Holler, Edilin Lopez, Jennifer Megan Pan, Thomas K Varghese, Adam A Doty, Cherie P Erkmen, David T Cooke, David D Odell, Kirsten Freeman, Elliot L Servais, Yue-Yung Hu, Karl Y Bilimoria, DuyKhanh P Ceppa
{"title":"全国心胸外科受训者的虐待和幸福感评估。","authors":"Ammara A Watkins, Dena G Shehata, Emma Holler, Edilin Lopez, Jennifer Megan Pan, Thomas K Varghese, Adam A Doty, Cherie P Erkmen, David T Cooke, David D Odell, Kirsten Freeman, Elliot L Servais, Yue-Yung Hu, Karl Y Bilimoria, DuyKhanh P Ceppa","doi":"10.1016/j.jtcvs.2025.10.011","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>This study analyzes the prevalence of mistreatment among cardiothoracic (CT) surgery trainees and its association with burnout, suicidal ideation, and program attrition.</p><p><strong>Methods: </strong>A cross-sectional national volunteer survey was conducted immediately following the 2024 Thoracic Surgery Directors Association In-Training Exam. The questionnaire consisted of multiple-choice and Likert-scale questions on trainee experiences with mistreatment (e.g., identity discrimination, verbal/emotional abuse, sexual harassment). Multivariable regression was used to evaluate the association between mistreatment and a composite outcome of \"trainee distress\" encompassing burnout, suicidal thoughts, or program attrition.</p><p><strong>Results: </strong>A total of 440 trainees participated from 74 programs (74.3% response rate). Overall, 31% identified as female, 64% male, and 5.0% did not disclose gender. Respondents were 51% White, 23% Asian, 7% Hispanic/Latino, and 5% Black/African American (5.0%). Female trainees reported higher rates of identity discrimination (56% vs. 14%, p < 0.001), verbal/emotional abuse (46% vs. 36%, p = 0.009), sexual harassment (14% vs. 3%, p < 0.001), and burnout (51% vs. 39%, p = 0.006) compared to male trainees. Sources of mistreatment included faculty ,patients and their families, and other healthcare staff . Approximately 50% of trainees reported experiencing the composite measure of trainee distress. Trainees who experienced any form of mistreatment had an increased risk of experiencing the composite distress measure (69.0% vs. 31.0%, Risk Ratio 1.19 [95% CI: 1.11-1.28]).</p><p><strong>Conclusion: </strong>There is a high prevalence of perceived mistreatment among CT surgery trainees, with female trainees reporting significantly more burnout and perceived discrimination, and abuse, than male trainees. Perceived mistreatment is associated with trainee distress.</p>","PeriodicalId":49975,"journal":{"name":"Journal of Thoracic and Cardiovascular Surgery","volume":" ","pages":""},"PeriodicalIF":4.4000,"publicationDate":"2025-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"National Evaluation of Mistreatment and Well-being in Cardiothoracic Surgery Trainees.\",\"authors\":\"Ammara A Watkins, Dena G Shehata, Emma Holler, Edilin Lopez, Jennifer Megan Pan, Thomas K Varghese, Adam A Doty, Cherie P Erkmen, David T Cooke, David D Odell, Kirsten Freeman, Elliot L Servais, Yue-Yung Hu, Karl Y Bilimoria, DuyKhanh P Ceppa\",\"doi\":\"10.1016/j.jtcvs.2025.10.011\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>This study analyzes the prevalence of mistreatment among cardiothoracic (CT) surgery trainees and its association with burnout, suicidal ideation, and program attrition.</p><p><strong>Methods: </strong>A cross-sectional national volunteer survey was conducted immediately following the 2024 Thoracic Surgery Directors Association In-Training Exam. The questionnaire consisted of multiple-choice and Likert-scale questions on trainee experiences with mistreatment (e.g., identity discrimination, verbal/emotional abuse, sexual harassment). Multivariable regression was used to evaluate the association between mistreatment and a composite outcome of \\\"trainee distress\\\" encompassing burnout, suicidal thoughts, or program attrition.</p><p><strong>Results: </strong>A total of 440 trainees participated from 74 programs (74.3% response rate). Overall, 31% identified as female, 64% male, and 5.0% did not disclose gender. Respondents were 51% White, 23% Asian, 7% Hispanic/Latino, and 5% Black/African American (5.0%). Female trainees reported higher rates of identity discrimination (56% vs. 14%, p < 0.001), verbal/emotional abuse (46% vs. 36%, p = 0.009), sexual harassment (14% vs. 3%, p < 0.001), and burnout (51% vs. 39%, p = 0.006) compared to male trainees. Sources of mistreatment included faculty ,patients and their families, and other healthcare staff . Approximately 50% of trainees reported experiencing the composite measure of trainee distress. Trainees who experienced any form of mistreatment had an increased risk of experiencing the composite distress measure (69.0% vs. 31.0%, Risk Ratio 1.19 [95% CI: 1.11-1.28]).</p><p><strong>Conclusion: </strong>There is a high prevalence of perceived mistreatment among CT surgery trainees, with female trainees reporting significantly more burnout and perceived discrimination, and abuse, than male trainees. Perceived mistreatment is associated with trainee distress.</p>\",\"PeriodicalId\":49975,\"journal\":{\"name\":\"Journal of Thoracic and Cardiovascular Surgery\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":4.4000,\"publicationDate\":\"2025-10-14\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Thoracic and Cardiovascular Surgery\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1016/j.jtcvs.2025.10.011\",\"RegionNum\":1,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"CARDIAC & CARDIOVASCULAR SYSTEMS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Thoracic and Cardiovascular Surgery","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1016/j.jtcvs.2025.10.011","RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"CARDIAC & CARDIOVASCULAR SYSTEMS","Score":null,"Total":0}
National Evaluation of Mistreatment and Well-being in Cardiothoracic Surgery Trainees.
Objective: This study analyzes the prevalence of mistreatment among cardiothoracic (CT) surgery trainees and its association with burnout, suicidal ideation, and program attrition.
Methods: A cross-sectional national volunteer survey was conducted immediately following the 2024 Thoracic Surgery Directors Association In-Training Exam. The questionnaire consisted of multiple-choice and Likert-scale questions on trainee experiences with mistreatment (e.g., identity discrimination, verbal/emotional abuse, sexual harassment). Multivariable regression was used to evaluate the association between mistreatment and a composite outcome of "trainee distress" encompassing burnout, suicidal thoughts, or program attrition.
Results: A total of 440 trainees participated from 74 programs (74.3% response rate). Overall, 31% identified as female, 64% male, and 5.0% did not disclose gender. Respondents were 51% White, 23% Asian, 7% Hispanic/Latino, and 5% Black/African American (5.0%). Female trainees reported higher rates of identity discrimination (56% vs. 14%, p < 0.001), verbal/emotional abuse (46% vs. 36%, p = 0.009), sexual harassment (14% vs. 3%, p < 0.001), and burnout (51% vs. 39%, p = 0.006) compared to male trainees. Sources of mistreatment included faculty ,patients and their families, and other healthcare staff . Approximately 50% of trainees reported experiencing the composite measure of trainee distress. Trainees who experienced any form of mistreatment had an increased risk of experiencing the composite distress measure (69.0% vs. 31.0%, Risk Ratio 1.19 [95% CI: 1.11-1.28]).
Conclusion: There is a high prevalence of perceived mistreatment among CT surgery trainees, with female trainees reporting significantly more burnout and perceived discrimination, and abuse, than male trainees. Perceived mistreatment is associated with trainee distress.
期刊介绍:
The Journal of Thoracic and Cardiovascular Surgery presents original, peer-reviewed articles on diseases of the heart, great vessels, lungs and thorax with emphasis on surgical interventions. An official publication of The American Association for Thoracic Surgery and The Western Thoracic Surgical Association, the Journal focuses on techniques and developments in acquired cardiac surgery, congenital cardiac repair, thoracic procedures, heart and lung transplantation, mechanical circulatory support and other procedures.