For Publishers
DiscoveryMetadataPeer reviewHostingPublishing
For Researchers
JoinPublishReviewCollect
Register
Blog
About
Search
Advanced search
My ScienceOpen
Search
For Publishers
For Researchers
Blog
About
0
views
36
references
 Top references
cited by
1
    
0 reviews
 Review
0
comments
 Comment
0
recommends
+1 Recommend
0 collections
    0
    shares
      340
      similar
       All similar
      • Record: found
      • Abstract: found
      • Article: found
      Is Open Access

      Transition to Independent Surgical Practice and Burnout Among Early Career General Surgeons

      research-article
      Author(s): , BHSc, MD 1 , , MD 1 , , MD, FRCSC, MEd, PhD 2 , , MD, FRCSC, FACS 2 , 3 , , MD, MEd, FRCSC 2 , 3 ,
      Publication date (Electronic):
      Journal: Surgical Innovation
      Publisher: SAGE Publications
      Keywords: general surgery, residency, transition, burnout, stress, independent practice

      Read this article at

      ScienceOpenPublisherPMC
      Bookmark
          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          Background: The transition from surgical residency to independent practice is a challenging period that has not been well studied. Methods: An email invitation to complete a 55-item survey and the Maslach Burnout Inventory–Human Services Survey (MBI-HSS) was sent to early career general surgeons across Canada. The chi-square test or Fisher’s exact test was used to compare demographic and survey characteristics with burnout. Multivariable logistic regression was performed. Results: Of the 586 surgeons contacted, 88 responded (15%); 51/88 surgeons (58.0%) were classified as burnt out according to the MBI-HSS. Most surgeons (68.2%) were not confident in their abilities to handle the business aspect of practice. The majority (60.2%) believed that a transition to independent practice program would be beneficial to recent surgical graduates. Conclusions: Our data showed high prevalence of burnout among recently graduated general surgeons across Canada. Further, respondents were not confident in their managerial and administrative skills required to run a successful independent practice.

          Related collections

          Most cited references36

          • Record: found
          • Abstract: found
          • Article: not found

          Burnout and medical errors among American surgeons.

          Tait Shanafelt, Charles Balch, Gerald Bechamps … (2010)
          To evaluate the relationship between burnout and perceived major medical errors among American surgeons. Despite efforts to improve patient safety, medical errors by physicians remain a common cause of morbidity and mortality. Members of the American College of Surgeons were sent an anonymous, cross-sectional survey in June 2008. The survey included self-assessment of major medical errors, a validated depression screening tool, and standardized assessments of burnout and quality of life (QOL). Of 7905 participating surgeons, 700 (8.9%) reported concern they had made a major medical error in the last 3 months. Over 70% of surgeons attributed the error to individual rather than system level factors. Reporting an error during the last 3 months had a large, statistically significant adverse relationship with mental QOL, all 3 domains of burnout (emotional exhaustion, depersonalization, and personal accomplishment) and symptoms of depression. Each one point increase in depersonalization (scale range, 0-33) was associated with an 11% increase in the likelihood of reporting an error while each one point increase in emotional exhaustion (scale range, 0-54) was associated with a 5% increase. Burnout and depression remained independent predictors of reporting a recent major medical error on multivariate analysis that controlled for other personal and professional factors. The frequency of overnight call, practice setting, method of compensation, and number of hours worked were not associated with errors on multivariate analysis. Major medical errors reported by surgeons are strongly related to a surgeon's degree of burnout and their mental QOL. Studies are needed to determine how to reduce surgeon distress and how to support surgeons when medical errors occur.
          Article 0 comments Cited 354 times – based on 0 reviews     Review now
            Bookmark
            • Record: found
            • Abstract: found
            • Article: not found

            Controlled Interventions to Reduce Burnout in Physicians

            Maria Panagioti, Efharis Panagopoulou, Peter Bower … (2017)
            Burnout is prevalent in physicians and can have a negative influence on performance, career continuation, and patient care. Existing evidence does not allow clear recommendations for the management of burnout in physicians.
            Article 0 comments Cited 236 times – based on 0 reviews     Review now
              Bookmark
              • Record: found
              • Abstract: found
              • Article: not found

              Discrimination, Abuse, Harassment, and Burnout in Surgical Residency Training

              Yue-Yung Hu, Ryan J Ellis, D. Brock Hewitt … (2019)
              Physicians, particularly trainees and those in surgical subspecialties, are at risk for burnout. Mistreatment (i.e., discrimination, verbal or physical abuse, and sexual harassment) may contribute to burnout and suicidal thoughts. A cross-sectional national survey of general surgery residents administered with the 2018 American Board of Surgery In-Training Examination assessed mistreatment, burnout (evaluated with the use of the modified Maslach Burnout Inventory), and suicidal thoughts during the past year. We used multivariable logistic-regression models to assess the association of mistreatment with burnout and suicidal thoughts. The survey asked residents to report their gender. Among 7409 residents (99.3% of the eligible residents) from all 262 surgical residency programs, 31.9% reported discrimination based on their self-identified gender, 16.6% reported racial discrimination, 30.3% reported verbal or physical abuse (or both), and 10.3% reported sexual harassment. Rates of all mistreatment measures were higher among women; 65.1% of the women reported gender discrimination and 19.9% reported sexual harassment. Patients and patients’ families were the most frequent sources of gender discrimination (as reported by 43.6% of residents) and racial discrimination (47.4%), whereas attending surgeons were the most frequent sources of sexual harassment (27.2%) and abuse (51.9%). Proportion of residents reporting mistreatment varied considerably among residency programs (e.g., ranging from 0 to 66.7% for verbal abuse). Weekly burnout symptoms were reported by 38.5% of residents, and 4.5% reported having had suicidal thoughts during the past year. Residents who reported exposure to discrimination, abuse, or harassment at least a few times per month were more likely than residents with no reported mistreatment exposures to have symptoms of burnout (odds ratio, 2.94; 95% confidence interval [CI], 2.58 to 3.36) and suicidal thoughts (odds ratio, 3.07; 95% CI, 2.25 to 4.19). Although models that were not adjusted for mistreatment showed that women were more likely than men to report burnout symptoms (42.4% vs. 35.9%; odds ratio, 1.33; 95% CI, 1.20 to 1.48), the difference was no longer evident after the models were adjusted for mistreatment (odds ratio, 0.90; 95% CI, 0.80 to 1.00). Mistreatment occurs frequently among general surgery residents, especially women, and is associated with burnout and suicidal thoughts.
              Article 0 comments Cited 225 times – based on 0 reviews     Review now
                Bookmark
                All references

                Author and article information

                Journal
                Journal ID (nlm-ta): Surg Innov
                Journal ID (iso-abbrev): Surg Innov
                Journal ID (hwp): spsri
                Journal ID (publisher-id): SRI
                Title: Surgical Innovation
                Publisher: SAGE Publications (Sage CA: Los Angeles, CA )
                ISSN (Print): 1553-3506
                ISSN (Electronic): 1553-3514
                Publication date (Electronic): 31 August 2021
                Publication date (Print): April 2022
                Volume: 29
                Issue: 2
                Pages: 249-257
                Affiliations
                [1 ]Ringgold 12366, universityUniversity of Toronto; , Toronto, ON, Canada
                [2 ]Ringgold 60329, universityDepartment of Surgery; , Toronto, ON, Canada
                [3 ]Ringgold 10051, universityPrincess Margaret Cancer Centre; , Toronto, ON, Canada
                Author notes
                [*]Tulin Cil, Division of General Surgery, University Health Network 610, University Avenue, Toronto, ON M5G2M9, Canada. Email: tulin.cil@ 123456uhn.ca

                This abstract was presented as an oral presentation at the Canadian Surgery Forum, Canadian Association of General Surgery Meeting, September 2016, Toronto, Ontario Canada.

                Author information
                https://orcid.org/0000-0003-0269-6358
                Article
                Publisher ID: 10.1177_15533506211039682
                DOI: 10.1177/15533506211039682
                PMC ID: 9016671
                PubMed ID: 34461776
                SO-VID: e9582019-323d-411d-af0d-6b64772f1af0
                Copyright © © The Author(s) 2021
                License:

                This article is distributed under the terms of the Creative Commons Attribution 4.0 License ( https://creativecommons.org/licenses/by/4.0/) which permits any use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page ( https://us.sagepub.com/en-us/nam/open-access-at-sage).

                History
                Funding
                Funded by: University of Toronto, FundRef https://doi.org/10.13039/501100003579;
                Award ID: Comprehensive Research Experience for Medical Stud
                Categories
                Subject: Surgical Education: Training for the Future
                Custom metadata
                typesetter ts10

                Keywords: general surgery,residency,transition,burnout,stress,independent practice
                Data availability:
                Keywords: general surgery, residency, transition, burnout, stress, independent practice

                Comments

                Comment on this article

                scite_

                Similar content340

                See all similar

                Cited by1

                See all cited by

                Most referenced authors430

                See all reference authors