• Stefanie Mache, Gerhard Danzer, Burghard F Klapp, and David A Groneberg.
• Institute of Occupational Medicine, Charité-Universitätsmedizin Berlin, Free University and Humboldt University, Thielallee 69-73, Berlin, Germany. Stefanie.mache@charite.de
• Langenbecks Arch Surg. 2013 Feb 1; 398 (2): 317-25.

BackgroundThe aim of this study was to examine relations and influences between work-related factors, personal resources, work engagement and work ability of surgeons working in German hospitals.MethodsThe study was conducted as a cross-sectional survey investigation. We used the Utrecht Work Engagement Scale, the Copenhagen Psychosocial Questionnaire and the Work Ability Index to evaluate surgeons' work engagement, working conditions and work ability. Bivariate analyses and a stepwise regression analysis were performed.ResultsSurgeons reported a moderate work ability and work engagement. The results indicated significant associations between surgeons' sources of work engagement, work ability and work-related factors (e.g. job resources). Significant differences regarding these variables were also detected between males and females and the various age groups.ConclusionThe study results reflect the positive effect of supportive working conditions and work engagement on the preservation of work ability, indicating their importance in promoting surgeons' work ability. Due to the elderly population and the continuing development of health care in Germany, the demand for surgeons increases. These circumstances give reasons for a strong need to preserve and restore surgeons' work ability. New strategies for training and improving the capacity and performance of surgeons are necessary.

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