• J Surg Educ · Jan 2020

    Stress and Burnout in Training; Requiem for the Surgical Dream.

    • David B T Robinson, Osian P James, Luke Hopkins, Chris Brown, Chris Bowman, Tarig Abdelrahman, Michael J Pollitt, Richard J Egan, Damian M Bailey, and Wyn G Lewis.
    • Wales PGMDE School of Surgery, Health Education and Improvement Wales, Nantgarw, United Kingdom. Electronic address: david.robinson4@outlook.com.
    • J Surg Educ. 2020 Jan 1; 77 (1): e1-e8.

    ObjectiveBurnout among trainee doctors is common with as many as two-thirds reporting poor health. This study aimed to assess burnout in a cohort of UK core and higher general surgical trainees.DesignThe Maslach Burnout Inventory for Medical Personnel was distributed to 158 surgical trainees to evaluate emotional exhaustion (EE), depersonalization (DP), and personal accomplishment (PA). High EE (≥27) and DP (≥10), low PA (≤33) scores were taken to indicate burnout.SettingA single UK (Wales) Deanery.ParticipantsOne hundred responses were received; 65 core surgical trainees, 31 Higher Surgical Trainees (HST), and 4 not specified.ResultsMedian EE, DP, and PA scores were 22.0 (range 2-50), 7.5 (0-25), and 36.0 (19-47), respectively. High burnout by domain was: EE (n = 33), DP (n = 39), PA (n = 34), with 59% of trainees demonstrating burnout in ≥1 one domain, with strong interdomain correlation (EE:DP r = 0.351, p < 0.001; EE:PA r = -0.455, p < 0.001; DP:PA r = -0.446, p < 0.001). Female gender (p = 0.020), core surgical training grade (p = 0.012), and being childless (p = 0.033) were independently associated with higher levels of EE; whereas HST grade (p = 0.007), age >30 years (p = 0.010), married/partner status (p = 0.001), and parenthood (p = 0.015), were associated with lower levels of burnout with regard to DP. Binary logistic regression revealed lower burnout in all domains to be associated with HST status (hazard ratio 0.116, 95% confidence interval 0.014-0.980, p = 0.048) and male gender (hazard ratio 4.365, (1.246-15.293), p = 0.021).ConclusionsBurnout among surgical trainees was common in at least 1 Maslach Burnout Inventory domain. Urgent counter measures are required to protect the health and wellbeing of trainees at risk, which ought to be associated with commensurate improvement in patient safety.Copyright © 2019 Association of Program Directors in Surgery. Published by Elsevier Inc. All rights reserved.

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