1
|
Paradis KC, Kerr EA, Griffith KA, Cutter CM, Feldman EL, Singer K, Spector ND, Ubel PA, Jagsi R. Burnout Among Mid-Career Academic Medical Faculty. JAMA Netw Open 2024; 7:e2415593. [PMID: 38857049 PMCID: PMC11165383 DOI: 10.1001/jamanetworkopen.2024.15593] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/29/2024] [Accepted: 04/08/2024] [Indexed: 06/11/2024] Open
Abstract
Importance Studies reveal that most physicians report symptoms of burnout. Less is known about burnout in mid-career medical faculty specifically. Objective To characterize burnout and its risk factors, particularly differences by gender, among mid-career medical faculty. Design, Setting, and Participants Between August 2021 and August 2022, a survey was sent to 1430 individuals who received new National Institutes of Health K08 and K23 career development awards from 2006 to 2009. Data were analyzed between June and October 2023. Main Outcomes and Measures Personal and work-related burnout as evaluated using the Copenhagen Burnout Inventory (CBI). The CBI score ranges from 0 to 100, with a score of 50 or higher indicating a high degree of burnout. Multivariable models were used to investigate associations between burnout and participant characteristics, including race and ethnicity, sexual orientation and gender identity, academic rank, work climate, experiences of workplace sexual harassment, sleep hours, work and domestic caregiving time, and time allocation changes in work and domestic work hours compared with before the COVID-19 pandemic. Work climate was evaluated by a general climate elements scale assessing elements such as friendliness, respect, and collegiality, and a diversity, equity, and inclusion climate elements scale assessing elements such as homogeneity, sexism, and homophobia; higher scores indicated a more favorable view of the climate. Results In all, 1430 surveys were sent, 926 candidates responded (65% response rate), and the analytic cohort was limited to the 841 respondents who were still in academic medicine (50.7% men). Burnout was significantly more common for women than men (mean [SD] CBI personal scores, 46.6 [19.4] vs 37.5 [17.2]; P < .001; mean [SD] CBI work-related scores, 43.7 [20.4] vs 34.6 [19.7]; P < .001). In multivariable models, personal burnout was significantly more likely for women (adjusted odds ratio [AOR], 2.29 [95% CI, 1.54-3.41]; P < .001) and with more weekly hours of patient care (AOR, 1.07 [95% CI, 1.00-1.15] for each 5-hour increase; P = .04). Personal burnout was less likely with more nightly sleep hours (AOR, 0.68 [95% CI, 0.56-0.81] for each 1-hour increase; P < .001) and with an improved general work climate rating (AOR, 0.64 [95% CI, 0.48-0.85] for each 1-point increase in general work climate scale score; P = .002). Work-related burnout was also significantly more likely for women than men (AOR, 1.77 [95% CI, 1.17-2.69]; P = .007). Greater work-related burnout was associated with an increase of 8 or more work hours per week compared with before the COVID-19 pandemic (AOR, 1.87 [95% CI, 1.13-3.08]; P = .01), more weekly hours of patient care (AOR, 1.11 [95% CI, 1.03-1.19] for each 5-hour increase; P = .007), and a workplace sexual harassment experience in the past 2 years (AOR, 1.71 [95% CI, 1.11-2.62]; P = .01). Work-related burnout was significantly less likely with more nightly sleep hours (AOR, 0.80 [95% CI, 0.66-0.96] for each 1-hour increase; P = .02) and with an improved general work climate rating (AOR, 0.49; [95% CI, 0.36-0.65] for each 1-point increase in general work climate scale score; P < .001). Conclusions and Relevance This survey study of K grant awardees revealed substantial rates of burnout among mid-career medical faculty, and burnout rates differed by gender. Evidence-based interventions are needed to realize the benefits of workforce diversity and vitality.
Collapse
Affiliation(s)
- Kelly C. Paradis
- Department of Radiation Oncology, University of Michigan, Ann Arbor
| | - Eve A. Kerr
- Department of Internal Medicine, University of Michigan, Ann Arbor
- VA Center for Clinical Management Research, Department of Veterans Affairs, Ann Arbor, Michigan
| | - Kent A. Griffith
- Center for Cancer Data Sciences, University of Michigan School of Public Health, Ann Arbor
- Center for Bioethics and Social Sciences in Medicine, University of Michigan, Ann Arbor
| | - Christina M. Cutter
- Center for Bioethics and Social Sciences in Medicine, University of Michigan, Ann Arbor
- Department of Emergency Medicine, University of Michigan, Ann Arbor
| | - Eva L. Feldman
- Department of Neurology, University of Michigan, Ann Arbor
| | | | - Nancy D. Spector
- Department of Pediatrics and Lynn Yeakel Institute for Women’s Health and Leadership, Drexel University College of Medicine, Philadelphia, Pennsylvania
| | - Peter A. Ubel
- Schools of Business, Public Policy and Medicine, Duke University, Durham, North Carolina
| | - Reshma Jagsi
- Center for Bioethics and Social Sciences in Medicine, University of Michigan, Ann Arbor
- Department of Radiation Oncology, Emory University School of Medicine and Winship Cancer Institute, Atlanta, Georgia
| |
Collapse
|
2
|
Reisdorff EJ, Johnston MM, Lall MD, Lu DW, Bilimoria KY, Barton MA. Prospective validity evidence for the abbreviated emergency medicine Copenhagen Burnout Inventory. Acad Emerg Med 2024. [PMID: 38494655 DOI: 10.1111/acem.14892] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/05/2023] [Revised: 01/30/2024] [Accepted: 02/12/2024] [Indexed: 03/19/2024]
Abstract
BACKGROUND Prior research has provided retrospective validity evidence for an abbreviated Copenhagen Burnout Inventory (CBI) to measure burnout among emergency medicine (EM) residents. We sought to provide additional validity and reliability evidence for the two-factor, six-item abbreviated CBI. METHODS This cross-sectional study used data from the abbreviated CBI that was administered following the 2022 American Board of Emergency Medicine In-training Examination. Confirmatory factor analysis (CFA) was performed and the prevalence of burnout among EM residents was determined. RESULTS Of the 8918 eligible residents, 7465 (83.7%) completed the abbreviated CBI. CFA confirmed the previously developed model of two factors using six items answered with a 1- to 5-point Likert scale. The internal factor was derived from personal and work-related burnout and the external factor was related to caring for patients. The reliability was determined using Cronbach's alpha (0.87). The overall prevalence of burnout was 49.4%; the lowest prevalence was at the EM1 level (43.1%) and the highest was at the EM2 level (53.8%). CONCLUSIONS CFA of the abbreviated CBI demonstrated good reliability and model fit. The two-factor, six-item survey instrument identified an increase in the prevalence of burnout among EM residents that coincided with working in the COVID-19 environment. The abbreviated CBI has sufficient reliability and validity evidence to encourage its broader use.
Collapse
Affiliation(s)
- Earl J Reisdorff
- American Board of Emergency Medicine, East Lansing, Michigan, USA
| | - Mary M Johnston
- American Board of Emergency Medicine, East Lansing, Michigan, USA
| | - Michelle D Lall
- Department of Emergency Medicine, Emory University, Atlanta, Georgia, USA
| | - Dave W Lu
- Department of Emergency Medicine, University of Washington, Seattle, Washington, USA
| | - Karl Y Bilimoria
- Department of Surgery, University of Indiana, Indianapolis, Indiana, USA
| | - Melissa A Barton
- American Board of Emergency Medicine, East Lansing, Michigan, USA
| |
Collapse
|
3
|
LGBTQ+ Identity and Ophthalmologist Burnout. Am J Ophthalmol 2023; 246:66-85. [PMID: 36252675 DOI: 10.1016/j.ajo.2022.10.002] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/03/2022] [Revised: 09/29/2022] [Accepted: 10/03/2022] [Indexed: 01/24/2023]
Abstract
PURPOSE To evaluate lesbian, gay, bisexual, transgender, questioning, and other sexual/gender minority (LGBTQ+) orientation as a burnout risk factor among an international ophthalmologist cohort. METHODS An anonymous, cross-sectional electronic survey was distributed via an Internet platform to characterize the relationship among demographic factors, including LGBTQ+ orientation, and burnout as measured by the Copenhagen Burnout Inventory (CBI). Univariable data analysis (linear) by sexual orientation was performed and variables with an association with a P value of <0.15 in univariable analysis were included in the multiple linear regression modeling. RESULTS A total of 403 ophthalmologists participated in the survey. The majority self-identified as "White" (69.2%), were from North America (72.0% United States, 18.6% Canada) and were evenly distributed between age of 30 and 65 years. Overall, 13.2% of participants identified as LGBTQ+ and 98.2% as cisgender. Approximately 12% had witnessed or experienced LGBTQ+-related workplace discrimination or harassment. The personal and work-related burnout scores and confidence limits of persons identified as LGBTQ+ were higher and nonoverlapping compared with those reported as non-LGBTQ+. Multivariable analysis identified significant risk factors for higher personal and work-related burnout scores: LGBTQ+ (11.8 and 11.1, P = .0005 and .0023), female gender (5.36 and 4.83, P = .0153 and .0434), older age (19.1 and 19.2, P = .0173 and .0273). and caretaker stress (6.42 and 5.97, P = .0085 and .0239). CONCLUSIONS LGBTQ+ orientation is a burnout risk factor among ophthalmologists, and LGBTQ+ workplace discrimination may be a contributing factor. Support from ophthalmology organizations to address LGBTQ+-, gender-, and age-related workplace discrimination may decrease burnout. NOTE: Publication of this article is sponsored by the American Ophthalmological Society.
Collapse
|
4
|
Bodendieck E, Jung FU, Luppa M, Riedel-Heller SG. Burnout and work-privacy conflict - are there differences between full-time and part-time physicians? BMC Health Serv Res 2022; 22:1082. [PMID: 36002851 PMCID: PMC9404597 DOI: 10.1186/s12913-022-08471-8] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/09/2022] [Accepted: 08/18/2022] [Indexed: 12/01/2022] Open
Abstract
Background Changes in everyday work with regard to working time models have reached the medical profession. The number of physicians working part-time is steadily increasing. At the same time, however, the population's need for care is also rising. This can reinforce the impending shortage of doctors in the future. The aim was to investigate differences in work-privacy conflict and burnout among physicians working full-time or part-time. Method The present study includes data from a baseline survey of the long-term study of physicians with different medical backgrounds. The analysis focused on a sub-sample of 598 physicians (not self-employed). The two main outcomes under investigation—burnout and work-privacy conflict—were measured using the Copenhagen Burnout Inventory adapted for health care professionals, as well as the associated subscale of the Copenhagen Psychosocial Questionnaire (COPSOQ). Data analyses included descriptive statistics followed by regression models. Results Descriptive analyses show, that 31.8% of physicians are working part-time, whereas 68.2% are working full-time. The part-time subsample is significantly older, and female physicians are more likely to work part-time. With regard to workload and work-privacy conflict, significant differences between part-time and full-time physicians were only observed in terms of work-privacy-conflict. However, regression analysis underline the importance of possible confounding variables (such as medical setting) within the relationship between job size and job-related well-being. Discussion Differences in working hour arrangements (full-time or part-time work) are only accompanied by less work-privacy conflict. No differences with regard to burnout (patient-related, work-related or personal) could be obtained. Rather, the data suggests that other job-related variables may play a role and should be further investigated.
Collapse
Affiliation(s)
- E Bodendieck
- General Practice, Dresdner Straße 34a, 04808, Wurzen, Germany
| | - F U Jung
- Institute of Social Medicine, Occupational Health and Public Health, Medical Faculty, University of Leipzig, Ph.-Rosenthal-Str. 55, 04103, Leipzig, Germany.
| | - M Luppa
- Institute of Social Medicine, Occupational Health and Public Health, Medical Faculty, University of Leipzig, Ph.-Rosenthal-Str. 55, 04103, Leipzig, Germany
| | - S G Riedel-Heller
- Institute of Social Medicine, Occupational Health and Public Health, Medical Faculty, University of Leipzig, Ph.-Rosenthal-Str. 55, 04103, Leipzig, Germany
| |
Collapse
|
5
|
Hong E, Jung A, Woo K. A cross-sectional study on public health nurses' disaster competencies and influencing factors during the COVID-19 pandemic in Korea. BMC Public Health 2022; 22:731. [PMID: 35413863 PMCID: PMC9005315 DOI: 10.1186/s12889-022-13091-2] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/24/2021] [Accepted: 03/17/2022] [Indexed: 12/24/2022] Open
Abstract
Public health nurses are performing various roles during the COVID-19 pandemic: counseling, surveillance, specimen collection, epidemiological investigation, education, and vaccination. This study investigated their disaster competencies in the context of emerging infectious diseases, and identified their influencing factors based on Deci and Ryan's self-determination theory. A convenience sample of 242 was selected from public health nurses working in a metropolitan city of South Korea. Data were collected using a structured questionnaire and analyzed using descriptive statistics, t-test, one-way ANOVA, Pearson's correlation, and multiple regression analysis using the SPSS Statistics ver. 23.0. Results showed that the significant factors influencing disaster competencies included "willingness to respond to a disaster," "preventive behavior," "experience of receiving education on emerging infectious diseases response," "public health center experience," "job satisfaction," and "education." This regression model explained 33.2% of the variance in disaster competencies. "Willingness to respond to a disaster" was the strongest factor affecting disaster competencies. Based on these results, it is concluded that interventions to improve disaster competencies and psychological well-being of public health nurses are needed. Additionally, strategies such as creating a supportive work environment, deploying experienced nurses primarily on the front line, and reducing the tasks of permanent public health nurses should be implemented.
Collapse
Affiliation(s)
- Eunjoo Hong
- College of Nursing, Seoul National University, 103 Daehak-ro, Jongno-gu, Seoul, Republic of Korea
| | - Aeri Jung
- College of Nursing, Eulji University, 712 Dongil-ro, Uijeongbu-si, Gyeonggi-do, Republic of Korea
| | - Kyungmi Woo
- College of Nursing, Seoul National University, 103 Daehak-ro, Jongno-gu, Seoul, Republic of Korea.
| |
Collapse
|
6
|
Spännargård Å, Fagernäs S, Alfonsson S. Self‐perceived clinical competence, gender and workplace setting predict burnout among psychotherapists. COUNSELLING & PSYCHOTHERAPY RESEARCH 2022. [DOI: 10.1002/capr.12532] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Affiliation(s)
- Åsa Spännargård
- Centre for Psychiatry Research Department of Clinical Neuroscience Karolinska Institutet Stockholm Health Care Services Region Stockholm The Centre for Psychotherapy, Education & Research Stockholm Sweden
| | - Simon Fagernäs
- Centre for Psychiatry Research Department of Clinical Neuroscience Karolinska Institutet Stockholm Health Care Services Region Stockholm The Centre for Psychotherapy, Education & Research Stockholm Sweden
| | - Sven Alfonsson
- Centre for Psychiatry Research Department of Clinical Neuroscience Karolinska Institutet Stockholm Health Care Services Region Stockholm The Centre for Psychotherapy, Education & Research Stockholm Sweden
| |
Collapse
|
7
|
Abstract
OBJECTIVES To determine the factors contributing to the junior doctor workforce retention crisis in the UK using evidence collected directly from junior doctors, and to develop recommendations for changes to address the issue. DESIGN Integrative review. DATA SOURCES Searches were conducted on Ovid Medline and HMIC to locate evidence published between January 2016 and April 2021. This was supplemented by publications from relevant national organisations. ELIGIBILITY CRITERIA English-language papers relating to UK junior doctor retention, well-being or satisfaction which contained data collected directly from junior doctors were included. Papers focusing solely on the pandemic, factors specific to one medical specialty, evaluation of interventions, or numerical data with no evidence relating to causation were excluded. Review papers were excluded. DATA EXTRACTION AND SYNTHESIS Data were extracted and coded on NVivo by FKL, then thematic analysis was conducted. RESULTS 47 papers were included, consisting of academic (qualitative, quantitative, mixed and commentary) and grey literature. Key themes identified were working conditions, support and relationships, and learning and development, with an overarching theme of lack of flexibility. The outcomes of these factors are doctors not feeling valued, lacking autonomy, having a poor work-life balance, and providing compromised patient care. This results in need for a break from medical training. CONCLUSION This review builds on findings of related literature regarding working environments, isolation, stigma, and desire for autonomy, and highlights additional issues around learning and training, flexibility, feeling valued, and patient care. It goes on to present recommendations for tackling poor retention of UK junior doctors, highlighting that the complex problem requires evidence-based solutions and a bottom-up approach in which junior doctors are regarded as core stakeholders during the planning of interventions.
Collapse
Affiliation(s)
| | - Daniele Carrieri
- College of Medicine and Health, University of Exeter, Exeter, UK
| |
Collapse
|
8
|
Alameddine M, Bou-Karroum K, Hijazi MA. A national study on the resilience of community pharmacists in Lebanon: a cross-sectional survey. J Pharm Policy Pract 2022; 15:8. [PMID: 35090571 PMCID: PMC8795943 DOI: 10.1186/s40545-022-00406-2] [Citation(s) in RCA: 21] [Impact Index Per Article: 10.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/24/2021] [Accepted: 01/19/2022] [Indexed: 11/25/2022] Open
Abstract
Background Community pharmacists are among the most accessible healthcare professionals and are likely to experience the full brunt of public health crises. In Lebanon, the COVID-19 pandemic, added to a severe economic meltdown, have significantly disrupted an already suffering profession. Methods The objective of this study was to determine the level of resilience and its relationship to burnout, job satisfaction, intention to quit, and changes in practice. The study utilized a cross-sectional design to survey community pharmacists using an online questionnaire that included the Connor-Davidson Resilience Scale and the Copenhagen Burnout Inventory. All community pharmacists were invited to participate. Multiple logistic regression identified variables significantly associated with the resilience of pharmacists. Results A total of 459 community pharmacists completed the questionnaire. Respondents had a relatively low resilience level (68.0 ± 13.37). They also had higher scores on the client-related burnout (58.06 ± 17.46), followed by the personal burnout (56.51 ± 16.68) and the work-related burnout (55.75 ± 13.82). In this sample, 52.3% of pharmacists indicated that they are dissatisfied with their job and 41.1% indicated an intention to quit in the coming year. According to multivariate analysis, marital status (ß = 0.38; 95% CI 0.16–0.91; p = 0.03), intention to quit (ß = 0.384; 95% CI 0.149–0.987; p = 0.047), workload (ß = 0.275; 95% CI 0.096–0.783; p = 0.016), perception of safety (ß = 0.267; 95% CI 0.078–0.909; p = 0.035), and personal burnout (ß = 0.321; 95% CI 0.152–0.677; p = 0.003) were independent influencing factors for resilience. Conclusions Multiple challenges and crises have culminated to the low job satisfaction, high burnout, and high the intention to quit of community pharmacists. This seriously destabilized the labor market of pharmacists which could negatively affect public safety. Effective interventions are essential to enhance the well-being and job satisfaction of pharmacists during public health crisis.
Collapse
Affiliation(s)
- Mohamad Alameddine
- College of Health Sciences, University of Sharjah, Sharjah, United Arab Emirates.,College of Medicine, Mohammed Bin Rashid University of Medicine and Health Sciences, Dubai Health Care City, Dubai, United Arab Emirates
| | - Karen Bou-Karroum
- Department of Health Management and Policy, Faculty of Health Sciences, American University of Beirut, Riad El Solh, Beirut, Lebanon
| | - Mohamad Ali Hijazi
- Department of Pharmaceutical Sciences, Faculty of Pharmacy, Beirut Arab University, Beirut, Lebanon.
| |
Collapse
|
9
|
Caesar BC, Nutt J, Jukes CP, Ahmed M, Counihan CM, Butler-Manuel WR, Khan M. Burnout in trauma and orthopaedic surgeons: can the UK military stress management model help? ORTHOPAEDICS AND TRAUMA 2021; 35:305-308. [PMID: 36568031 PMCID: PMC9760296 DOI: 10.1016/j.mporth.2021.07.007] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/17/2023]
Abstract
The recent coronavirus disease (COVID-19) pandemic has increased doctors' stresses at work and at home, putting them at increased risk of burnout. Considering this, we recently conducted the British Orthopaedic Association (BOA) Burnout and Wellbeing Survey which showed that, from 1298 respondents (approximately 25% of the membership of the BOA), 40% reported burnout and a further 50% were just below the threshold. The burnout rates were found to be higher in Black, Asian and minority ethnic (BAME), female and LGBTQ+ groups (45.6%) compared to white, heterosexual males (33.6% - p < 0.001) and also higher in trainees (49.1%) and associate specialists (52.1%) compared to consultants (35.7% - p < 0.001). We discuss what can be learned from the experience of the UK Armed Forces in their programme for stress management, their mental resilience training and their campaign to destigmatize mental wellbeing, that may mitigate burnout in our profession. We also put forward the case for appropriate resources to be allocated to tackling burnout in orthopaedic doctors and introduce the BOA's Wellbeing Initiative.
Collapse
Affiliation(s)
- Benjamin C Caesar
- Consultant Trauma and Orthopaedic Surgeon (UHS NHS Foundation Trust), 16 Medical Regiment, University Hospitals Sussex NHS Foundation Trust, UK. Conflicts of interest: none declared
- Specialty Trainee Year 8 Trauma and Orthopaedics, University Hospitals Sussex NHS Foundation Trust, UK. Conflicts of interest: none declared
- Specialty Trainee Year 7 Trauma and Orthopaedics, University Hospitals Sussex NHS Foundation Trust, UK. Conflicts of interest: none declared
- Specialty Trainee Year 3 Trauma and Orthopaedics, University Hospitals Sussex NHS Foundation Trust, UK. Conflicts of interest: none declared
- Core Trainee Year 1, University Hospitals Sussex NHS Foundation Trust, UK. Conflicts of interest: none declared
- - Foundation Year 1, University Hospitals Sussex NHS Foundation Trust, UK. Conflicts of interest: none declared
- University Hospitals Sussex NHS Foundation Trust, UK. Conflicts of interest: none declared
- No authors declare any conflicts of interest
| | - James Nutt
- Consultant Trauma and Orthopaedic Surgeon (UHS NHS Foundation Trust), 16 Medical Regiment, University Hospitals Sussex NHS Foundation Trust, UK. Conflicts of interest: none declared
- Specialty Trainee Year 8 Trauma and Orthopaedics, University Hospitals Sussex NHS Foundation Trust, UK. Conflicts of interest: none declared
- Specialty Trainee Year 7 Trauma and Orthopaedics, University Hospitals Sussex NHS Foundation Trust, UK. Conflicts of interest: none declared
- Specialty Trainee Year 3 Trauma and Orthopaedics, University Hospitals Sussex NHS Foundation Trust, UK. Conflicts of interest: none declared
- Core Trainee Year 1, University Hospitals Sussex NHS Foundation Trust, UK. Conflicts of interest: none declared
- - Foundation Year 1, University Hospitals Sussex NHS Foundation Trust, UK. Conflicts of interest: none declared
- University Hospitals Sussex NHS Foundation Trust, UK. Conflicts of interest: none declared
- No authors declare any conflicts of interest
| | - Christopher P Jukes
- Consultant Trauma and Orthopaedic Surgeon (UHS NHS Foundation Trust), 16 Medical Regiment, University Hospitals Sussex NHS Foundation Trust, UK. Conflicts of interest: none declared
- Specialty Trainee Year 8 Trauma and Orthopaedics, University Hospitals Sussex NHS Foundation Trust, UK. Conflicts of interest: none declared
- Specialty Trainee Year 7 Trauma and Orthopaedics, University Hospitals Sussex NHS Foundation Trust, UK. Conflicts of interest: none declared
- Specialty Trainee Year 3 Trauma and Orthopaedics, University Hospitals Sussex NHS Foundation Trust, UK. Conflicts of interest: none declared
- Core Trainee Year 1, University Hospitals Sussex NHS Foundation Trust, UK. Conflicts of interest: none declared
- - Foundation Year 1, University Hospitals Sussex NHS Foundation Trust, UK. Conflicts of interest: none declared
- University Hospitals Sussex NHS Foundation Trust, UK. Conflicts of interest: none declared
- No authors declare any conflicts of interest
| | - Maryam Ahmed
- Consultant Trauma and Orthopaedic Surgeon (UHS NHS Foundation Trust), 16 Medical Regiment, University Hospitals Sussex NHS Foundation Trust, UK. Conflicts of interest: none declared
- Specialty Trainee Year 8 Trauma and Orthopaedics, University Hospitals Sussex NHS Foundation Trust, UK. Conflicts of interest: none declared
- Specialty Trainee Year 7 Trauma and Orthopaedics, University Hospitals Sussex NHS Foundation Trust, UK. Conflicts of interest: none declared
- Specialty Trainee Year 3 Trauma and Orthopaedics, University Hospitals Sussex NHS Foundation Trust, UK. Conflicts of interest: none declared
- Core Trainee Year 1, University Hospitals Sussex NHS Foundation Trust, UK. Conflicts of interest: none declared
- - Foundation Year 1, University Hospitals Sussex NHS Foundation Trust, UK. Conflicts of interest: none declared
- University Hospitals Sussex NHS Foundation Trust, UK. Conflicts of interest: none declared
- No authors declare any conflicts of interest
| | - Callum M Counihan
- Consultant Trauma and Orthopaedic Surgeon (UHS NHS Foundation Trust), 16 Medical Regiment, University Hospitals Sussex NHS Foundation Trust, UK. Conflicts of interest: none declared
- Specialty Trainee Year 8 Trauma and Orthopaedics, University Hospitals Sussex NHS Foundation Trust, UK. Conflicts of interest: none declared
- Specialty Trainee Year 7 Trauma and Orthopaedics, University Hospitals Sussex NHS Foundation Trust, UK. Conflicts of interest: none declared
- Specialty Trainee Year 3 Trauma and Orthopaedics, University Hospitals Sussex NHS Foundation Trust, UK. Conflicts of interest: none declared
- Core Trainee Year 1, University Hospitals Sussex NHS Foundation Trust, UK. Conflicts of interest: none declared
- - Foundation Year 1, University Hospitals Sussex NHS Foundation Trust, UK. Conflicts of interest: none declared
- University Hospitals Sussex NHS Foundation Trust, UK. Conflicts of interest: none declared
- No authors declare any conflicts of interest
| | - William R Butler-Manuel
- Consultant Trauma and Orthopaedic Surgeon (UHS NHS Foundation Trust), 16 Medical Regiment, University Hospitals Sussex NHS Foundation Trust, UK. Conflicts of interest: none declared
- Specialty Trainee Year 8 Trauma and Orthopaedics, University Hospitals Sussex NHS Foundation Trust, UK. Conflicts of interest: none declared
- Specialty Trainee Year 7 Trauma and Orthopaedics, University Hospitals Sussex NHS Foundation Trust, UK. Conflicts of interest: none declared
- Specialty Trainee Year 3 Trauma and Orthopaedics, University Hospitals Sussex NHS Foundation Trust, UK. Conflicts of interest: none declared
- Core Trainee Year 1, University Hospitals Sussex NHS Foundation Trust, UK. Conflicts of interest: none declared
- - Foundation Year 1, University Hospitals Sussex NHS Foundation Trust, UK. Conflicts of interest: none declared
- University Hospitals Sussex NHS Foundation Trust, UK. Conflicts of interest: none declared
- No authors declare any conflicts of interest
| | - Mansoor Khan
- Consultant Trauma and Orthopaedic Surgeon (UHS NHS Foundation Trust), 16 Medical Regiment, University Hospitals Sussex NHS Foundation Trust, UK. Conflicts of interest: none declared
- Specialty Trainee Year 8 Trauma and Orthopaedics, University Hospitals Sussex NHS Foundation Trust, UK. Conflicts of interest: none declared
- Specialty Trainee Year 7 Trauma and Orthopaedics, University Hospitals Sussex NHS Foundation Trust, UK. Conflicts of interest: none declared
- Specialty Trainee Year 3 Trauma and Orthopaedics, University Hospitals Sussex NHS Foundation Trust, UK. Conflicts of interest: none declared
- Core Trainee Year 1, University Hospitals Sussex NHS Foundation Trust, UK. Conflicts of interest: none declared
- - Foundation Year 1, University Hospitals Sussex NHS Foundation Trust, UK. Conflicts of interest: none declared
- University Hospitals Sussex NHS Foundation Trust, UK. Conflicts of interest: none declared
- No authors declare any conflicts of interest
| |
Collapse
|
10
|
Degraeve A, Lejeune S, Muilwijk T, Poelaert F, Piraprez M, Svistakov I, Roumeguère T. When residents work less, they feel better: Lessons learned from an unprecedent context of lockdown. Prog Urol 2020; 30:1060-1066. [PMID: 32917488 PMCID: PMC7833413 DOI: 10.1016/j.purol.2020.08.005] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/17/2020] [Revised: 08/06/2020] [Accepted: 08/13/2020] [Indexed: 12/20/2022]
Abstract
Introduction With the COVID-19 outbreak activities of urology departments have been limited to non-deferrable procedures impacting the daily program of residents in urology. We assessed the psychological impact of the lockdown on Belgian residents in urology and their resounding on the quality of the training. Material and Methods A self-administered anonymous questionnaire assessing the risk of burnout in a pandemic situation and its impact on the quality of the training was e-mailed to the members of the European Society of Residents in Urology of Belgium (ESRU-B). We used the Copenhagen Burnout Inventory score which assesses the different dimensions of burnout (personal (CBIP), professional (CBIPro), relational (CBIR)). Several questions evaluating impact on residents’ health and apprehension of the future were included. The survey lasted for 5 days. Comparison of parameters before and during the coronavirus crisis was made using paired samples t-test or Chi2 test were. Results Fifty percent (62/126) of the ESRU-B members replied to the questionnaire. If 93% of the responders reported a negative impact on the quality of their practical training (CI95 = [0.07–1.10]; P = 0.83), 56% and 61.7% reported a positive impact of the crisis on their life and on their theoretical training respectively. Burnout risk scores were significantly reduced (P < 0.001) for each dimension 7.26 to 3.40 (CBIP), 9.02 to 4.35 (CBIPro) and 4.42 to 3.03 (CBIR) respectively. Conclusion Despite a negative impact on the daily work quality, the decrease in activity induced by the lockdown did not have a negative psychological impact on Belgian residents in urology but stress the opportunity to review the current training system to be better balanced between practice and theoretical formation.
Collapse
Affiliation(s)
- A Degraeve
- Department of Urology, Saint-Luc University Clinics, Université Catholique de Louvain, Brussels, Belgium.
| | - S Lejeune
- Institut de Recherche Expérimentale et Clinique (IREC), Saint-Luc University Clinics, Université Catholique de Louvain, Brussels, Belgium
| | - T Muilwijk
- Department of Urology and Department of Development and Regeneration, University Clinics of Leuven, Catholic University of Leuven, Leuven, Belgium
| | - F Poelaert
- Department of Urology, Ghent University Hospital, Ghent University, Ghent, Belgium
| | - M Piraprez
- Department of Urology, CHR de la Citadelle, Université de Liège, Liège, Belgium
| | - I Svistakov
- Department of Urology, University Clinics of Brussels, Erasme hospital, Université Libre de Bruxelles, Brussels, Belgium
| | - T Roumeguère
- Department of Urology, University Clinics of Brussels, Erasme hospital, Université Libre de Bruxelles, Brussels, Belgium
| | | |
Collapse
|