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Barreto TM, Tavares MR, Azi ML, Azi LMTA, Sadgursky D, Alencar D. Impacto da pandemia COVID-19 na prevalência de burnout entre residentes em ortopedia. Rev Bras Ortop 2021; 57:159-166. [PMID: 35198124 PMCID: PMC8856857 DOI: 10.1055/s-0041-1729932] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/19/2020] [Accepted: 12/01/2020] [Indexed: 11/17/2022] Open
Abstract
Objective
The primary objective of the present study is to assess the impact of the COVID-19 pandemic on the prevalence of burnout syndrome among residents in orthopedic surgery. As a secondary objective, characteristics associated with the risk of developing the severe form of the syndrome were assessed.
Method
In the present cross-sectional study, graduating orthopedic residents were evaluated before and during the COVID-19 pandemic. Medical students formed a control group. The participants answered a sociodemographic questionnaire, the Maslach Burnout Inventory, and the Brazilian validated version of the 36-item short-form health survey questionnaire (SF-36). Fifty-two residents were appraised before the pandemic and 19 during the pandemic.
Results
Forty-four (84.6%) residents fulfilled the criteria for burnout syndrome, and the severe form of the syndrome was present in 16 (30.7%). There was no significant change in the evaluated scores after the beginning of the COVID-19 pandemic. There was also no increase in the prevalence of burnout syndrome or of the severe form of the syndrome. A negative correlation was observed between SF-36 items and the development of the severe form of burnout syndrome.
Conclusion
The prevalence of burnout syndrome and of the severe form of the disease was very high among residents in orthopedic surgery. The COVID-19 outbreak does not increase burnout in the residents.
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Xepoleas MD, Munabi NCO, Auslander A, Magee WP, Yao CA. The experiences of female surgeons around the world: a scoping review. HUMAN RESOURCES FOR HEALTH 2020; 18:80. [PMID: 33115509 PMCID: PMC7594298 DOI: 10.1186/s12960-020-00526-3] [Citation(s) in RCA: 20] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/25/2020] [Accepted: 10/15/2020] [Indexed: 05/25/2023]
Abstract
INTRODUCTION The Lancet Commission for Global Surgery identified an adequate surgical workforce as one indicator of surgical care accessibility. Many countries where women in surgery are underrepresented struggle to meet the recommended 20 surgeons per 100,000 population. We evaluated female surgeons' experiences globally to identify strategies to increase surgical capacity through women. METHODS Three database searches identified original studies examining female surgeon experiences. Countries were grouped using the World Bank income level and Global Gender Gap Index (GGGI). RESULTS Of 12,914 studies meeting search criteria, 139 studies were included and examined populations from 26 countries. Of the accepted studies, 132 (95%) included populations from high-income countries (HICs) and 125 (90%) exclusively examined populations from the upper 50% of GGGI ranked countries. Country income and GGGI ranking did not independently predict gender equity in surgery. Female surgeons in low GGGI HIC (Japan) were limited by familial support, while those in low income, but high GGGI countries (Rwanda) were constrained by cultural attitudes about female education. Across all populations, lack of mentorship was seen as a career barrier. HIC studies demonstrate that establishing a critical mass of women in surgery encourages female students to enter surgery. In HICs, trainee abilities are reported as equal between genders. Yet, HIC women experience discrimination from male co-workers, strain from pregnancy and childcare commitments, and may suffer more negative health consequences. Female surgeon abilities were seen as inferior in lower income countries, but more child rearing support led to fewer women delaying childbearing during training compared to North Americans and Europeans. CONCLUSION The relationship between country income and GGGI is complex and neither independently predict gender equity. Cultural norms between geographic regions influence the variability of female surgeons' experiences. More research is needed in lower income and low GGGI ranked countries to understand female surgeons' experiences and promote gender equity in increasing the number of surgical providers.
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Affiliation(s)
- Meredith D. Xepoleas
- Division of Plastic and Maxillofacial Surgery, Children’s Hospital Los Angeles, Los Angeles, CA USA
- Operation Smile Inc, Virginia Beach, Virginia Beach, VA USA
| | - Naikhoba C. O. Munabi
- Operation Smile Inc, Virginia Beach, Virginia Beach, VA USA
- Division of Plastic and Reconstructive Surgery, Keck School of Medicine, 1510 San Pablo St, Suite 415, Los Angeles, CA USA
| | - Allyn Auslander
- Division of Plastic and Maxillofacial Surgery, Children’s Hospital Los Angeles, Los Angeles, CA USA
| | - William P. Magee
- Division of Plastic and Maxillofacial Surgery, Children’s Hospital Los Angeles, Los Angeles, CA USA
- Operation Smile Inc, Virginia Beach, Virginia Beach, VA USA
- Division of Plastic and Reconstructive Surgery, Keck School of Medicine, 1510 San Pablo St, Suite 415, Los Angeles, CA USA
- Division of Plastic Surgery, Shriners Hospital for Children, Los Angeles, CA USA
| | - Caroline A. Yao
- Operation Smile Inc, Virginia Beach, Virginia Beach, VA USA
- Division of Plastic and Reconstructive Surgery, Keck School of Medicine, 1510 San Pablo St, Suite 415, Los Angeles, CA USA
- Division of Plastic Surgery, Shriners Hospital for Children, Los Angeles, CA USA
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Ng APP, Chin WY, Wan EYF, Chen J, Lau CS. Prevalence and severity of burnout in Hong Kong doctors up to 20 years post-graduation: a cross-sectional study. BMJ Open 2020; 10:e040178. [PMID: 33109674 PMCID: PMC7592302 DOI: 10.1136/bmjopen-2020-040178] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
Abstract
OBJECTIVE To estimate the prevalence and severity of burnout and explore the factors associated with burnout among Hong Kong medical graduates up to 20 years post-graduation. DESIGN Cross-sectional survey. SETTING Hong Kong. PARTICIPANTS Doctors who graduated from the University of Hong Kong between 1995 and 2014. PRIMARY AND SECONDARY OUTCOME MEASURES Burnout as measured by the Copenhagen Burnout Inventory (CBI), alcohol consumption as measured by the Alcohol Use Disorders Identification Test Version C, lifestyle behaviours (hours of sleep and work, exercise, smoking, substance use), career satisfaction and sociodemographic characteristics were obtained using paper or online questionnaires. RESULTS Response rate was 30.9% (496/1607). Prevalence of CBI burnout was 63.1% (personal), 55.9% (work-related) and 35.4% (patient-related). The mean CBI subscale scores were 57.4±21.4 (personal), 48.9±7.4 (work-related) and 41.5±21.8 (client-related). Factors associated with personal and patient-related burnout included age (coeff -0.437, 95% CI -0.779 to -0.095 and coeff -0.596, 95% CI -0.965 to -0.228, respectively), practice setting (coeff -5.759, 95% CI -10.665 to -0.853 and coeff -5.317, 95% CI -10.602 to -0.032, respectively) and regular exercise (coeff -6.855, 95% CI -11.102 to -2.608 and coeff -6.769, 95% CI -11.333 to -2.205, respectively). Gender (coeff 5.1, 95% CI 1.382 to 8.818), average hours of sleep per night (coeff -5.200, 95% CI -7.139 to -3.262) and work hours per week (coeff 0.226, 95% CI 0.099 to 0.353) were associated with personal burnout only. No factors were significantly associated with work-related burnout. CONCLUSION Burnout is highly prevalent among Hong Kong medical graduates. Younger doctors, women and those working in the public sector appear to be at higher risk for burnout and may benefit from targeted interventions. Policymakers and healthcare authorities should consider measures to help reduce burnout by enabling adequate sleep, reducing work hours and encouraging exercise.
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Affiliation(s)
- Amy Pui Pui Ng
- Department of Family Medicine and Primary Care, University of Hong Kong Li Ka Shing Faculty of Medicine, Hong Kong, China
| | - Weng Yee Chin
- Department of Family Medicine and Primary Care, University of Hong Kong Li Ka Shing Faculty of Medicine, Hong Kong, China
- Institute of Medical and Health Sciences Education, University of Hong Kong, Hong Kong, China
| | - Eric Yuk Fai Wan
- Department of Family Medicine and Primary Care, University of Hong Kong Li Ka Shing Faculty of Medicine, Hong Kong, China
- Department of Pharmacology and Pharmacy, University of Hong Kong, Hong Kong, China
| | - Julie Chen
- Department of Family Medicine and Primary Care, University of Hong Kong Li Ka Shing Faculty of Medicine, Hong Kong, China
- Institute of Medical and Health Sciences Education, University of Hong Kong, Hong Kong, China
| | - Chak Sing Lau
- Department of Medicine, University of Hong Kong Li Ka Shing Faculty of Medicine, Hong Kong, China
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Robertson R, Hill AG. Building resilience in the face of adversity: the STRONG surgeon. ANZ J Surg 2020; 90:1766-1768. [PMID: 32812698 PMCID: PMC7461464 DOI: 10.1111/ans.16199] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/06/2020] [Revised: 07/10/2020] [Accepted: 07/11/2020] [Indexed: 12/04/2022]
Affiliation(s)
| | - Andrew G Hill
- Department of Surgery, The University of Auckland, Middlemore Hospital, Counties Manukau District Health Board, Auckland, New Zealand
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Erian CKTG, Erian MMAS. Commitment and burnout: where should surgeons draw the line? Ir J Med Sci 2019; 189:719-721. [PMID: 31713763 DOI: 10.1007/s11845-019-02121-5] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/18/2019] [Accepted: 10/03/2019] [Indexed: 10/25/2022]
Abstract
For all its abundant rewards, many assert that surgery is a career that requires significant commitment and sacrifice. Many suggest that when left unchecked, this commitment may incite burnout owing principally to the unique time and emotional demands of the profession. Burnout is variably defined as a complex stress reaction that disproportionately affects healthcare workers, including surgeons. Its significance is owed to the propensity of burnout to detriment personal and professional functioning of the surgeon and potentially impair the care they deliver to their patients. As a result of this, the phenomenon of burnout is increasing attracting attention in contemporary healthcare. This essay examines the extent to which commitment is required in a surgical career and offsets it against the risks and consequences of burnout. Ultimately, the authors conclude that surgeons must be aware of both when and how overzealous, unchecked commitment may paradoxically impair their care via the incubation of burnout.
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Affiliation(s)
- Christopher K T G Erian
- Faculty of Medicine, University of Queensland, 4072 St Lucia, Brisbane, Queensland, Australia.
| | - Michael M A S Erian
- Faculty of Medicine, University of Queensland, 4072 St Lucia, Brisbane, Queensland, Australia
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Reynolds LM, Powell P, Lin YS, Ravi K, Chung CK, Consedine NS. Fighting the flinch: Experimentally induced compassion makes a difference in health care providers. Br J Health Psychol 2019; 24:982-998. [DOI: 10.1111/bjhp.12390] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/27/2019] [Revised: 08/31/2019] [Indexed: 12/30/2022]
Affiliation(s)
- Lisa M. Reynolds
- Department of Psychological Medicine The University of Auckland New Zealand
| | - Philip Powell
- Department of Economics The University of Sheffield UK
| | - Yee Sing Lin
- Department of Psychological Medicine The University of Auckland New Zealand
| | - Kripa Ravi
- Department of Psychological Medicine The University of Auckland New Zealand
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Weller JM, Henning M. Impact of Assessments on Learning and Quality of Life during Anaesthesia Training in Australia and New Zealand. Anaesth Intensive Care 2019; 39:35-9. [DOI: 10.1177/0310057x1103900105] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Affiliation(s)
- J. M. Weller
- Centre for Medical and Health Sciences Education, University of Auckland, Auckland, New Zealand
- Head of Centre for Medical and Health Sciences Education; Specialist Anaesthetist, Faculty of Medical and Health Sciences, University of Auckland and Auckland City Hospital and Chair of Assessments Committee, Australian and New Zealand College of Anaesthetists
| | - M. Henning
- Centre for Medical and Health Sciences Education, University of Auckland, Auckland, New Zealand
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Chen L, Liu J, Yang H, Ma H, Wang H, Huang Y, Cheng H, Tang D, Liu M, Luo H, Qu H, Shen D, Zhang N. Work-family conflict and job burn-out among Chinese doctors: the mediating role of coping styles. Gen Psychiatr 2018; 31:e000004. [PMID: 30582114 PMCID: PMC6211271 DOI: 10.1136/gpsych-2018-000004] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/26/2017] [Revised: 10/18/2017] [Accepted: 03/15/2018] [Indexed: 11/03/2022] Open
Abstract
Background Burn-out among doctors threatens their own health, and that of their patients. To identify risk factors of the doctor burn-out is vital to improving their health and increasing the quality of healthcare services. This study aims to explore the relationship between work-family conflict (WFC) and burn-out among Chinese doctors and the mediating role of coping styles in this relationship. Methods A cross-sectional survey was conducted in China, with a questionnaire packet which consisted of the Chinese Maslach Burnout Inventory (CMBI), WFC Scale and the Simplified Coping Style Questionnaire (SCSQ). A total of 2530 doctors participated in the survey. Correlation analysis was performed to explore the relationship between CMBI, WFC and SCSQ scores. A linear regression model was set to determine the mediating role of coping styles on the relationship between WFC and burn-out. Results Doctors who had higher scores on work interfering with family conflict, reported more emotional exhaustion (r=0.514, P<0.001) and had a sense of accomplishment (r=-0.149, P<0.001). Simultaneously, family interfering with work (FIW) was positively associated with all dimensions of burn-out (r=0.213, 0.504, 0.088, respectively, P<0.001). Coping styles had partial, complete and even mediating effects on the relationship between WFC and burn-out among Chinese doctors. Conclusions WFC was correlated with burn-out, and coping style was a mediator in this relationship among Chinese doctors. Coping style was a positive resource against burn-out.
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Affiliation(s)
- Ling Chen
- Department of Clinical Psychology, Jiangsu Province Geriatric Institute, Nanjing, China
| | - Junjun Liu
- Department of Psychiatry, Nanjing Meishan Hospital, Nanjing, China
| | - Hailong Yang
- Department of Clinical Psychology, Nanjing Drum Tower Hospital Clinical College of Nanjing Medical University, Nanjing, China
| | - Hui Ma
- Department of Clinical Psychology, Nanjing Brain Hospital Affiliated to Nanjing Medical University, Nanjing, China
| | - Hui Wang
- Department of Neurology Lianyungang Hospital of Traditional Chinese Medicine, Lianyungang, China
| | - Yun Huang
- Medical Insurance Audit Department, Medical Insurance Management and Service Bureau, Hangzhou, China
| | - Hao Cheng
- Educational and Counseling Department of Mental Health, Nanjing University of Posts and Telecommunications, Nanjing, China
| | - Dianzhen Tang
- Customer Service Department, Tuniu Corporation, Nanjing, China
| | - Miao Liu
- College of Education, Weifang University of Science and Technology, Huaifang, China
| | - Houyuan Luo
- Department of Educational Psychology, University of Alberta, Edmonton, Alberta, Canada
| | - Haitao Qu
- Institute of Health Management, Jiangsu Jiankang Vocational College, Nanjing, China
| | - Diwen Shen
- Department of Psychiatry, Nanjing Meishan Hospital, Nanjing, China
| | - Ning Zhang
- Department of Clinical Psychology, Nanjing Brain Hospital Affiliated to Nanjing Medical University, Nanjing, China
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Reis HIS, Vale C, Camacho C, Estrela C, Dixe MDA. Burnout among Occupational Therapists in Portugal: A Study of Specific Factors. Occup Ther Health Care 2018; 32:275-289. [PMID: 30183440 DOI: 10.1080/07380577.2018.1497244] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/26/2018] [Revised: 06/25/2018] [Accepted: 07/02/2018] [Indexed: 06/08/2023]
Abstract
This pilot study was conducted using a sample of 374 Portuguese occupational therapists to evaluate burnout levels and prevalence among occupational therapists as well as to relate those levels to practitioner age, gender, client age, years of professional activity, and area of practice. The Copenhagen Burnout Inventory questionnaire (Portuguese version) and a sociodemographic questionnaire was used. Results showed that ∼23%, 44%, and 45% of occupational therapists presented with client-related burnout, personal burnout (PB), and work-related burnout, respectively. Higher rates of burnout were observed across all dimensions as the age of the professionals increased, with more years of working increased the client-rated rate, and client age increased the PB rate. Outcomes suggest a need to implement intervention programs to promote personal and organizational strategies to prevent burnout.
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Affiliation(s)
- Helena I S Reis
- a CiTechCare, School of Health Sciences, Polytechnic Institute of Leiria , Leiria , Portugal
| | - Catarina Vale
- b Higher Health School , Polytechnic Institute of Leiria , Leiria , Portugal
| | - Catarina Camacho
- b Higher Health School , Polytechnic Institute of Leiria , Leiria , Portugal
| | - Cátia Estrela
- b Higher Health School , Polytechnic Institute of Leiria , Leiria , Portugal
| | - Maria Dos Anjos Dixe
- a CiTechCare, School of Health Sciences, Polytechnic Institute of Leiria , Leiria , Portugal
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Cubero DIG, Fumis RRL, de Sá TH, Dettino A, Costa FO, Van Eyll BMRHA, Beato C, Peria FM, Mota A, Altino J, Azevedo SJ, da Rocha Filho DR, Moura M, Lessa ÁER, Del Giglio A. "Burnout in Medical Oncology Fellows: a Prospective Multicenter Cohort Study in Brazilian Institutions". JOURNAL OF CANCER EDUCATION : THE OFFICIAL JOURNAL OF THE AMERICAN ASSOCIATION FOR CANCER EDUCATION 2016; 31:582-587. [PMID: 25952940 DOI: 10.1007/s13187-015-0850-z] [Citation(s) in RCA: 31] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
Abstract
Burnout syndrome is a common occurrence among oncologists. Doctors enrolled in residency programs in clinical oncology are exposed to similar risk factors; however, few data are available in this population. This study assessed the occurrence of burnout and associated factors among first-year residents at Brazilian institutions. The present prospective, multicenter, cohort study was conducted with doctors enrolled in residency programs in clinical oncology at Brazilian institutions affiliated with the public health system. The participants answered a sociodemographic questionnaire, the Maslach Burnout Inventory (MBI), Lipp's Stress Inventory, and the Beck Depression Inventory (BDI), upon admission to the program and 6 and 12 months later. Of 37 eligible residency programs in 2009, 11 (30.6 %) agreed to participate in the study. Fifty-four residents, representing 100 % of new admissions to the participating institutions, were included. Most of the participants met the criteria for severe burnout upon admission to the residency programs (emotional exhaustion in 49.0 % and depersonalization in 64.7 %). The scores on MBI domains emotional exhaustion and depersonalization increased significantly (p < 0.01) during the first year of residency, and the prevalence of burnout increased to 88 % at the end of that first year. The present study found a high prevalence of burnout among doctors enrolled in residency programs in clinical oncology at Brazilian institutions. A large fraction of the participants met the criteria for burnout syndrome upon admission to the program, which suggests that the problem began during the course of the previous residency program in internal medicine.
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Affiliation(s)
- Daniel I G Cubero
- Department of Oncology and Hematology, ABC Foundation School of Medicine, 821 Av Principe de Gales, Anexo 3, Santo André, SP, 09060-650, Brazil.
| | | | - Thiago Hérick de Sá
- School of Public Health, University of São Paulo, 715 Av. Dr. Arnaldo, 01255-000, São Paulo, Brazil
| | - Aldo Dettino
- AC Camargo Hospital, 211 Rua Professor Antônio Prudente, 01509-010, São Paulo, Brazil
| | - Felipe Osório Costa
- UNICAMP, State University of Campinas, 126 R. Tessália Vieira de Camargo, FCM 9, 13083-887, Campinas, Brazil
| | | | - Carlos Beato
- Amaral Carvalho Foundation, 122 Rua das Palmeiras, n.122, 17210-120, Jaú, Brazil
| | - Fernanda Maris Peria
- Ribeirão Preto School of Medicine, 3900 Av. Bandeirantes, 14048-900, Ribeirão Preto, Brazil
| | - Augusto Mota
- Saint Raphael Hospital, 619 Alameda das Samambaias, casa 50, 41650-230, Salvador, Brazil
| | - José Altino
- São José do Rio Preto School of Medicine, 1118 Rua Presciliano Pinto, 15025-100, São José do Rio Preto, Brazil
| | - Sérgio Jobim Azevedo
- Clinical Hospital of Porto Alegre, 2350 Rua Ramiro Barcelos, Prédio 21- 2° andar, 90035-903, Porto Alegre, Brazil
| | | | - Melba Moura
- Santa Izabel Hospital, 500 Praça Conselheiro Almeida Couto, 40050-410, Salvador, Brazil
| | | | - Auro Del Giglio
- Department of Oncology and Hematology, ABC Foundation School of Medicine, 821 Av Principe de Gales, Anexo 3, Santo André, SP, 09060-650, Brazil
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Sammour T, Macleod A, Chittleborough TJ, Chandra R, Shedda SM, Hastie IA, Jones IT, Hayes IP. Total caseload of a colorectal surgical unit: baseline measurement and identification of areas for efficiency gains. Int J Colorectal Dis 2016; 31:1141-8. [PMID: 26979980 DOI: 10.1007/s00384-016-2556-z] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 03/02/2016] [Indexed: 02/04/2023]
Abstract
PURPOSE Resource limitations are a concern in most modern public hospital systems. The aim of this study is to prospectively quantify the total caseload of a tertiary colorectal surgery unit to identify areas of redundancy. METHODS Data was collected prospectively at all points of clinical care (outpatient clinic, inpatient referrals, operating theatre and endoscopy) between March 2014 and March 2015 using specifically designed templates. The final data was analysed using descriptive statistics. RESULTS During the study period, 4012 patient episodes were recorded: 2871 in outpatient clinic, 186 as emergency patient referrals, 541 at colonoscopy and 414 at surgery. The largest component of the caseload was made up primarily of colonoscopy results follow-up, protocol review for previous cancer or polyps and post-operative review. Sixty-eight percent of these episodes did not result in any active intervention such as further tests or surgery. Most new outpatient referrals were undifferentiated, with the most common indications being minor rectal bleeding, non-specific gastrointestinal symptoms, and minor non-bleeding anorectal problems. Of the new referrals, 56 % were booked for a colonoscopy, and only 13.3 % were booked directly for elective surgery. CONCLUSION A large component of the caseload of a tertiary colorectal surgery unit is made up of post-colonoscopy, post-operative, and surveillance protocol follow-up, with a significant proportion of patients not requiring any active intervention. The majority of new referrals are undifferentiated and result in a low rate of direct booking for operative intervention. Rationalisation of this resource using evidence-based methods could reduce redundancy, workload, and cost.
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Affiliation(s)
- Tarik Sammour
- Colorectal Unit, Department of Surgery, Royal Melbourne Hospital, 300 Grattan St, Parkville, VIC, Australia.
| | - Andrew Macleod
- Colorectal Unit, Department of Surgery, Royal Melbourne Hospital, 300 Grattan St, Parkville, VIC, Australia
| | - Tim J Chittleborough
- Colorectal Unit, Department of Surgery, Royal Melbourne Hospital, 300 Grattan St, Parkville, VIC, Australia
| | - Raaj Chandra
- Colorectal Unit, Department of Surgery, Royal Melbourne Hospital, 300 Grattan St, Parkville, VIC, Australia
| | - Susan M Shedda
- Colorectal Unit, Department of Surgery, Royal Melbourne Hospital, 300 Grattan St, Parkville, VIC, Australia
| | - Ian A Hastie
- Colorectal Unit, Department of Surgery, Royal Melbourne Hospital, 300 Grattan St, Parkville, VIC, Australia
| | - Ian T Jones
- Colorectal Unit, Department of Surgery, Royal Melbourne Hospital, 300 Grattan St, Parkville, VIC, Australia.,Department of Surgery, University of Melbourne, Parkville, VIC, Australia
| | - Ian P Hayes
- Colorectal Unit, Department of Surgery, Royal Melbourne Hospital, 300 Grattan St, Parkville, VIC, Australia.,Department of Surgery, University of Melbourne, Parkville, VIC, Australia
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12
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Beyond the body: A systematic review of the nonphysical effects of a surgical career. Surgery 2016; 159:650-64. [DOI: 10.1016/j.surg.2015.08.017] [Citation(s) in RCA: 49] [Impact Index Per Article: 6.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/03/2015] [Revised: 08/06/2015] [Accepted: 08/15/2015] [Indexed: 12/21/2022]
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Affiliation(s)
- Antonio Fernando
- Department of Psychological Medicine, University of Auckland, Auckland, New Zealand
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14
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Kang SH, Boo YJ, Lee JS, Han HJ, Jung CW, Kim CS. High occupational stress and low career satisfaction of Korean surgeons. J Korean Med Sci 2015; 30:133-9. [PMID: 25653482 PMCID: PMC4310937 DOI: 10.3346/jkms.2015.30.2.133] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/24/2014] [Accepted: 10/01/2014] [Indexed: 12/02/2022] Open
Abstract
Surgery is a demanding and stressful field in Korea. Occupational stress can adversely affect the quality of care, decrease job satisfaction, and potentially increase medical errors. The aim of this study was to investigate the occupational stress and career satisfaction of Korean surgeons. We have conducted an electronic survey of 621 Korean surgeons for the occupational stress. Sixty-five questions were used to assess practical and personal characteristics and occupational stress using the Korean occupational stress scale (KOSS). The mean KOSS score was 49.31, which was higher than the average of Korean occupational stress (45.86) or that of other specialized professions (46.03). Young age, female gender, long working hours, and frequent night duties were significantly related to the higher KOSS score. Having spouse, having hobby and regular exercise decreased the KOSS score. Multiple linear regression analysis showed that long working hours and regular exercise were the independent factors associated with the KOSS score. Less than 50% of surgeons answered that they would become a surgeon again. Most surgeons (82.5%) did not want to recommend their child follow their career. Korean Surgeons have high occupational stress and low level of career satisfaction.
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Affiliation(s)
- Sang Hee Kang
- Department of Surgery, Korea University College of Medicine, Seoul, Korea
| | - Yoon Jung Boo
- Department of Surgery, Korea University College of Medicine, Seoul, Korea
| | - Ji Sung Lee
- Department of Medical Statistics, Clinical Research Center, Asan Medical Center, Seoul, Korea
| | - Hyung Joon Han
- Department of Surgery, Korea University College of Medicine, Seoul, Korea
| | - Cheol Woong Jung
- Department of Surgery, Korea University College of Medicine, Seoul, Korea
| | - Chong Suk Kim
- Department of Surgery, Korea University College of Medicine, Seoul, Korea
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15
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Arora M, Diwan AD, Harris IA. Burnout in orthopaedic surgeons: a review. ANZ J Surg 2013; 83:512-5. [DOI: 10.1111/ans.12292] [Citation(s) in RCA: 55] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/21/2013] [Indexed: 11/29/2022]
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16
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McDonald RE, Jeeves AE, Vasey CE, Wright DM, O'Grady G. Supply and demand mismatch for flexible (part‐time) surgical training in Australasia. Med J Aust 2013; 198:423-5. [DOI: 10.5694/mja12.11685] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/18/2012] [Accepted: 03/20/2013] [Indexed: 11/17/2022]
Affiliation(s)
| | | | - Carolyn E Vasey
- Royal Australasian College of Surgeons Trainees Association, Melbourne, VIC
| | - Deborah M Wright
- Department of Surgery, University of Auckland, Auckland, New Zealand
| | - Gregory O'Grady
- Royal Australasian College of Surgeons Trainees Association, Melbourne, VIC
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Zambrano SC, Chur-Hansen A, Crawford GB. How Do Surgeons Experience and Cope with the Death and Dying of Their Patients? A Qualitative Study in the Context of Life-limiting Illnesses. World J Surg 2013; 37:935-44. [DOI: 10.1007/s00268-013-1948-2] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Poole GH, Glyn T, Srinivasa S, Hill AG. Modular acute system for general surgery: hand over the operation, not the patient. ANZ J Surg 2012; 82:156-60. [PMID: 22510126 DOI: 10.1111/j.1445-2197.2011.05963.x] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
INTRODUCTION Various models have been proposed to effectively provide acute surgical care in Australasia. Recently, General Surgeons Australia (GSA) has published a 12-point plan with guiding principles on this matter. This study describes a model of providing acute general surgical care in a high-volume institution, evaluates clinical outcomes and critically appraises the system against the GSA 12-point plan. METHODS The acute care system is qualitatively described with quantitative measures of workload. The outcomes of acute laparoscopic cholecystectomy were used as a proxy of system performance. The system was critically appraised against the GSA 12-point plan. RESULTS Teams are on call once per week with each surgeon on call once per fortnight. The three key elements of acute management - collecting patients, post-acute ward round and operating - are treated as modules. The patient remains under the care of the admitting consultant but is often operated on by another team. From June 2009 to 2010, there were 7429 acute general surgical admissions (mean: 20.4 patients per day) with 2999 acute operations (mean: 8.4 operations per day). The other activities of the department were not compromised. In that time, 388 acute laparoscopic cholecystectomies were performed with a conversion rate of 1.3% and no major bile duct injury. The system is compatible with the GSA 12-point plan. CONCLUSION This study describes an efficient and safe system for providing acute general surgical care in a high-volume setting with satisfactory clinical outcomes. It is compatible with the GSA 12-point plan.
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Affiliation(s)
- Garth H Poole
- Department of Surgery, Middlemore Hospital, University of Auckland, New Zealand
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Waxman BP. Caring and sharing: strategies for recognizing and surviving burnout in surgeons. ANZ J Surg 2011; 81:493-4. [DOI: 10.1111/j.1445-2197.2011.05803.x] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Kahokehr A, Srinivasa S, Yu TC, Hill AG. Surgical research after medical school: get registered and then get on with it. ANZ J Surg 2011; 81:404-5. [DOI: 10.1111/j.1445-2197.2011.05783.x] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Surgeon Distress as Calibrated by Hours Worked and Nights on Call. J Am Coll Surg 2010; 211:609-19. [DOI: 10.1016/j.jamcollsurg.2010.06.393] [Citation(s) in RCA: 132] [Impact Index Per Article: 9.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/15/2010] [Accepted: 06/29/2010] [Indexed: 11/15/2022]
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Balch CM, Shanafelt TD, Sloan J, Satele DV, Kuerer HM. Burnout and Career Satisfaction Among Surgical Oncologists Compared with Other Surgical Specialties. Ann Surg Oncol 2010; 18:16-25. [DOI: 10.1245/s10434-010-1369-5] [Citation(s) in RCA: 56] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/22/2010] [Indexed: 11/18/2022]
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