Comprehensive Characterization of the General Surgery Residency Learning Environment and the Association With Resident Burnout
| العنوان: | Comprehensive Characterization of the General Surgery Residency Learning Environment and the Association With Resident Burnout |
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| المؤلفون: | Michael S. Nussbaum, Caryn D. Etkin, Yue Yung Hu, Elaine Ooi Yan Cheung, Chandrakanth Are, Joseph D. Nicolas, Patricia L. Turner, Lindsey M. Zhang, Meixi Ma, Ryan J. Ellis, Douglas S. Smink, Karl Y. Bilimoria |
| المصدر: | Annals of Surgery. 274:6-11 |
| بيانات النشر: | Ovid Technologies (Wolters Kluwer Health), 2021. |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | Male, medicine.medical_specialty, Workload, Burnout, Efficiency, Organizational, Logistic regression, Job Satisfaction, 03 medical and health sciences, Social support, 0302 clinical medicine, Risk Factors, Humans, Learning, Medicine, Burnout, Professional, Occupational Health, Chicago, Response rate (survey), business.industry, Learning environment, General surgery, Bullying, Internship and Residency, Social Support, Odds ratio, Health Surveys, Organizational Culture, Cross-Sectional Studies, Logistic Models, General Surgery, 030220 oncology & carcinogenesis, Harassment, Workplace Violence, Female, 030211 gastroenterology & hepatology, Surgery, business, Prejudice |
| الوصف: | Objectives To characterize the learning environment (ie, workload, program efficiency, social support, organizational culture, meaning in work, and mistreatment) and evaluate associations with burnout in general surgery residents. Background summary data Burnout remains high among general surgery residents and has been linked to workplace exposures such as workload, discrimination, abuse, and harassment. Associations between other measures of the learning environment are poorly understood. Methods Following the 2019 American Board of Surgery In-Training Examination, a cross-sectional survey was administered to all US general surgery residents. The learning environment was characterized using an adapted Areas of Worklife survey instrument, and burnout was measured using an abbreviated Maslach Burnout Inventory. Associations between burnout and measures of the learning environment were assessed using multivariable logistic regression. Results Analysis included 5277 general surgery residents at 301 programs (85.6% response rate). Residents reported dissatisfaction with workload (n = 784, 14.9%), program efficiency and resources (n = 1392, 26.4%), social support and community (n = 1250, 23.7%), organizational culture and values (n = 853, 16.2%), meaning in work (n = 1253, 23.7%), and workplace mistreatment (n = 2661, 50.4%). The overall burnout rate was 43.0%, and residents were more likely to report burnout if they also identified problems with residency workload [adjusted odds ratio (aOR) 1.60, 95% confidence interval (CI) 1.31-1.94], efficiency (aOR 1.74; 95% CI 1.49-2.03), social support (aOR 1.37, 95% CI 1.15-1.64), organizational culture (aOR 1.64; 95% CI 1.39-1.93), meaning in work (aOR 1.87; 95% CI 1.56-2.25), or experienced workplace mistreatment (aOR 2.49; 95% CI 2.13-2.90). Substantial program-level variation was observed for all measures of the learning environment. Conclusions Resident burnout is independently associated with multiple aspects of the learning environment, including workload, social support, meaning in work, and mistreatment. Efforts to help programs identify and address weaknesses in a targeted fashion may improve trainee burnout. |
| تدمد: | 1528-1140 0003-4932 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::a781e56f2b22e84250717644579e9082 https://doi.org/10.1097/sla.0000000000004796 |
| رقم الأكسشن: | edsair.doi.dedup.....a781e56f2b22e84250717644579e9082 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 15281140 00034932 |
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