Meta-Analysis of Surgeon Burnout Syndrome and Specialty Differences.

MedStar author(s):
Citation: Journal of Surgical Education. 2018 Feb 27PMID: 29500145Institution: MedStar Health Research Institute | MedStar Washington Hospital CenterDepartment: Surgery/General SurgeryForm of publication: Journal ArticleMedline article type(s): Journal ArticleSubject headings: IN PROCESS -- NOT YET INDEXEDYear: 2018ISSN:
  • 1878-7452
Name of journal: Journal of surgical educationAbstract: CONCLUSIONS: Approximately 3% of surgeons suffer from extreme forms of burnout termed "burnout syndrome," although surgeon burnout may occur in up to 34% of surgeons, characterized by high burnout in 1 of 3 subscales. Surgical specialties have significantly different rates of burnout subscales. Future burnout studies should target the specialty-specific level to understand inherent differences in an effort to better understand methods of improving surgeon burnout.Copyright (c) 2018 Association of Program Directors in Surgery. Published by Elsevier Inc. All rights reserved.DESIGN: A systematic literature search was performed using MEDLINE, PsycINFO, and EMBASE to identify studies reporting MBI data by surgical specialty. Data extraction was performed to isolate surgeon specific data.OBJECTIVE: Surgeon burnout compromises the quality of life of physicians and the delivery of care to patients. Burnout rates and interpretation of the Maslach Burnout Inventory (MBI) complicates the interpretation of surgeon burnout. The purpose of this study is to apply a standardized interpretation of severe surgeon burnout termed, "burnout syndrome" to analyze inherent variation within surgical specialties.RESULTS: A total of 16 cross-sectional studies were included in this meta-analysis, totaling 3581 subjects. A random effects model approximated burnout syndrome at 3.0% (95% CI: 2.0%-5.0%; I<sup>2</sup> = 78.1%). Subscale analysis of emotional exhaustion, depersonalization, and personal accomplishment indicated subscale burnout in 30.0% (CI: 25.0%-36.0%; I<sup>2</sup> = 93.2%), 34.0% (CI: 25.0%-43.0%; I<sup>2</sup> = 96.9%), and 25.0% (CI: 18.0%-32.0%; I<sup>2</sup> = 96.5%) of surgeons, respectively. Significant differences (p < 0.001) in MBI subscale scoring existed among surgical specialties.SETTING: A meta-analysis was performed.All authors: Bartholomew AJ, Houk AK, Jackson PG, Kwagyan J, Pulcrano M, Shara NM, Sosin MFiscal year: FY2018Digital Object Identifier: Date added to catalog: 2018-04-20
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Journal Article MedStar Authors Catalog Article 29500145 Available 29500145

CONCLUSIONS: Approximately 3% of surgeons suffer from extreme forms of burnout termed "burnout syndrome," although surgeon burnout may occur in up to 34% of surgeons, characterized by high burnout in 1 of 3 subscales. Surgical specialties have significantly different rates of burnout subscales. Future burnout studies should target the specialty-specific level to understand inherent differences in an effort to better understand methods of improving surgeon burnout.

Copyright (c) 2018 Association of Program Directors in Surgery. Published by Elsevier Inc. All rights reserved.

DESIGN: A systematic literature search was performed using MEDLINE, PsycINFO, and EMBASE to identify studies reporting MBI data by surgical specialty. Data extraction was performed to isolate surgeon specific data.

OBJECTIVE: Surgeon burnout compromises the quality of life of physicians and the delivery of care to patients. Burnout rates and interpretation of the Maslach Burnout Inventory (MBI) complicates the interpretation of surgeon burnout. The purpose of this study is to apply a standardized interpretation of severe surgeon burnout termed, "burnout syndrome" to analyze inherent variation within surgical specialties.

RESULTS: A total of 16 cross-sectional studies were included in this meta-analysis, totaling 3581 subjects. A random effects model approximated burnout syndrome at 3.0% (95% CI: 2.0%-5.0%; I<sup>2</sup> = 78.1%). Subscale analysis of emotional exhaustion, depersonalization, and personal accomplishment indicated subscale burnout in 30.0% (CI: 25.0%-36.0%; I<sup>2</sup> = 93.2%), 34.0% (CI: 25.0%-43.0%; I<sup>2</sup> = 96.9%), and 25.0% (CI: 18.0%-32.0%; I<sup>2</sup> = 96.5%) of surgeons, respectively. Significant differences (p < 0.001) in MBI subscale scoring existed among surgical specialties.

SETTING: A meta-analysis was performed.

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