Grand Rapids Medical Education Partners/Michigan State University General Surgery Residency Program, Spectrum Health, Saint Mary's Health Care, Grand Rapids, MI 49503, USA.
Surgery. 2010 Oct;148(4):824-8; discussion 828-30. doi: 10.1016/j.surg.2010.07.024. Epub 2010 Aug 21.
The effect of patient complications on physicians is not well understood. Our objective was to determine the impact of a surgeon's complication(s) on his/her emotional state and job performance.
An anonymous survey was distributed to Midwest Surgical Society members and attending surgeons within the Grand Rapids, Michigan, community.
There were 123 respondents (30.5% response rate). For the majority of participants, the first complication that had a significant emotional impact on them occurred during residency (51.2%). Most respondents reported this did not impair their professional functioning (77.2%). If a major complication was first experienced after residency, this had a greater likelihood of causing impairment (P < .05). Surgeons primarily dealt with the emotional impact by discussing it with a surgical partner (87.8%). Alcohol or other substance use increased in 6.5% of those surveyed. Most respondents (58.5%) felt it was difficult to handle the emotional effects of complications throughout their careers and this did not improve with experience.
The majority of surgeons agreed that it was difficult to handle the emotional effects of complications throughout their careers. Efforts should be made to increase awareness of unrecognized emotional effects of patient complications and improve access to support systems for surgeons.
患者并发症对医生的影响尚未得到充分理解。我们的目的是确定外科医生的并发症对其情绪状态和工作表现的影响。
向中西部外科学会成员和密歇根州大急流城社区的主治外科医生分发了匿名调查。
共有 123 名受访者（响应率为 30.5%）。对于大多数参与者来说，第一个对他们情绪产生重大影响的并发症发生在住院医师期间（51.2%）。大多数受访者报告说，这并未损害他们的专业功能（77.2%）。如果主要并发症是在住院医师之后首次经历，则更有可能导致功能障碍（P<.05）。外科医生主要通过与外科伙伴讨论来应对情绪影响（87.8%）。接受调查的人中，有 6.5%的人增加了饮酒或其他物质的使用。大多数受访者（58.5%）认为，在整个职业生涯中很难应对并发症带来的情绪影响，而且经验的增加并不能改善这种情况。
大多数外科医生一致认为，在整个职业生涯中应对并发症的情绪影响很困难。应努力提高对患者并发症未被识别的情绪影响的认识，并改善外科医生获得支持系统的途径。
