1Division of Neurosurgery,Université de Sherbrooke,Sherbrooke,Quebec.
2Division of Neurosurgery,University of Saskatchewan,Saskatoon,Saskatchewan.
Can J Neurol Sci. 2018 Mar;45(2):214-220. doi: 10.1017/cjn.2017.263. Epub 2017 Dec 14.
Neurosurgical residents face a unique combination of challenges, including long duty hours, technically challenging cases, and uncertain employment prospects. We sought to assess the demographics, interests, career goals, self-rated happiness, and overall well-being of Canadian neurosurgery residents.
A cross-sectional survey was developed and sent through the Canadian Neurosurgery Research Collaborative to every resident enrolled in a Canadian neurosurgery program as of April 1, 2016.
We analyzed 76 completed surveys of 146 eligible residents (52% response rate). The median age was 29 years, with 76% of respondents being males. The most popular subspecialties of interest for fellowship were spine, oncology, and open vascular neurosurgery. The most frequent self-reported number of worked hours per week was the 80- to 89-hour range. The majority of respondents reported a high level of happiness as well as stress. Sense of accomplishment and fatigue were reported as average to high and overall quality of life was low for 19%, average for 49%, and high for 32%. Satisfaction with work-life balance was average for 44% of respondents and was the only tested domain in which significant dissatisfaction was identified (18%). Overall, respondents were highly satisfied with their choice of specialty, choice of program, surgical exposure, and work environment; however, intimidation was reported in 36% of respondents and depression by 17%.
Despite a challenging residency and high workload, the majority of Canadian neurosurgery residents are happy and satisfied with their choice of specialty and program. However, work-life balance, employability, resident intimidation, and depression were identified as areas of active concern.
神经外科住院医师面临着独特的挑战组合，包括长时间的工作时间、技术上具有挑战性的病例和不确定的就业前景。我们旨在评估加拿大神经外科住院医师的人口统计学、兴趣、职业目标、自我幸福感和整体幸福感。
通过加拿大神经外科研讨会研究协作组向截至 2016 年 4 月 1 日注册参加加拿大神经外科学位课程的每位住院医师发送了一份横断面调查。
我们分析了 146 名符合条件的住院医师中 76 份完成的调查（52%的回复率）。中位年龄为 29 岁，76%的受访者为男性。最受欢迎的 Fellowship 专业是脊柱、肿瘤学和开放血管神经外科。报告的每周工作时间最频繁的是 80-89 小时。大多数受访者报告说自己感到非常幸福和压力大。成就感和疲劳感报告为中等至高，19%的人报告整体生活质量低，49%的人报告平均水平，32%的人报告高。44%的受访者对工作与生活的平衡满意度平均，这是唯一被发现不满意的领域（18%）。总体而言，受访者对自己的专业选择、选择的项目、手术经验和工作环境非常满意；然而，36%的受访者报告受到了恐吓，17%的受访者报告患有抑郁症。
尽管住院医师培训和工作量大，但大多数加拿大神经外科住院医师对自己的专业和项目选择感到满意和满意。然而，工作与生活的平衡、就业能力、住院医师的恐吓和抑郁已被确定为活跃关注的领域。
