Singleton Eye Unit, Sketty Lane, Swansea, UK.
Section of Academic Ophthalmology, School of Life Course Sciences, FoLSM, King's College London, London, UK.
Eur J Ophthalmol. 2023 Jul;33(4):1640-1649. doi: 10.1177/11206721231154611. Epub 2023 Feb 3.
We aimed to evaluate the nationwide prevalence of stress induced burnout among cataract surgeons. We believe that knowledge of these factors can help formulate a solution to this underreported problem.
A three-part nationwide cross-sectional survey was disseminated with via the Royal College of Ophthalmologists (RCOphth) in the United Kingdom(UK). All consultants, trainees and specialty doctors and associate specialists(SAS) were invited to participate. We evaluated burnout using the Maslach Burnout Inventory (MBI). Logistic regression modelling was completed to look at factors linked to high level burnout in certain domains.
A total of 406 respondents completed our survey. Prevalence of cataract surgery-related high burnout was estimated at 3.45% (Section A and/or B) and 40% within Personal Accomplishment (PA)(Section C of the MBI). Multiple factors were associated with increased burnout within PA: Increasing age: 61+ OR: 2.99 (1.02-8.78, =0.05), Number of cataract operations completed: >3000 OR 2.98 (1.03-8.64, =0.04), Lists per week: 2: OR 2.99 (1.38-6.47, <0.01), 2.5: OR 8.95 (2.58-31.02, <0.01), 3 or more: OR 2.64 (1.07-6.54, =0.04). Sleeping 8 h or more was found to be protective OR 0.52 (0.28-0.96, =0.04). 17% of respondents indicated they would be willing to give up cataract surgery if given the opportunity.
The prevalence of stress induced burnout by cataract surgery appears to be present in a minority of surgeons. There appears to be a significant reduction in the feeling of personal achievement within the profession. A large proportion of this cohort appears to be willing to give up surgical responsibilities.
我们旨在评估白内障手术医师中普遍存在的应激相关 burnout 现象。我们相信，了解这些因素有助于解决这一未被充分报道的问题。
通过英国皇家眼科医师学院（RCOphth）在全国范围内进行了一项三部分的横断面调查。邀请所有顾问、学员和专科医生及副专科医生（SAS）参与。我们使用 Maslach 倦怠量表（MBI）评估 burnout。进行逻辑回归建模以研究与某些领域高水平 burnout 相关的因素。
共有 406 名受访者完成了我们的调查。白内障手术相关高度 burnout 的患病率估计为 3.45%（A 节和/或 B 节），个人成就感（MBI 的 C 节）中为 40%。多项因素与个人成就感中的 burnout 增加相关：年龄增长：61 岁以上 OR：2.99（1.02-8.78，=0.05），白内障手术量：>3000 OR 2.98（1.03-8.64，=0.04），每周清单数：2：OR 2.99（1.38-6.47，<0.01），2.5：OR 8.95（2.58-31.02，<0.01），3 个或更多：OR 2.64（1.07-6.54，=0.04）。每周睡 8 小时或以上被发现具有保护作用 OR 0.52（0.28-0.96，=0.04）。17%的受访者表示，如果有机会，他们愿意放弃白内障手术。
白内障手术引起的应激相关 burnout 的患病率在少数外科医生中似乎存在。该职业中个人成就感明显下降。这一人群中有很大一部分似乎愿意放弃手术责任。
