Departments of Population Health and Surgery, University of Kansas School of Medicine- Salina Campus, 138 N Santa Fe Ave, Salina, KS, 67401, USA.
Department of Surgery, Guelph General Hospital, Guelph, ON, Canada.
Surg Endosc. 2024 Jul;38(7):3494-3502. doi: 10.1007/s00464-024-10961-1. Epub 2024 Jun 13.
Burnout is a crisis in medicine, and especially in surgery it has serious implications not only for physician well-being but also for patient outcomes. This study builds on previous SAGES Reimagining the Practice of Surgery Task Force work to better understand how organizations might intervene to increase the "joy in surgery."
This was a cross-sectional, descriptive study utilizing a REDCap survey with closed-ended questions for data collection across 5 domains: facilitators of joy, support for best work, time for work tasks, barriers to joy, and what they would do with more time. We calculated average scores and "percentage of respondents giving a high score" for each item.
There were 307 individuals who started the survey; 223 completed it and were surgeons who met the inclusion criteria. The majority (85.7%) were trained in general surgery, regardless of sub-specialty. Surgeons found joy in operating and its technical skills, curing disease, patient relationships, and working with a good team. They reported usually having what they needed to deliver care. A majority felt valued and respected. Most were dissatisfied with reimbursement, perceiving it as unfair. The most commonly worked range of hours was 51-70 per week. They reported having little time for paperwork and documentation, and if they had more time, they would spend it with friends and family.
Organizations should consider interventions to address the operative environment, provide appropriate staff support, and foster good teamwork. They can also consider interventions that alleviate time pressures and administrative burden while at the same time promoting sustainable workloads.
burnout 是医学领域的一场危机，尤其是在外科领域，它不仅对医生的健康，而且对患者的治疗结果都有严重影响。本研究建立在前 SAGES 重新想象外科实践任务组的工作基础上，以更好地了解组织如何干预以增加“手术中的快乐”。
这是一项横断面描述性研究，使用 REDCap 调查，通过封闭式问题收集 5 个领域的数据：快乐促进因素、最佳工作支持、工作任务时间、快乐障碍以及有更多时间时他们会做什么。我们计算了每个项目的平均得分和“给出高分的受访者百分比”。
共有 307 人开始了调查；223 人完成了调查，他们是符合纳入标准的外科医生。大多数（85.7%）接受过普通外科培训，无论亚专业如何。外科医生在手术及其技术技能、治愈疾病、医患关系以及与优秀团队合作中找到了快乐。他们报告说通常拥有提供护理所需的一切。大多数人感到受到重视和尊重。大多数人对报销不满意，认为这是不公平的。最常见的工作时间范围是每周 51-70 小时。他们报告说几乎没有时间处理文书工作和文件，有更多时间的话，他们会和朋友和家人一起度过。
组织应考虑干预措施来改善手术环境、提供适当的员工支持，并培养良好的团队合作。他们还可以考虑减轻时间压力和行政负担的干预措施，同时促进可持续的工作量。
