Department of Digestive Surgery, University of Strasbourg, 1 Place de L'Hopital, 67000, Strasbourg, France.
Department of Surgery, Rutgers-New Jersey Medical School, Newark, NJ, USA.
Surg Endosc. 2024 Sep;38(9):4776-4787. doi: 10.1007/s00464-024-11123-z. Epub 2024 Aug 5.
The growth of surgeon burnout is of significant concern. As we work to reimagine the practice of surgery, an accurate understanding of the extent of surgeon burnout is essential. Our goal was to define the current prevalence of burnout and quality of life (QOL) among SAGES surgeons.
An electronic survey was administered to SAGES members to establish a current baseline for QOL, burnout, depression, and career satisfaction. To assess outcomes, we utilized the validated Maslach Burnout Inventory for Medical Personnel, the Medical Outcomes Study Short Form, and the Primary Care Evaluation of Mental Disorders. All scoring followed validated norm-based methods.
Of 4194 active members, 604 responded (14.40%). 69% met burnout threshold, with high levels of emotional exhaustion and depersonalization, and low personal accomplishment. 81% reported "being at the end of their rope", 74% felt emotionally drained, and 65% felt used up daily. Nearly all maintained caring about what happened to their patients (96%), easily understanding how their patients feel (84.3%) and being capable of dealing effectively with their patient's problems (87.6%). However, respondents never, rarely, or occasionally felt energetic (77.5%) or experienced a sense of professional accomplishment (57.8%). The overall QOL score was 69/100, with lower Mental than Physical scores (62.69 (SD 10.20) vs.77.27 (SD 22.24)). More than half of respondents met depression criteria. While 77% supported they would become a physician again, less than half would choose surgery again or recommend surgery to their children. Furthermore, less than a third felt work allowed sufficient time for their personal lives.
Participating SAGES surgeons reported alarmingly high rates of burnout and depression. Despite experiencing emotional exhaustion and depersonalization, they maintained a strong commitment to patient care. These findings likely reflect the broader state of surgeons, underscoring the urgent need for action to address this critical issue.
外科医生职业倦怠的增长令人担忧。在我们努力重新构想外科手术实践的过程中，准确了解外科医生职业倦怠的程度至关重要。我们的目标是确定 SAGES 外科医生目前的倦怠和生活质量（QOL）患病率。
向 SAGES 成员发送电子调查，以确定 QOL、倦怠、抑郁和职业满意度的当前基线。为了评估结果，我们使用了经过验证的医疗人员 Maslach 倦怠量表、医疗结果研究短表和初级保健评估精神障碍。所有评分均遵循经过验证的基于标准的方法。
在 4194 名活跃成员中，有 604 人做出了回应（14.40%）。69%的人达到了倦怠阈值，表现出高度的情绪衰竭和去人性化，以及低个人成就感。81%的人表示“已经到了极限”，74%的人感到情绪疲惫，65%的人每天都感到疲惫不堪。几乎所有人都保持着对患者病情的关心（96%），很容易理解患者的感受（84.3%），并且能够有效地处理患者的问题（87.6%）。然而，受访者从未、很少或偶尔感到精力充沛（77.5%）或体验到职业成就感（57.8%）。总体 QOL 得分为 69/100，心理健康得分低于身体健康得分（62.69（SD 10.20）vs.77.27（SD 22.24））。超过一半的受访者符合抑郁标准。尽管 77%的人表示他们会再次成为医生，但不到一半的人会再次选择外科手术，也不会向他们的孩子推荐外科手术。此外，不到三分之一的人认为工作允许他们有足够的时间照顾个人生活。
参与调查的 SAGES 外科医生报告称，他们的倦怠和抑郁率高得惊人。尽管经历了情绪衰竭和去人性化，但他们仍然对患者护理保持着强烈的承诺。这些发现可能反映了外科医生的整体状况，突出了迫切需要采取行动解决这一关键问题。
