Schneider Daniel, Mishra Akash, Shao Miriam, Larry Lo Sheng-Fu, Sciubba Daniel M
Department of Neurosurgery, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Manhasset, New York, USA.
Department of Neurosurgery, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Manhasset, New York, USA.
World Neurosurg. 2025 Feb;194:123369. doi: 10.1016/j.wneu.2024.10.098. Epub 2024 Nov 20.
Burnout syndrome impacts 1 of 2 neurosurgeons and negatively impacts both the individual and institution. The impact of burnout on neurosurgeons may have increased due to the SARS-CoV-2 pandemic. Characteristics of burnout may differ among neurosurgeons and non-neurosurgeon physicians, and this may better target wellness initiatives designed to alleviate burnout.
Validated burnout inventories (Maslach Burnout Inventory) were provided to physicians, including neurosurgeons, at a single, large academic institution. Rates of burnout and specific characteristics of burnout were compared. Free-response answers describing specific characteristics of burnout were also collected for neurosurgeons.
A total of 294 physicians responded to the survey, including 40 neurosurgeons. The rate of burnout between neurosurgeons and non-neurosurgeons did not differ (39% vs. 34%; P = 0.631), but there were notable differences in the characteristics of burnout. Neurosurgery respondents were more likely to report depersonalization (P < 0.001), and an additional 42.5% of neurosurgeon respondents reported a "period of hardship," which may lead to subsequent burnout. Neurosurgeons also more frequently reported higher feelings of personal accomplishment (P < 0.001). Targeted wellness interventions specific to neurosurgeons may alleviate and prevent burnout.
We show that although the rate of burnout does not differ for neurosurgeons, the characteristics of burnout may. This may represent the key to providing specialty-specific targeted interventions to alleviate burnout. Furthermore, there is a significant proportion of neurosurgeons at risk for subsequent burnout for which additional importance must be placed to prevent progression to burnout.
职业倦怠综合征影响着每两名神经外科医生中的一名，对个人和机构都会产生负面影响。由于新冠疫情，职业倦怠对神经外科医生的影响可能有所增加。神经外科医生和非神经外科医生的职业倦怠特征可能有所不同，这可能有助于更好地针对旨在缓解职业倦怠的健康促进措施。
向一家大型学术机构的包括神经外科医生在内的医生提供经过验证的职业倦怠量表（马氏职业倦怠量表）。比较职业倦怠率和职业倦怠的具体特征。还收集了神经外科医生描述职业倦怠具体特征的自由回答。
共有294名医生回复了调查，其中包括40名神经外科医生。神经外科医生和非神经外科医生的职业倦怠率没有差异（39%对34%；P = 0.631），但职业倦怠特征存在显著差异。神经外科受访者更有可能报告去人格化（P < 0.001），另外42.5%的神经外科受访者报告有“一段艰难时期”，这可能导致随后的职业倦怠。神经外科医生也更频繁地报告有更高的个人成就感（P < 0.001）。针对神经外科医生的特定健康干预措施可能会缓解和预防职业倦怠。
我们表明，虽然神经外科医生的职业倦怠率没有差异，但职业倦怠的特征可能不同。这可能是提供针对特定专业的干预措施以缓解职业倦怠的关键。此外，有相当比例的神经外科医生有随后出现职业倦怠的风险，必须更加重视预防其发展为职业倦怠。
