Guest Rachel A, Meyer Anne M, Butterworth James A, Korentager Richard A, Collins Meredith S
University of Kansas Medical Center, Department of Plastic Surgery, Kansas City, KS.
University of Kansas Medical Center, Department of Plastic Surgery, Kansas City, KS.
J Surg Educ. 2025 Jan;82(1):103319. doi: 10.1016/j.jsurg.2024.103319. Epub 2024 Nov 5.
Burnout is common amongst surgical trainees and its consequences can be detrimental to both mental health and patient care. As such, wellness and professional development have moved to the forefront of discussion in surgical education. The purpose of this study is to describe the current landscape of wellness and professional development education, as well as barriers to initiation of dedicated curricula.
Electronic surveys were distributed to 115 publicly available program director (PD) or coordinator emails for integrated and independent plastic surgery programs.
The survey response rate was 40%. Burnout was a problem within 28.6% of respondent's programs. An additional 50% reported "they had dealt with burnout, but it was not a problem." Thus, 78.6% of respondents reported burnout issues amongst their trainees. While all respondents believed that prioritizing resident wellness was 1 of their many roles, 78.6% felt that this role should be shared. Forty percent of programs did not have wellness programming with 84.2% indicating that the addition of a dedicated curriculum would benefit their trainees. Common barriers to implementation included: lack of interest, impingement upon free time, lack of resources, onerous initiation, and concern regarding a shift from academic focus. Eighty three percent of respondents would be interested in adopting curricula from another program.
Burnout remains a major issue, affecting over 75% of plastic surgery programs; however, the current landscape of wellness and professional development curricula is highly variable. Adopting curricula from other programs may address commonly cited barriers.
职业倦怠在外科住院医师中很常见，其后果对心理健康和患者护理都可能有害。因此，健康与职业发展已成为外科医学教育讨论的前沿话题。本研究的目的是描述当前健康与职业发展教育的现状，以及开展专门课程的障碍。
向115个公开的综合整形外科项目和独立整形外科项目的项目主任（PD）或协调员发送电子邮件进行调查。
调查回复率为40%。28.6%的受访者所在项目存在职业倦怠问题。另外50%的受访者表示“他们处理过职业倦怠问题，但这不是个问题”。因此，78.6%的受访者表示其培训学员中存在职业倦怠问题。虽然所有受访者都认为将住院医师的健康放在首位是他们众多职责之一，但78.6%的人认为这一职责应该分担。40%的项目没有健康规划，84.2%的项目表示增加专门课程将使他们的学员受益。实施的常见障碍包括：缺乏兴趣、占用自由时间、缺乏资源、启动繁琐以及担心偏离学术重点。83%的受访者有兴趣采用其他项目的课程。
职业倦怠仍然是一个主要问题，影响超过75%的整形外科项目；然而，当前健康与职业发展课程的现状差异很大。采用其他项目的课程可能会解决常见的障碍。
