An assessment of burnout in New Zealand orthopaedic resident medical officers.

AIMS: Burnout and fatigue are common in the medical profession. The primary aim was to assess rates of burnout in trainee and non-trainee orthopaedic registrars in New Zealand. A secondary aim was to establish which specific factors are associated with burnout. METHODS: In 2021, a 53-question online survey was sent to New Zealand trainee and non-trainee orthopaedic registrars. The survey included questions addressing demographics, modifiable factors known to lead to burnout, information on respective orthopaedic departments, and how respondents had fared with COVID-19. Registrars also completed the Maslach Burnout Inventory-Human Services Survey for Medical Personnel (MBI-HSS MP), a 22-question validated survey that is designed to assess the frequency and intensity of perceived burnout among medical personnel. RESULTS: Fifty of 62 (80.6%) trainees and 66 of 70 (estimated number) (94.3%) of non-trainees completed the survey. Trainees and non-trainees both exhibited moderate levels of burnout. The trainee mean score emotional exhaustion (EE) 22.5, depersonalisation (DP) 8.8, personal achievement (PA) 35.9; non-trainee mean score EE 22.4, DP 8.9, PA 35.9. Fifty-two point two percent of trainees and 50% of non-trainees scored in the severe range for at least one of EE or DP. Factors shown to reduce burnout are the presence of a senior colleague (P<0.001), participation in professional assistance (P=0.049), working in a department with a full complement of staff (P=0.020) and being able to attend health maintenance appointments (P=0.050). CONCLUSION: Our study shows that approximately half of both trainee and non-trainee orthopaedic registrars are exhibiting signs of burnout. This is comparable to other developed nations with a similar healthcare system.

Assessment of the Quality of Information of YouTube Videos Regarding Cervical Disc Replacement.

BACKGROUND: Patients have been shown to use YouTube as a source of information regarding medical procedures. There is currently limited information regarding the quality and educational content of information regarding cervical disc replacement (CDR). The purpose of this study was to determine the quality and educational content of YouTube videos on CDR using a procedure-specific scoring system. METHODS: A search was performed on YouTube using the phrase "cervical disc replacement." The first 50 videos were included in this study. Video data were collected, including the title, duration, provider type, number of views, days since upload, number of comments, and the number of likes and dislikes. The videos were also assessed using the JAMA and Global Quality Score criteria for video quality and educational content, as well as a cervical disc replacement-specific score (CDRSS) was devised for this study. RESULTS: The average number of views was 73785.2. The average video duration was 5.9 minutes. Overall, video quality and educational content were low. The largest proportion of videos was classified as "surgeon professional" at 32%. The average CDRSS was 4.7. None of the quality measure scores recorded correlated with video variables. CONCLUSION: Videos concerning CDR were available for review on YouTube. The educational quality and reliability of these videos were low. CLINICAL RELEVANCE: We suggest that other sources of information be utilized by patients and surgeons as an adjunct for education and informed consent regarding CDR. LEVEL OF EVIDENCE: 6.