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1.
J Surg Res ; 257: A1-A11, 2021 01.
Artigo em Inglês | MEDLINE | ID: mdl-32768197

RESUMO

The issue of burnout among surgical trainees became evident during our work on the FIRST Trial. In studying the issue, we found that burnout symptoms occurred in a relatively large proportion of surgical trainees, and burnout was associated with significant risks of having thoughts of leaving the residency program or having suicidal thoughts. The SECOND Trial seeks to reduce trainee wellbeing and mistreatment by leveraging approaches used in healthcare quality performance improvement (e.g., comparative reports, toolkits, collaboration). Importantly, the epidemic of surgical trainee wellbeing issues have worsened (i.e., fanning the burnout fire) given our misconceptions about generational differences, our delayed adaptations to shifts in healthcare, and even some of our good intentions. However, there are several things we can do to improve the situation: (1) embrace the change that comes with each generation; (2) appreciate, respect, and enjoy our trainees; (3) teach residents constructively, leaving yelling and bullying behind; (4) embrace the concept of wellness for ourselves and each other; (5) provide meaningful feedback and mentorship; and (6) give each other the benefit of the doubt (e.g., principle of charity). Despite these issues, academic surgery remains the best job in the world, and the strength of our profession, leaders, and colleagues will see us through these challenges. The Association for Academic Surgery will help lead the way on these important issues.


Assuntos
Esgotamento Profissional/epidemiologia , Cirurgiões/educação , Cirurgiões/psicologia , Esgotamento Profissional/etiologia , Esgotamento Profissional/prevenção & controle , Cirurgia Geral/educação , Humanos , Internato e Residência/métodos , Internato e Residência/tendências , Sociedades Médicas , Cirurgiões/tendências , Ensino/psicologia , Ensino/tendências
2.
Ann Agric Environ Med ; 27(4): 664-671, 2020 Dec 22.
Artigo em Inglês | MEDLINE | ID: mdl-33356076

RESUMO

INTRODUCTION AND OBJECTIVE: Since there is no study on burnout and job satisfaction in Slovenian nursing homes during the COVID-19 pandemic, this study aims to analyse job satisfaction and burnout levels of healthcare professionals working in Slovenian nursing homes in rural areas during the COVID-19 pandemic, and make a comparison with the results of the same services in 2013. MATERIAL AND METHODS: The study is based on a cross-organisational and descriptive quantitative study conducted in spring 2013 (n = 556) and spring 2020 at the peak of the pandemic in Eastern Europe (n = 781) to identify the relationships and the changes in the satisfaction and burnout levels of healthcare professionals working in Slovenian nursing homes in rural areas, and on a qualitative study conducted in 2020, to identify in-depth relationships and changes in both studies during the COVID-19 pandemic. RESULTS: An increase in burnout syndromes between 2013 - 2020 was observed. The respondents experienced intensified emotional exhaustion and lack of personal accomplishment during the COVID-19 pandemic; however, depersonalisation did not differ statistically over the years. During the pandemic crisis, healthcare workers were less satisfied with their job than in spring 2013. Their job satisfaction was related to satisfaction with the work of nursing homes and with the work of state institutions and politicians who directly affected their working conditions and recognition in society. CONCLUSIONS: The COVID-19 pandemic significantly exacerbated already existing burnout syndromes of nursing homes healthcare workers in Slovenian rural areas. Job satisfaction proved to be a relevant predictor of burnout syndrome. A negative correlation was observed between job satisfaction in 2020 and emotional exhaustion and personal accomplishment in 2013 and 2020.


Assuntos
Esgotamento Profissional/etiologia , Pessoal de Saúde , Satisfação no Emprego , Casas de Saúde , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Pesquisa Qualitativa
4.
West Afr J Med ; 37(5): 515-520, 2020 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-33058127

RESUMO

BACKGROUND: In developing countries such as Nigeria, due to globalization and the deteriorating economy, workers are especially vulnerable to burnout. The pressure on bank employees from tight deadlines and unrealistic targets may predispose them to burnout. Burnout has been shown to occur in workers because of failure to cope with occupational stress, especially in the banking sector which requires intensive communication and interaction with service recipients. OBJECTIVE: The aim of this study was to assess the prevalence and determinants of occupational burnout in bankers in Enugu Metropolis, Nigeria. METHODS: A cross-sectional analytical study was carried out among 370 Bankers in Enugu state, Nigeria. The Copenhagen burnout inventory was used to assess personal, work and clientrelated burnout. RESULTS: Majority of the bankers had all three components of burnout. Client related burnout was experienced more among female bankers (P=0.022), those that had spent five years or less on the job (P=0.021), bankers aged thirty-five years or less (P=0.013) and bankers who were married (P=0.018).Only bankers that had spent less than five years on the job (P=0.037) experienced personal burnout and no factor was found to be associated with work related burnout. Predictors of client-related burnout were age of 35 years or less, work experience of 5 years or less and being female. CONCLUSION: Prevalence of burnout is very high among the bankers that were studied. The management of these banks should create measures aimed at reducing the risk of exposure to burnout.


Assuntos
Esgotamento Profissional , Adulto , Esgotamento Profissional/epidemiologia , Esgotamento Profissional/etiologia , Estudos Transversais , Feminino , Humanos , Masculino , Nigéria/epidemiologia , Prevalência
5.
Ann Pharm Fr ; 78(6): 459-463, 2020 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-33038309

RESUMO

OBJECTIVES: COVID-19 outbreak can impact mental health including health care workers. The aim of this study was to assess the psychological impact of COVID-19 in French community pharmacists. MATERIAL AND METHODS: We carried out a postal-based survey to assess the psychological impact of COVID-19 in French owner community pharmacists based on three validated self-report questionnaires: Perceived Stress scale, Impact of Event Scale-revised and Maslach Burnout Inventory. RESULTS: The sample consists of 135 community pharmacists. Twenty-three pharmacists reported significant post-traumatic stress symptoms (17%). High burnout symptoms were found in 33 (25%), 46 (34.9%) and 4 (3%) participants. Females scored higher than males for all questionnaires (P=0.01). CONCLUSIONS: This study is the first study which showed the psychological impact of COVID-19 in community pharmacists. Based on validated self-report questionnaires, up to 35% of pharmacists reported psychological disturbances. Interventions to promote psychological well-being of healthcare workers need to be developing.


Assuntos
Betacoronavirus , Esgotamento Profissional/etiologia , Infecções por Coronavirus/psicologia , Estresse Ocupacional/etiologia , Farmacêuticos/psicologia , Pneumonia Viral/psicologia , Transtornos de Estresse Pós-Traumáticos/etiologia , Estresse Psicológico/etiologia , Adulto , Idoso , Esgotamento Profissional/epidemiologia , Serviços Comunitários de Farmácia , Infecções por Coronavirus/epidemiologia , Despersonalização/epidemiologia , Despersonalização/etiologia , Emoções , Feminino , França/epidemiologia , Humanos , Masculino , Pessoa de Meia-Idade , Estresse Ocupacional/epidemiologia , Estresse Ocupacional/psicologia , Pandemias , Pneumonia Viral/epidemiologia , Autorrelato , Índice de Gravidade de Doença , Distribuição por Sexo , Transtornos de Estresse Pós-Traumáticos/epidemiologia , Estresse Psicológico/epidemiologia , Inquéritos e Questionários
6.
Plast Reconstr Surg ; 146(4): 464e-473e, 2020 10.
Artigo em Inglês | MEDLINE | ID: mdl-32970014

RESUMO

BACKGROUND: Physician burnout is a well-known problem and widespread issue in the field of medicine. Recently, more attention has been given to the significance of burnout among plastic surgeons. The cause of burnout is multifactorial, with emotional exhaustion, depersonalization, and a reduced sense of personal accomplishment all playing a role. The objective of this article is to provide practical measures to help plastic surgeons in identifying the signs of burnout, thereby mitigating its consequences. METHODS: A literature review was performed to determine the comprehensive findings of previous research conducted on burnout among plastic surgeons. Particular interest was given to successful tactics used in managing work-related stress. Wellness strategies and resources from both academic and private medical settings were also obtained to further review methods for burnout management. RESULTS: There is a wide range of causes and risk factors for burnout among plastic surgeons. The majority of cases correlate with increased workload, loss of physician autonomy, and, in the context of trainees, lack of mentorship. Managing burnout can be supported by identification through survey tools. Establishing a wellness committee is also useful to develop institution-specific interventions. Equally as important, individuals must take steps to manage and minimize their burnout. CONCLUSIONS: This article provides practical strategies for institutions to identify and manage burnout among plastic surgeons. It is obvious that causes of burnout vary in different settings such as academic and community hospitals; therefore, it is critical for institutions to individualize their approach to burnout.


Assuntos
Esgotamento Profissional/diagnóstico , Esgotamento Profissional/terapia , Cirurgia Plástica/psicologia , Esgotamento Profissional/etiologia , Humanos , Fatores de Risco
7.
West J Emerg Med ; 21(5): 1059-1066, 2020 Aug 17.
Artigo em Inglês | MEDLINE | ID: mdl-32970555

RESUMO

At the heart of the unparalleled crisis of COVID-19, healthcare workers (HCWs) face several challenges treating patients with COVID-19: reducing the spread of infection; developing suitable short-term strategies; and formulating long-term plans. The psychological burden and overall wellness of HCWs has received heightened awareness in news and research publications. The purpose of this study was to provide a review on current publications measuring the effects of COVID-19 on wellness of healthcare providers to inform interventional strategies. Between April 6-May 17, 2020, we conducted systematic searches using combinations of these keywords and synonyms in conjunction with the controlled vocabulary of the database: "physician," "wellness, "wellbeing," "stress," "burnout," "COVID-19," and "SARS-CoV-2." We excluded articles without original data, research studies regarding the wellness of non-healthcare occupations or the general public exclusively, other outbreaks, or wellness as an epidemic. A total of 37 studies were included in this review. The review of literature revealed consistent reports of stress, anxiety, and depressive symptoms in HCWs as a result of COVID-19. We describe published data on HCW distress and burnout but urge future research on strategies to enhance HCW well-being.


Assuntos
Ansiedade/etiologia , Betacoronavirus , Esgotamento Profissional/etiologia , Infecções por Coronavirus , Depressão/etiologia , Pessoal de Saúde/psicologia , Pandemias , Pneumonia Viral , Transtornos do Sono-Vigília/etiologia , Ansiedade/epidemiologia , Ansiedade/prevenção & controle , Ansiedade/psicologia , Esgotamento Profissional/epidemiologia , Esgotamento Profissional/prevenção & controle , Esgotamento Profissional/psicologia , Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/psicologia , Infecções por Coronavirus/terapia , Efeitos Psicossociais da Doença , Depressão/epidemiologia , Depressão/prevenção & controle , Depressão/psicologia , Saúde Global/estatística & dados numéricos , Humanos , Pneumonia Viral/epidemiologia , Pneumonia Viral/psicologia , Pneumonia Viral/terapia , Fatores de Risco , Transtornos do Sono-Vigília/epidemiologia , Transtornos do Sono-Vigília/prevenção & controle , Transtornos do Sono-Vigília/psicologia
8.
Cancer Cytopathol ; 128(9): 597-598, 2020 09.
Artigo em Inglês | MEDLINE | ID: mdl-32885911
10.
Am J Otolaryngol ; 41(6): 102656, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32836038

RESUMO

BACKGROUND: Patient Satisfaction (PS) is a commonly used metric in health care settings to assess the quality of care given by physicians. Monitoring physicians in this way may impact physician quality of life. Studies evaluating this impact are not available. This study sought to examine the physician experience of measuring PS among practicing otolaryngologists. METHODS: Using an online survey platform, a 34-item survey was given to practicing otolaryngologists through email distribution. The survey included questions about physician, practice and patient demographics, as well as inquiries regarding the way in which PS was measured and how it affected physician work and personal life. Data from these questions were reviewed and analyzed. RESULTS: 174 otolaryngologists responded to the survey. A majority of physicians' (55.3%) PS scores had been tracked with 89.9% reporting being tracked for a length of at least 1 year. PS scores for individual physicians were noted to be inconsistent and vary significantly between reports. Measuring patient satisfaction led to increased occupational stress, yet most physicians (63.8%) felt the monitoring did not lead to improvements in their practice. Some physicians (36.2%) reported that the collection of patient satisfaction scores had negatively influenced the way they practiced medicine, including the pressure to order superfluous tests or to prescribe unnecessary medications. CONCLUSION: Overall, physicians are negatively affected by the tracking of patient satisfaction scores. Occupational stress caused by the collection of patient satisfaction scores may contribute to physician burnout.


Assuntos
Esgotamento Profissional/etiologia , Estresse Ocupacional/etiologia , Otorrinolaringologistas/psicologia , Satisfação do Paciente , Padrões de Prática Médica , Qualidade da Assistência à Saúde , Qualidade de Vida , Projetos de Pesquisa , Inquéritos e Questionários , Humanos , Estados Unidos
11.
Curationis ; 43(1): e1-e7, 2020 Aug 04.
Artigo em Inglês | MEDLINE | ID: mdl-32787430

RESUMO

BACKGROUND: Nurses are exposed to stress when working in the mental health care environment. This may be because of nurses being frontline health care providers. They develop close interpersonal relationships with mental health care users (MHCUs), which is inherent in the type of care that is provided. Mental health nursing may therefore be demanding and stressful, which could render mental health nurses susceptible to burnout. OBJECTIVES: To determine the prevalence of burnout among nurses working at a selected psychiatric hospital in the Western Cape. METHODS: A quantitative, descriptive, survey design, by using simple random sampling was used to select 198 nurses employed at a psychiatric hospital in the Western Cape, South Africa. Maslach Burnout Inventory-Human Services Survey measuring emotional exhaustion, depersonalisation and personal accomplishment was used to collect the data. Domain scores were calculated, and the influence of the demographic variables on the domains was tested with independent samples Kruskal-Wallis tests and Mann-Whitney U tests. RESULTS: The study had a 100% response rate. Most of the respondents experienced low emotional exhaustion, low depersonalisation and high personal accomplishment. Enrolled nursing assistants reported significantly higher emotional exhaustion than did the advanced psychiatric nurses and professional registered nurses. Respondents with more than 5 years of experience scored significantly higher in depersonalisation. No respondents met the criteria for burnout on all three domains. CONCLUSION: Maintaining a safe working environment with adequate nursing staff is recommended. Strategies to prevent burnout in the future include the provision of resources and the promotion of open communication between staff and management.


Assuntos
Esgotamento Profissional/etiologia , Enfermeiras e Enfermeiros/psicologia , Prevalência , Adulto , Esgotamento Profissional/epidemiologia , Esgotamento Profissional/psicologia , Feminino , Hospitais Psiquiátricos/organização & administração , Hospitais Psiquiátricos/normas , Hospitais Psiquiátricos/estatística & dados numéricos , Humanos , Satisfação no Emprego , Masculino , Pessoa de Meia-Idade , Enfermeiras e Enfermeiros/estatística & dados numéricos , Enfermagem Psiquiátrica/métodos , Enfermagem Psiquiátrica/normas , Enfermagem Psiquiátrica/estatística & dados numéricos , África do Sul , Inquéritos e Questionários
13.
Am J Psychiatry ; 177(10): 955-964, 2020 10 01.
Artigo em Inglês | MEDLINE | ID: mdl-32660300

RESUMO

OBJECTIVE: The authors examined the prevalence of burnout and depressive symptoms among North American psychiatrists, determined demographic and practice characteristics that increase the risk for these symptoms, and assessed the correlation between burnout and depression. METHODS: A total of 2,084 North American psychiatrists participated in an online survey, completed the Oldenburg Burnout Inventory (OLBI) and the Patient Health Questionnaire-9 (PHQ-9), and provided demographic data and practice information. Linear regression analysis was used to determine factors associated with higher burnout and depression scores. RESULTS: Participants' mean OLBI score was 40.4 (SD=7.9) and mean PHQ-9 score was 5.1 (SD=4.9). A total of 78% (N=1,625) of participants had an OLBI score ≥35, suggestive of high levels of burnout, and 16.1% (N=336) of participants had PHQ-9 scores ≥10, suggesting a diagnosis of major depression. Presence of depressive symptoms, female gender, inability to control one's schedule, and work setting were significantly associated with higher OLBI scores. Burnout, female gender, resident or early-career stage, and nonacademic setting practice were significantly associated with higher PHQ-9 scores. A total of 98% of psychiatrists who had PHQ-9 scores ≥10 also had OLBI scores >35. Suicidal ideation was not significantly associated with burnout in a partially adjusted linear regression model. CONCLUSIONS: Psychiatrists experience burnout and depression at a substantial rate. This study advances the understanding of factors that increase the risk for burnout and depression among psychiatrists and has implications for the development of targeted interventions to reduce the high rates of burnout and depression among psychiatrists. These findings have significance for future work aimed at workforce retention and improving quality of care for psychiatric patients.


Assuntos
Esgotamento Profissional/epidemiologia , Depressão/epidemiologia , Psiquiatria/estatística & dados numéricos , Adolescente , Adulto , Idoso , Esgotamento Profissional/etiologia , Depressão/etiologia , Feminino , Nível de Saúde , Humanos , Modelos Lineares , Masculino , Pessoa de Meia-Idade , América do Norte/epidemiologia , Fatores de Risco , Fatores Sexuais , Inquéritos e Questionários , Adulto Jovem
14.
J Occup Health ; 62(1): e12136, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-32710586

RESUMO

OBJECTIVES: This study was designed to investigate the possible effect of exposure to extremely low frequency electromagnetic fields (ELF-EMFs) on occupational burnout syndrome and the severity of depression experienced among thermal power plant workers and the role of oxidative stress. METHODS: In this cross-sectional study, 115 power plant workers and 124 administrative personnel of a hospital were enrolled as exposed and unexposed groups, respectively, based on inclusion and exclusion criteria. Levels of oxidative stress biomarkers, including malondialdehyde (MDA), superoxide dismutase (SOD), catalase (Cat), and total antioxidant capacity were measured in serum samples. Exposure to electric and magnetic fields was measured using the IEEE Std C95.3.1 standard at each workstation. The burnout syndrome and the severity of depression were assessed using the Maslach Burnout and Beck Depression Inventory. RESULTS: The levels of MDA and SOD were significantly lower in the exposed group than the unexposed group. The exposed group reported a higher prevalence of burnout syndrome and higher depression severity. Multiple linear regression showed that work experience, MDA level, and levels of exposure to magnetic fields are the most important predictor variables for burnout syndrome and severity of depression. In addition, a decrease in the level of Cat was significantly associated with increased burnout syndrome. CONCLUSION: The thermal power plant workers exposed to ELF-EMFs are at risk of burnout syndrome and depression. These effects may be caused directly by exposure to magnetic fields or indirectly due to increased oxidative stress indices.


Assuntos
Esgotamento Profissional/etiologia , Depressão/etiologia , Campos Eletromagnéticos/efeitos adversos , Exposição Ocupacional/efeitos adversos , Estresse Oxidativo , Centrais Elétricas , Adulto , Biomarcadores/sangue , Estudos Transversais , Humanos , Pessoa de Meia-Idade , Inquéritos e Questionários
15.
Med Hypotheses ; 144: 109972, 2020 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-32531540

RESUMO

Burnout is a state of physical or mental collapse caused by overwork or stress. Burnout during residency training has gained significant attention secondary to concerns regarding job performance and patient care. The new COVID-19 pandemic has raised public health problems around the world and required a reorganization of health services. In this context, burnout syndrome and physical exhaustion have become even more pronounced. Resident doctors, and especially those in certain specialties, seem even more exposed due to the higher workload, prolonged exposure and first contact with patients. This article is a short review of the literature and a presentation of some considerations regarding the activity of the medical residents in a non-Covid emergency hospital in Romania, based on the responses obtained via a questionnaire. Burnout prevalence is not equal in different specialties. We studied its impact and imagine the potential steps that can be taken in order to reduce the increasing rate of burnout syndrome in the pandemics.


Assuntos
Esgotamento Profissional/etiologia , Internato e Residência , Pandemias , Médicos/psicologia , Adulto , Atitude do Pessoal de Saúde , Esgotamento Profissional/epidemiologia , Esgotamento Profissional/prevenção & controle , Esgotamento Profissional/psicologia , Serviço Hospitalar de Emergência , Feminino , Departamentos Hospitalares , Humanos , Unidades de Terapia Intensiva , Internato e Residência/estatística & dados numéricos , Masculino , Equipamento de Proteção Individual/efeitos adversos , Relações Médico-Paciente , Médicos/estatística & dados numéricos , Romênia/epidemiologia , Estresse Psicológico/etiologia , Inquéritos e Questionários , Carga de Trabalho , Adulto Jovem
18.
Psychol Trauma ; 12(5): 536-538, 2020 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-32525369

RESUMO

This article presents an overview of what has been done in Portugal to curb the spread of coronavirus disease 2019 (COVID-19), regarding public health actions, mental health implications, and measures taken or recommended to prevent the harmful effects of the pandemic. Because Portugal has been pointed out as a case of success in managing the COVID-19 pandemic, this report offers opportunities to build on the experience gained, which may positively influence other countries, especially those that are still deeply affected by the COVID-19 pandemic. (PsycInfo Database Record (c) 2020 APA, all rights reserved).


Assuntos
Transtornos de Ansiedade , Esgotamento Profissional , Informação de Saúde ao Consumidor , Infecções por Coronavirus , Educação a Distância , Controle de Infecções , Programas Nacionais de Saúde , Pandemias , Pneumonia Viral , Adulto , Transtornos de Ansiedade/etiologia , Transtornos de Ansiedade/terapia , Esgotamento Profissional/etiologia , Esgotamento Profissional/terapia , Criança , Infecções por Coronavirus/diagnóstico , Infecções por Coronavirus/terapia , Violência Doméstica , Relações Familiares , Humanos , Pneumonia Viral/diagnóstico , Pneumonia Viral/terapia , Portugal
19.
J Pediatr Orthop ; 40 Suppl 1: S1-S3, 2020 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-32502061

RESUMO

INTRODUCTION: Promoting physician wellness in the current environment of increasing burnout presents a great challenge to the Pediatric Orthopaedic Society and its members. Pediatric Orthopaedic Society of North America (POSNA) has been a leader in recognizing this problem and organizing to combat it. The increasing rates of job dissatisfaction, burnout, depression, and suicide demand comprehensive and focused action to identify and address the drivers of burnout. Continuing to ignore this problem endangers our organization, our members, our families, and our patients. METHODS: A review of relevant literature and the work of the POSNA wellness committee was completed. RESULTS: Addressing the epidemic of burnout requires a sustained effort to address intrinsic factors such as health, performance, and resilience as well as external factors that affect practice efficiency and environment. DISCUSSION AND CONCLUSIONS: The goal of this effort is restoration of joy to the practitioners in medicine and more compassionate care for the patients who seek it.


Assuntos
Esgotamento Profissional , Ortopedia , Médicos/psicologia , Sociedades Médicas , Esgotamento Profissional/etiologia , Esgotamento Profissional/prevenção & controle , Humanos , América do Norte
20.
Ann Vasc Surg ; 68: 57-66, 2020 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-32569816

RESUMO

BACKGROUND: Present day medical students are inherently different from those in the past by growing up in a uniquely different environment that shapes their personal and professional values which affects their career decisions. Vascular surgery (VS) task force is facing a shortage in the near future. The purpose of this analysis is to gain a better understanding of the medical students' perceptions about surgery in general and VS in particular. Our institution is a large, tertiary care medical center, which is in a nonurban location. Our goal was to identify any barriers in the recruitment of prospective students to VS and to implement directives to address such barriers. METHODS: An online questionnaire was distributed to Penn State Hershey College of Medicine medical students. Our institution has an established 0 + 5 VS residency program and a VS interest group. It was designed to understand potential barriers in the recruitment of medical students choosing VS as a career. Survey consisted of 23 questions, which were carefully designed to collect information about student demographics, interest in medical profession in general, opinions about the field of surgery, and reasons for having an interest or no interest in VS. RESULTS: Five hundred sixty medical students at Penn State Hershey College of Medicine were surveyed, of whom 143 (26%) completed the survey. About 58.7% were females and two-thirds of the respondents were in the age range of 21-25 years. The following factors were significantly associated with pursing surgical career: Medical Student Year III (odds ratio [OR] 0.36, confidence interval [CI] 0.19-0.69), surgical mentorship (OR 6.01, CI 1.30-28), wanting more exposure to VS (OR 6.15, CI 2.07-18.23), and opportunity to complete training within 5 years (OR 1.14, CI 1.03-1.25) (all P < 0.05). Specifically, for VS, following factors were found to be associated with increased likelihood of choosing a VS career: variety of operative cases, ability to operate on multiple anatomic areas of the body, and opportunity to complete training within 5 years (all P < 0.05). Following factors were associated with not choosing a VS career: surgical career not for me, long duration of surgical training, financial aid burden, marital status, and complexity of operations (all P < 0.05). Students cited following concerns for choosing a surgical career: burnout (61%), stress (12.8%), work hours (12.1%), and stressful life style (5.7%). CONCLUSIONS: Potential barriers of students in choosing a surgical career are fundamentally grounded in their overall perception of surgery but are independently associated with their level of education (medical student-III versus others), strong surgical mentorship, the desire to be exposed to VS, and the opportunity to complete subspecialty surgical training within 5 years. For VS, attractive factors were variety of operative cases, ability to operate on multiple anatomic areas of the body, and opportunity to complete training within 5 years. Overall, burnout associated with surgical career is the most common concern for medical students.


Assuntos
Escolha da Profissão , Estudantes de Medicina/psicologia , Procedimentos Cirúrgicos Vasculares , Centros Médicos Acadêmicos , Adulto , Esgotamento Profissional/etiologia , Esgotamento Profissional/psicologia , Feminino , Humanos , Masculino , Pennsylvania , Serviços de Saúde Suburbana , Inquéritos e Questionários , Centros de Atenção Terciária , Equilíbrio Trabalho-Vida , Carga de Trabalho , Adulto Jovem
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