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Quality of Life and Burnout Rates Across Surgical Specialties: A Systematic Review
Marisa Pulcrano1, Stephen R T Evans2, Michael Sosin2
1Medical student, Georgetown University School of Medicine, Washington, DC.
JAMA Surgery
|July 14, 2016
Summary
Burnout and quality of life (QOL) vary among surgical specialties. Residents face higher burnout risks and poorer QOL than attending surgeons, with work hours also impacting these outcomes.
Area of Science:
- Medical research
- Surgical sciences
- Occupational health
Background:
- Burnout and poor quality of life (QOL) pose significant challenges for surgeons.
- Understanding these issues across surgical specialties is crucial for developing effective interventions.
Purpose of the Study:
- To systematically review the literature on QOL and burnout among surgeons in various specialties.
- To identify variations in burnout and QOL rates and associated contributing factors.
Main Methods:
- A comprehensive electronic search of MEDLINE, PsycInfo, and EMBASE was conducted for articles published between 1980 and 2015.
- Included studies evaluated US surgical specialists, focusing on QOL and burnout, with 41 articles meeting the criteria.
- Analysis followed PRISMA guidelines, comparing QOL scores and burnout rates across demographics, specialties, and training levels.
Main Results:
- Pediatric and endocrine surgeons reported highest career satisfaction, while plastic and vascular surgeons reported lower satisfaction.
- Surgical residents exhibited a higher risk of burnout and poorer QOL compared to attending surgeons.
- Increased work hours per week were a significant predictor of burnout, decreased career satisfaction, and poorer QOL.
Conclusions:
- Burnout and QOL significantly vary among surgical specialties.
- Surgical residents are at a higher risk for burnout and poorer QOL than their attending counterparts.
- Factors such as work hours contribute to burnout and affect career satisfaction and QOL.
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