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The Treadmill Fatigue Test: A Simple, High-throughput Assay of Fatigue-like Behavior for the Mouse
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Compassion Fatigue in Surgical Trainees.

Natashia M Seemann1, Paul J Karanicolas2, Matthew P Guttman1

  • 1Department of Surgery, University of Toronto, Toronto, Ontario, Canada.

Journal of Surgical Education
|April 14, 2019
PubMed
Summary
This summary is machine-generated.

Surgical trainees experience high burnout and secondary traumatic stress, indicating significant compassion fatigue. Systemic issues like workload and emotional suppression hinder coping, necessitating organized support for emotional well-being.

Keywords:
Interpersonal and Communication SkillsPatient CareProfessionalismcompassion fatigueinterviewsstresssurgical trainingsurvey

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Area of Science:

  • Medical Education
  • Psychology
  • Surgical Training

Background:

  • Compassion fatigue (CF) is emotional exhaustion in care providers, linked to burnout, depression, and stress.
  • Surgical trainees are a high-risk group for CF, yet it's under-explored in this population.

Purpose of the Study:

  • To investigate the prevalence and impact of compassion fatigue in surgical trainees.
  • To inform the development of a management strategy for CF in this demographic.

Main Methods:

  • A mixed-methods study combining surveys (Professional Quality of Life Scale V5) and semi-structured interviews.
  • Survey data analyzed descriptively and with one-sample t-tests; interview data analyzed inductively using constant comparison.

Main Results:

  • A 47% response rate (115 trainees); 40.7% completed the CF assessment.
  • Surgical trainees showed significantly higher burnout (BO) and secondary traumatic stress (STS) scores than normative data.
  • Qualitative data revealed trainees experience CF symptoms, citing workload and cultural expectations as barriers.

Conclusions:

  • Surgical trainees report elevated BO and STS, experiencing compassion fatigue.
  • Current coping strategies are informal and external to academic/hospital settings.
  • Trainees would benefit from structured institutional support for emotional health.