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Understanding the Trauma/Acute Care Surgery Workforce.

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    Trauma and acute care surgeons prioritize quality of life, patient care, and professional growth over salary. Burnout, bureaucracy, and work environment significantly detract from job satisfaction in this field.

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    Area of Science:

    • Surgery
    • Health Workforce Studies
    • Medical Education

    Background:

    • The roles of trauma and acute care surgeons are evolving, necessitating adaptive health-care systems.
    • Workforce satisfaction is crucial for ensuring consistent surgical coverage, benefiting both surgeons and healthcare systems.
    • Understanding career expectations is key to developing effective retention strategies for this specialized workforce.

    Purpose of the Study:

    • To identify factors influencing career characteristics and expectations within the trauma/acute care surgery (ACS) workforce.
    • To inform the development of future strategies for sustaining and supporting ACS professionals.
    • To analyze motivators and detractors impacting job satisfaction among ACS surgeons.

    Main Methods:

    • An anonymous survey was distributed to 1552 members of the Eastern Association for the Surgery of Trauma.
    • Data collected included surgeon demographics, career expectations, and key motivators.
    • A response rate of 26% (408 members) provided insights into the workforce's perspectives.

    Main Results:

    • Respondents (78% male, median age 47.3) reported high salaries, with 46% earning $351K-$475K and 23% over $475K.
    • Quality of life (49%) was the primary career focus, followed by career ambitions (31%) and salary (13%).
    • Key satisfiers included patient care and teaching, while burnout, bureaucracy, and work environment were major detractors.

    Conclusions:

    • Trauma/ACS surgeons remain mobile late in their careers, with 80% considering job changes in their final decade.
    • Personal happiness and patient ownership are more significant than financial rewards for job satisfaction.
    • Addressing burnout, bureaucracy, and improving the work environment are critical for retaining trauma/ACS surgeons.