A Well-Being Well-Check for Neurosurgery: Evidence-Based Suggestions for Our Specialty Based on a Systematic Review

Area of Science:

• Medical Education
• Neurosurgery
• Physician Well-being

Background:

• Neurosurgery training presents significant challenges, contributing to high rates of burnout, depression, and suicidal ideation among trainees and practicing surgeons.
• The demanding nature of the field necessitates a proactive approach to mental health and self-care throughout a neurosurgeon's career.

Purpose of the Study:

• To review existing literature on interventions aimed at mitigating burnout and improving mental health in neurosurgery.
• To foster a culture of awareness and provide coping strategies for neurosurgical trainees and professionals.

Main Methods:

• A systematic literature search was performed using 4 databases, adhering to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines.
• Seven relevant studies were included in the final analysis.

Main Results:

• Key intervention themes identified include enhancing physical fitness, mindfulness practices, and overall balance.
• Educational components and physical activity were the most frequently incorporated interventions in wellness programs.
• A comprehensive wellness program should integrate physical, spiritual, mental, and emotional dimensions.

Conclusions:

• Widespread burnout in neurosurgery leads to decreased job satisfaction and premature career departures, requiring acknowledgment across the discipline.
• Systemic reforms in neurosurgical training are essential to prioritize physician well-being, rather than relying on chance.
• Implementing comprehensive wellness strategies is crucial for the long-term health and sustainability of the neurosurgical workforce.