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Burnout is not associated with trainee performance on the Vascular Surgery In-Training Exam.

Christina L Cui1, Margaret A Reilly2, Eric B Pillado2

  • 1Division of Vascular and Endovascular Surgery, Department of Surgery, Duke University, Durham, NC.

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|September 5, 2024
PubMed
Summary

Vascular Surgery In-Training Examination (VSITE) performance is linked to trainee and program factors, not burnout. A sense of belonging and support systems positively impact VSITE scores.

Keywords:
CertificationGraduate medical educationInternship and residencyVascular surgery in-training examination

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Area of Science:

  • Medical Education
  • Surgical Training
  • Psychological Well-being in Medicine

Background:

  • The Vascular Surgery In-Training Examination (VSITE) assesses knowledge in vascular trainees.
  • Previous studies examined factors influencing VSITE outcomes, but few included program-specific metrics.
  • The impact of the learning environment and burnout on VSITE performance requires further investigation.

Purpose of the Study:

  • To evaluate the influence of the learning environment on VSITE performance.
  • To determine the association between burnout and VSITE outcomes.
  • To identify trainee and program characteristics affecting VSITE scores.

Main Methods:

  • Data collected via confidential, voluntary surveys post-2020-2022 VSITE as part of the SECOND Trial.
  • VSITE scores standardized by the American Board of Surgery.
  • Generalized estimating equations used to analyze trainee and program factors, stratified by training paradigm.

Main Results:

  • 1385 trainee responses analyzed; 46% reported weekly burnout symptoms.
  • Unadjusted analysis showed burnout correlated with a 14-point VSITE score drop.
  • Adjusted analysis revealed higher postgraduate year, relationship status, male gender, non-Hispanic white identity, larger programs, and sense of belonging were associated with higher scores.

Conclusions:

  • Vascular trainees exhibit resilience in knowledge acquisition despite high burnout rates.
  • VSITE performance is influenced by trainee characteristics and program factors, notably support systems and belongingness.
  • Program belongingness and support systems are key to enhancing VSITE performance.