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Burnout in Military Orthopedic Surgeons: A Multicenter, Cross-Sectional Study.

Jordan G Tropf1,2, Timothy P Murphy1,2, Donald F Colantonio1,2

  • 1Department of Orthopaedics, Walter Reed National Military Medical Center, Bethesda, MD 20889, USA.

Military Medicine
|January 17, 2025
PubMed
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Burnout affects 33% of military orthopedic surgeons, with residents experiencing higher rates than attendings. Unique military stressors like deployments were not linked to increased burnout, contrary to expectations.

Area of Science:

  • Orthopedic Surgery
  • Military Medicine
  • Physician Well-being

Background:

  • High burnout rates are prevalent among U.S. physicians, with increasing trends.
  • Military orthopedic surgeons face unique stressors such as deployments and frequent relocations.
  • Understanding burnout risk factors in this population is crucial for targeted interventions.

Purpose of the Study:

  • To determine the prevalence of burnout in active duty U.S. military orthopedic surgeons.
  • To identify specific risk factors associated with burnout in this demographic.
  • To compare burnout rates between residents and attending physicians.

Main Methods:

  • A voluntary, anonymous survey was distributed to military orthopedic surgeons.
  • The survey included demographic, work environment, and military-specific variables.

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  • Burnout was assessed using the Maslach Burnout Inventory-Human Services Survey (MBI-HSS).

    • Main Results:

    • 33% of military orthopedic surgeons reported burnout, with residents showing higher rates (49%) than attendings (26%).
    • Longer service obligation and higher rank (O5+) correlated with emotional exhaustion.
    • Manageable workload, leadership support, and attending a service academy were protective factors against burnout.

    Conclusions:

    • The prevalence of burnout among military orthopedic surgeons is comparable to civilian counterparts.
    • Unexpectedly, military-specific stressors like deployments and relocations were not significantly associated with increased burnout.
    • Factors such as workload manageability and leadership support play a critical role in mitigating burnout.