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Internalized Shame Experiences and Burnout in General Surgery Residents
Sophia M Smith1, Anna Kobzeva-Herzog1, Patrick McGillen2
1Department of Surgery, Boston Medical Center, Boston, MA; Boston University Chobanian and Avedisian School of Medicine, Boston, MA.
Journal of Surgical Education
|February 7, 2025
Summary
Internalized shame is common in general surgery residents and linked to higher burnout rates. Addressing shame may reduce burnout in surgical training.
Area of Science:
- Medical Education
- Psychology
- Surgical Training
Background:
- General surgery residents face high rates of professional burnout.
- Internalized shame in surgical residents remains understudied.
- Burnout is characterized by depersonalization, emotional exhaustion, and reduced personal accomplishment.
Purpose of the Study:
- To quantify internalized shame in general surgery residents.
- To assess the association between internalized shame and burnout.
- To test the hypothesis that higher internalized shame correlates with increased burnout odds.
Main Methods:
- Anonymous cross-sectional survey distributed to US general surgery residents.
- Validated instruments used: Maslach Burnout Inventory (MBI) and Experience of Shame Scale (ESS).
- Multivariable logistic regression analyzed the association between ESS and MBI scores, controlling for covariates.
Main Results:
- 122 general surgery residents completed the survey.
- Increased Experience of Shame Scale (ESS) scores were significantly associated with higher odds of burnout (OR 1.11, 95% CI 1.06-1.16, p < 0.001).
- High rates of internalized shame were observed (median ESS score 54.5).
Conclusions:
- General surgery residents experience significant internalized shame.
- Internalized shame is a significant risk factor for burnout in this population.
- Interventions targeting internalized shame may help reduce burnout among surgical residents.
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