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Vascular Surgeon Burnout in Chile: A Cross-Sectional National Study
Leopoldo Marine1, Beatriz Retamales2, Jose Francisco Vargas1
1Departamento de Cirugía Vascular y Endovascular, Escuela de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile.
Insights
Burnout is prevalent in Chilean vascular surgeons (VS), with over half experiencing symptoms. Key factors include fatigue, lack of exercise, and hospital-related stressors, highlighting a need for targeted interventions.
Area of Science:
- Medical research
- Surgical specialty
- Occupational health
Background:
- Vascular surgery is a demanding specialty.
- Understanding burnout in vascular surgeons (VS) is crucial for maintaining workforce well-being.
- Previous studies have explored burnout in VS in other regions.
Purpose of the Study:
- To describe the prevalence of burnout among vascular surgeons in Chile.
- To identify factors associated with burnout in this population.
Main Methods:
- An electronic survey was distributed to accredited Chilean VS between April and June 2023.
- Bivariate analysis and multivariate logistic regression were employed to analyze the data.
- A response rate of 87.6% was achieved, with 108 surveys analyzed.
Main Results:
- Over half of the surveyed vascular surgeons (57.4%) reported at least one symptom of burnout.
- Significant factors associated with burnout included fatigue, lower resilience, lack of exercise, and hospital-related work difficulties.
- Depression risk (23.1%) and positive depression screening (10.2%) were also noted.
Conclusions:
- Burnout is highly prevalent among vascular surgeons in Chile.
- Identified risk factors share similarities with those in the US and Europe.
- Work difficulties within hospitals emerged as a particularly relevant and distinctive stressor.
Background:
The purpose of the study is to describe burnout in vascular surgeons (VS) in Chile and to determine their associated factors.
Methods:
Between April and June 2023, accredited Chilean VS were electronically surveyed. The results were analyzed with bivariate analysis and multivariate logistic regression, considering P value <0.05 as significant.
Results:
Of the 129 accredited VS in Chile, 113 (87.6%) responded, and after excluding 4 retired surgeons and 1 incomplete survey, 108 responses were analyzed representing 83.7% of those invited to participate. Mean age was 49.1 ± 9.9 years, most were male (85.2%), married/had a partner (83.0%) and had at least 1 child (82.4%). Overall, 62 (57.4%) of respondents had at least 1 symptom of burnout, 25 (23.1%) were at risk for depression, 11 (10.2%) screened positive for depression, and 5 (4.6%) had considered suicide in the last 12 months. In bivariate analysis, factors significantly associated with burnout were younger age, fewer years in practice, recent work-life conflict, degree of fatigue, job satisfaction, with or at risk for depression, sleep problems, lack of vacation time and the specific stressors. In the multivariate analysis, the significant factors were degree of fatigue, degree of resilience, desire for their children to pursue the same career as them, lack of sports or routine exercise, amount of vacation time, and adversities to perform the work at the hospital or clinic.
Conclusion:
Burnout is highly prevalent in VS in Chile. Risk factors are like those described in the United States and Europe, the most relevant and distinctive being stress generated by work difficulties in hospitals.
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