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Sustainable Employability in Cardiothoracic Surgery: A Systematic Review Identifying Job Demands and Resources
Sanne J J Langmuur1, Kevin M Veen1, Daantje Derks2
1Department of Cardiothoracic Surgery, Erasmus Medical Center,Rotterdam, 3015 GD, The Netherlands.
Summary
Cardiothoracic surgeons report high job satisfaction but face challenges with quality of life and mental health. Addressing workload and work-life balance is crucial for well-being in this demanding specialty.
Area of Science:
- Medical and Health Sciences
- Psychology
- Sociology
Background:
- Cardiothoracic surgery is a demanding specialty with unique career challenges.
- Understanding the well-being of cardiothoracic surgeons is vital for patient care and workforce sustainability.
Purpose of the Study:
- To review job satisfaction, quality of life, work-life balance, attrition, burnout, and mental health among cardiothoracic surgeons.
- To identify factors positively and negatively impacting their careers.
Main Methods:
- Systematic literature review of articles from the last 25 years.
- Searched databases including Medline, EMBASE, Web of Science, Cochrane Library, and Google Scholar.
- Utilized the job-demands resources model for outcome categorization.
Main Results:
- Included 69 articles with 30,427 responses.
- High job satisfaction reported, with 22 identified job resources (e.g., mentorship, hospital support).
- Lower quality of life, higher attrition, and frequent mental health issues noted; modifiable risk factors include workload, work-life balance, and workplace social issues.
Conclusions:
- Cardiothoracic surgery is rewarding yet demanding.
- Enhancing job resources like mentorship and support is beneficial.
- Addressing modifiable risks (workload, work-life balance, social safety) is urgent for surgeon well-being and optimal patient care.
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