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Intraoperative Ultrasound in Spinal Surgery

Intraoperative Ultrasound in Spinal Surgery

Published on: August 17, 2022

The Future of Resident Unionization.

Aidan M Fitzgerald¹, Lawrence Scott Levin²

¹From the Department of Plastic Surgery, Royal Hallamshire Hospital, Sheffield, United Kingdom.

Plastic and Reconstructive Surgery. Global Open

|April 3, 2026

Summary

Resident burnout is a significant issue, leading to unionization efforts for reduced work hours. However, this has caused generational conflict and may disrupt training, highlighting the need for balanced solutions.

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Area of Science:

Medical Education
Surgical Training
Professionalism in Medicine

Background:

Burnout is prevalent among US residents and attending surgeons, causing physical and mental exhaustion.
Residents advocate for reduced working hours, leading to unionization efforts.
Unionization has created generational conflict, with differing views on professionalism and work-life balance.

Purpose of the Study:

To analyze the impact of resident unionization and reduced working hours on surgical training.
To examine the generational conflict surrounding work-life balance and professionalism in surgery.
To draw lessons from the UK's experience with reduced working hours and its consequences.

Main Methods:

Comparative analysis of resident training models in the US and UK.
Review of literature on burnout, unionization, and professionalism in surgery.
Examination of societal shifts impacting work-life balance expectations.

Main Results:

Reduced working hours in the UK disrupted the "hidden curriculum" and led to a demoralized workforce.
Generational conflict exists between older surgeons valuing vocation and younger surgeons seeking work-life balance.
Unionization is seen by some as demeaning the profession, contrasting with a sense of vocation.

Conclusions:

The US must learn from the UK's experience to avoid similar unintended consequences.
Future changes in US surgical training must prioritize teamwork between residents and attending surgeons.
Addressing the breakdown in the social contract among medicine, society, and government is crucial for future training programs.