Vol 53, No 5 (2019)
Letter to the Editors
Published online: 2019-10-02

open access

Page views 1454
Article views/downloads 403
Get Citation

Connect on Social Media

Connect on Social Media

Neurosurgery residency burnout: what can prevent this?

Tomasz Szmuda1, Shan Ali1, Paweł Słoniewski1
Pubmed: 31577364
Neurol Neurochir Pol 2019;53(5):392-395.

Abstract

Burnout is an occupational phenomenon indicating that the work and the workplace are responsible. We here discuss how a supportive resident-mentor relationship, and a positive working environment, could help to prevent resident burnout. A positive resident-mentor relationship can be achieved by understanding the mentor, the mentee, and the generational differences of each individual. A positive working environment depends on a healthy work-life balance and the atmosphere in the department. The benefits of preventing burnout include not only happier physicians but also fewer medical errors and better medical care. The universal reminders and proven suggestions in our paper could help address the burnout problem among working physicians worldwide.

Article available in PDF format

View PDF Download PDF file

References

  1. Dyrbye LN, West CP, Satele D, et al. Burnout among U.S. medical students, residents, and early career physicians relative to the general U.S. population. Acad Med. 2014; 89(3): 443–451.
  2. Pulcrano M, Evans SRT, Sosin M. Quality of Life and Burnout Rates Across Surgical Specialties: A Systematic Review. JAMA Surg. 2016; 151(10): 970–978.
  3. Agarwal N, White MD, Pannullo SC, et al. Analysis of national trends in neurosurgical resident attrition. J Neurosurg. 2018 [Epub ahead of print]: 1–6.
  4. Yaghmour NA, Brigham TP, Richter T, et al. Causes of Death of Residents in ACGME-Accredited Programs 2000 Through 2014: Implications for the Learning Environment. Acad Med. 2017; 92(7): 976–983.
  5. Shakir HJ, McPheeters MJ, Shallwani H, et al. The Prevalence of Burnout Among US Neurosurgery Residents. Neurosurgery. 2018; 83(3): 582–590.
  6. Burn-out an "occupational phenomenon": International Classification of Diseases. WHO 2019. https://www.who.int/mental_health/evidence/burn-out/en/ (June 7, 2019).
  7. Feldman MD, Arean PA, Marshall SJ, et al. Does mentoring matter: results from a survey of faculty mentees at a large health sciences university. Med Educ Online. 2010; 15.
  8. Attenello FJ, Buchanan IA, Wen T, et al. Factors associated with burnout among US neurosurgery residents: a nationwide survey. J Neurosurg. 2018; 129(5): 1349–1363.
  9. Burgess A, van Diggele C, Mellis C. Mentorship in the health professions: a review. Clin Teach. 2018; 15(3): 197–202.
  10. Hamade YJ, Aoun RJ, Zimmerman RS, et al. The Modern Neurosurgical Leader as a Cure for Team Burnout. Neurosurgery. 2015; 77(2): N13.
  11. Eckleberry-Hunt J, Kirkpatrick H, Taku K, et al. Relation Between Physicians' Work Lives and Happiness. South Med J. 2016; 109(4): 207–212.
  12. Nick JM, Delahoyde TM, Del Prato D, et al. Best practices in academic mentoring: a model for excellence. Nurs Res Pract. 2012; 2012: 937906.
  13. Spiotta AM, Kalhorn SP, Patel SJ. Letter: How to Combat the Burnout Crisis in Neurosurgery? Cathedrals and Mentorship. Neurosurgery. 2019; 84(4): E257–E258.
  14. Spiotta AM, Patel S. Generational tensions are a distraction from addressing the burnout crisis in Neurosurgery. Neurol India. 2018; 66(6): 1572–1574.
  15. Sambunjak D, Straus SE, Marusic A. A systematic review of qualitative research on the meaning and characteristics of mentoring in academic medicine. J Gen Intern Med. 2010; 25(1): 72–78.
  16. Straus SE, Johnson MO, Marquez C, et al. Characteristics of successful and failed mentoring relationships: a qualitative study across two academic health centers. Acad Med. 2013; 88(1): 82–89.
  17. Riskin A, Erez A, Foulk TA, et al. The Impact of Rudeness on Medical Team Performance: A Randomized Trial. Pediatrics. 2015; 136(3): 487–495.
  18. Riskin A, Erez A, Foulk T, et al. Rudeness and Medical Team Performance. Pediatrics. 2017; 139(2): e20162305.
  19. Lehecka M, Laakso A, Hernesniemi J. Helsinki Microneurosurgery Basics and Tricks. Helsinki: Druckerei Hohl GmbH & Co. KG / Germany. ; 2011.
  20. Charting Outcomes in the Match: International Medical Graduates. ; 2018.
  21. Grensman A, Acharya BD, Wändell P, et al. Effect of traditional yoga, mindfulness-based cognitive therapy, and cognitive behavioral therapy, on health related quality of life: a randomized controlled trial on patients on sick leave because of burnout. BMC Complement Altern Med. 2018; 18(1): 80.
  22. Rich A, Viney R, Needleman S, et al. 'You can't be a person and a doctor': the work-life balance of doctors in training-a qualitative study. BMJ Open. 2016; 6(12): e013897.
  23. George N, Kiran PR, Sulekha T, et al. Work-life Balance among Karnataka State Road Transport Corporation (KSRTC) Workers in Anekal Town, South India. Indian J Occup Environ Med. 2018; 22(2): 82–85.
  24. Stienen MN, Bartek J, Czabanka MA, et al. EANS Young Neurosurgeons and EANS Training Committee. Neurosurgical procedures performed during residency in Europe-preliminary numbers and time trends. Acta Neurochir (Wien). 2019; 161(5): 843–853.
  25. Shanafelt TD, Balch CM, Bechamps G, et al. Burnout and medical errors among American surgeons. Ann Surg. 2010; 251(6): 995–1000.



Neurologia i Neurochirurgia Polska