Quality of life during orthopaedic training and academic practice: part 2: spouses and significant others.
ABSTRACT Orthopaedic residents and attending physicians who report having a supportive spouse show lower levels of burnout and psychological distress than those without supportive spouses. However, little is known about the experiences of the spouses. This nationwide study examines burnout, psychological distress, and marital satisfaction of the spouses and significant others (collectively referred to hereafter as spouses) of orthopaedists in training and in orthopaedic practice in an academic setting.
Employing previously reported methodology, 259 spouses of orthopaedic residents and 169 spouses of full-time orthopaedic faculty completed a voluntary, anonymous survey. The survey included three validated instruments (the Maslach Burnout Inventory, the General Psychological Health Questionnaire-12, and the Revised Dyadic Adjustment Scale) and three novel question sets addressing demographic information, relationship issues, stress, and work/life balance.
Psychological distress was noted in 18% of resident spouses compared with only 10% of faculty spouses (p = 0.014). Resident spouses reported greater loneliness (p < 0.0009) and stress (p = 0.03) than faculty spouses. Among working spouses, 30% of resident spouses and 13% of faculty spouses showed high levels of emotional exhaustion (p < 0.003). Twenty-eight percent of employed resident spouses and 5% of employed faculty spouses showed problematic levels of depersonalization (p < 0.0001). Twenty-six percent of employed resident spouses and 12% of employed faculty spouses showed a diminished sense of personal accomplishment (p = 0.012). Marital satisfaction was high for both resident and faculty spouses. Decreased satisfaction correlated with excessive mate irritability and fatigue that precluded their mate's involvement in family activities. A gratifying sex life, full-time work outside the home, and spending more than ninety minutes a day with their mate correlated significantly with marital satisfaction.
Many orthopaedic resident spouses showed elevated levels of burnout, and a substantial number showed psychological distress. Spouses of orthopaedic faculty surgeons showed low rates of burnout and psychological distress. While both resident and faculty spouses reported high levels of marital satisfaction, the engagement of their surgeon mates had a considerable impact on the well-being of the relationship.
Journal of Vascular Surgery 08/2014; 60(4). DOI:10.1016/j.jvs.2014.04.077 · 2.98 Impact Factor
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ABSTRACT: The effect of patient complications on physicians is not well understood. Our objective was to determine the impact of a surgeon's complication(s) on his/her emotional state and job performance. An anonymous survey was distributed to Midwest Surgical Society members and attending surgeons within the Grand Rapids, Michigan, community. There were 123 respondents (30.5% response rate). For the majority of participants, the first complication that had a significant emotional impact on them occurred during residency (51.2%). Most respondents reported this did not impair their professional functioning (77.2%). If a major complication was first experienced after residency, this had a greater likelihood of causing impairment (P < .05). Surgeons primarily dealt with the emotional impact by discussing it with a surgical partner (87.8%). Alcohol or other substance use increased in 6.5% of those surveyed. Most respondents (58.5%) felt it was difficult to handle the emotional effects of complications throughout their careers and this did not improve with experience. The majority of surgeons agreed that it was difficult to handle the emotional effects of complications throughout their careers. Efforts should be made to increase awareness of unrecognized emotional effects of patient complications and improve access to support systems for surgeons.Surgery 10/2010; 148(4):824-8; discussion 828-30. DOI:10.1016/j.surg.2010.07.024 · 3.11 Impact Factor
Dataset: Stress and Burnout among Clinicians[Show abstract] [Hide abstract]
ABSTRACT: Burnout is caused by emotional exhaustion, depersonalization, and a reduced sense of accomplishment. Workplace stress and career burnout among clinicians a shrinking pool of providers coupled with the extension of coverage to millions of previously uninsured individuals may increase practitioner anxiety. Administration (HRSA), a number of places in the United States are considered Health Professional Shortage Areas (HPSAs). HSPSas are defined as geographic regions that have shortages of primary medical care, dental care, and mental-health providers. Additionally, the HRSA classifies medially underserved areas/populations (MUA/Ps) as locations that have an insufficient number of primary-care providers, high rates of infant mortal-ity and poverty, and/or a high number of elderly individuals. According to recent data, there are 5,805 primary-care HPSAs in the United States, encompassing 55.3 million residents. 1 A total of 15,431 practitioners would be needed in these areas to meet the cur-rent demand for primary-care providers, which translates to a population-to-practitioner ratio of 2,000:1. 1 Factor this information into the realiza-tion that the Affordable Care Act enacted in 2010 promises to extend health coverage to millions of presently uninsured individuals, and the potential