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Introduction
Burnout is becoming an increasingly recognised phenomenon within the medical profession. This study aims to investigate the presence of burnout amongst neurosurgical trainees in the UK and Ireland as well as investigating potential exacerbating and protective factors.
Method
An online survey was sent to all neurosurgical trainees in t...
Context in source publication
Context 1
... total of 75 neurosurgical trainees completed the questionnaire out of 180 trainees on the BNTA mailing list, providing a response rate of 42%. The demographics of the participants are summarised in Table 1. The CBI results are summarised in Fig. 1 as the average scores for each subcategory: personal, work-related and patient-related, as well as the overall average score. ...Citations
... Job burnout among medical workers would lead to a negative impact on the physical and mental health of the individual, affect daily diagnosis and treatment, and even affect social stability 7,8,9,10 . A study of physicians in the UK and Ireland pointed out that job burnout was becoming an increasingly common phenomenon within the medical profession 11 . A systematic review of 182 studies involving 109,628 physicians in 45 countries demonstrated the overall burnout prevalence ranged from 0-80.5% 12 . ...
Background
Medical workers at COVID-19 vaccination sites are exposed to burnout syndrome due to repetitive and overload vaccination work. The purpose of our study was to investigate the prevalence of burnout among these medical workers and to explore its associated factors.
Methods
A cross-sectional study was conducted at COVID-19 vaccination sites in May 2021 in Nanjing, China. The online questionnaire included demographic, job and COVID-19 related characteristics, Chinese Maslach Burnout Inventory, and Social Support Rating Scale. Hierarchical multiple regression model was used to identify the risk factors for job burnout of medical workers.
Results
The overall prevalence of burnout symptoms among medical workers at COVID-19 vaccination sites was 44.5% with a breakdown in severity as follows: 122 (28.7%) mild, 53 (12.5%) moderate, and 14 (3.3%) severe cases. Hierarchical multiple linear regression analysis indicated that education level, health condition, job titles, self-reported increased work intensity, monthly income and social support were significantly related to job burnout (p < 0.05), which explained 37.6% of the variance of job burnout score (F = 16.046, p < 0.01).
Conclusion
The burnout symptoms were relatively common among medical workers at COVID-19 vaccination sites. More attention should be paid to medical workers with master degree or higher, poor health condition, junior or middle job titles, increased work intensity, lower income and low level of social support. Interventions that aim to reduce workload and increase social support can be effective approaches to prevent job burnout among medical workers during controlled COVID-19 period.
... We agree with Mr. Kawsar that an alternative pathway such as that provided by core surgical training, as recommended in our original article, should be available to trainees who decide to pursue a different surgical training path, owing to various reasons, including but not restricted to burnout. 4,6 However, we differ from Mr. Kawsar's opinion on offering spinal fellowships and consultants more to neurosurgery trainees and postÀcertificate of completion of training fellows because this may upset an already delicate balance between the 2 specialties. Instead, we argue that this balance should be maintained, and trainees should be allowed earlier in their careers to make a specialty change, should they choose to (as mentioned earlier). ...
... But a 5-year apprenticeship with a neurosurgeon is available. A certificate is given without a formal examination [17][18][19][20]. ...
Developing a successful career is an art, skill, and science. It should not be left totally to the individual graduate to take their chances. The graduating institutes and educational system should take responsibility helping and guiding the graduates to have a successful career. The successful career is not only an individual business, but also it is a society, national, and profession very much business. As we are on the edge of major changes in education, communication, medical industry, medical globalization, the education and training programs should arm their trainees and graduates by necessary knowledge, skills, and values to be able to succeed in the competing world.The talent is considered as a gift which man born with it or not. That concet has been seriousley challenged recently. The modern research showed that the talent is possible to certain degree to be taught and obtain by hard working, scientific approaches. Artificial intelligences and virtual realities beyond any doubt will have major impact on future medical practice. The educators should pay attention to visualize the future of medical and neurosurgical practice, opportunities of training and education, and the possible new discoveries.KeywordsNeurosurgery careerCareer developmentMedical educationArtificial intelligenceVirtual reality
... [13][14][15][16] The CBI has been applied extensively to physicians. [17][18][19][20][21][22][23][24][25][26][27][28][29][30][31][32][33][34][35][36] Despite widespread international use in measuring burnout among physicians, the CBI has been used infrequently to measure burnout among emergency physicians in the United States. 37-38 ...
Objective:
The Copenhagen Burnout Inventory (CBI) is an open-access, valid, and reliable instrument measuring burnout that includes 19 items distributed across the following 3 domains (factors): personal burnout, work burnout, and patient burnout. The primary objective of this study was to determine the validity and reliability of an abbreviated CBI to assess burnout in emergency medicine residents.
Methods:
This cross-sectional study used data from the CBI that followed the 2021 American Board of Emergency Medicine In-training Examination. Exploratory factor analysis (EFA) was followed by confirmatory factor analysis (CFA).
Results:
Of the 8491 eligible residents, 7225 (85.1%) completed the survey; the EFA cohort included 3613 residents and the CFA cohort included 3612 residents. EFA showed 2 eigenvalues ≥1, an internal factor and an external factor. There were 6 CBI items that contributed to the 2 factors. The first factor was related to personal burnout and work-related burnout and the second factor was related to working with patients. There were 4 CBI items that contributed to the internal factor and 2 CBI items that contributed to the external factor. Using the abbreviated CBI, the incidence of a resident having 1 or both types of burnout was 34.1%.
Conclusions:
This study provides validity evidence and reliability support for the use of a 6-item, 2-factor abbreviated CBI. A shorter, reliable, valid, and publicly accessible burnout inventory provides numerous advantages for burnout research in emergency medicine.
Purpose
Neurosurgery training in the UK has undergone significant changes over the past few years, including the new competency-based curriculum and a reduction of elective operating due to the pandemic. We conducted a comprehensive survey to assess UK neurosurgical trainees’ experiences and perceptions to develop targeted action plans.
Methods
An online anonymised survey was developed and distributed amongst the BNTA mailing list. Question types included 10-point Likert scales and free text options. Descriptive statistics, non-parametric testing of Likert scores, and Spearman’s rank correlation were used to analyse responses. Pearson’s chi-squared test was used for subgroup analysis of categorical data.
Results
A total of 75 trainees with a National Training Number (NTN) responded. Overall trainees feel they are well trained, well supported, and have caught up with training emerging out of COVID. Funding for training varied between deaneries. There is significant concern amongst trainees regarding the workforce crisis. This, as well as financial concerns are leading to more than a quarter of trainees considering quitting. Half of the trainees are considering going OOP. More than one third of the trainees and more than half of the female trainees are considering working Less Than Full Time (LTFT). Most important supportive mechanisms towards completion of training were social support, along with personal satisfaction from work. An independent mentoring scheme is a preferred additional support mechanism.
Conclusions
Overall training experience for neurosurgery trainees in UK and Ireland was positive. There are significant concerns regarding the workforce crisis and costs of training, with a large proportion of neurosurgery trainees considering resigning. OOP and LTFT are popular means of becoming more competitive for consultant posts and to spend time with their families. Deanery experience, senior and peer support does, and will improve trainee experience and protect against attrition.
Background
Prior research has provided retrospective validity evidence for an abbreviated Copenhagen Burnout Inventory (CBI) to measure burnout among emergency medicine (EM) residents. We sought to provide additional validity and reliability evidence for the two‐factor, six‐item abbreviated CBI.
Methods
This cross‐sectional study used data from the abbreviated CBI that was administered following the 2022 American Board of Emergency Medicine In‐training Examination. Confirmatory factor analysis (CFA) was performed and the prevalence of burnout among EM residents was determined.
Results
Of the 8918 eligible residents, 7465 (83.7%) completed the abbreviated CBI. CFA confirmed the previously developed model of two factors using six items answered with a 1‐ to 5‐point Likert scale. The internal factor was derived from personal and work‐related burnout and the external factor was related to caring for patients. The reliability was determined using Cronbach's alpha (0.87). The overall prevalence of burnout was 49.4%; the lowest prevalence was at the EM1 level (43.1%) and the highest was at the EM2 level (53.8%).
Conclusions
CFA of the abbreviated CBI demonstrated good reliability and model fit. The two‐factor, six‐item survey instrument identified an increase in the prevalence of burnout among EM residents that coincided with working in the COVID‐19 environment. The abbreviated CBI has sufficient reliability and validity evidence to encourage its broader use.
BACKGROUND AND OBJECTIVES
The Accreditation Council for Graduate Medical Education's Milestones provides a foundation for professionalism in residency training. Specific professionalism concepts from neurosurgery could augment and expand milestones for the specialty. We reviewed the current literature and identified professionalism concepts within the context of neurosurgical practice and training.
METHODS
We used a scoping review methodology to search PubMed/MEDLINE and Scopus and identify English-language articles with the search terms “professionalism” and “neurosurgery.” We excluded articles that were not in English, not relevant to professionalism within neurosurgery, or could not be accessed. Non–peer-reviewed and qualitative publications, such as commentaries, were included in the review.
RESULTS
A total of 193 articles were included in the review. We identified 6 professionalism themes among these results: professional identity (n = 53), burnout and wellness (n = 51), professional development (n = 34), ethics and conflicts of interest (n = 27), diversity and gender (n = 19), and misconduct (n = 9).
CONCLUSION
These 6 concepts illustrate concerns that neurosurgeons have concerning professionalism. Diversity and gender, professional identity, and misconduct are not specifically addressed in the Accreditation Council for Graduate Medical Education's Milestones. This review could be used to aid the development of organizational policy statements on professionalism.
