Identifying institutional factors in general surgery resident wellness and burnout.

Darci C Foote, John N Donkersloot, Gurjit Sandhu, Kathryn Ziegler, James Lau
Author Information
  1. Darci C Foote: Beaumont Health, Department of Surgery, 3601 W. 13 Mile Road, Royal Oak, MI, 48073, USA; Michigan Medicine, Department of Surgery, 1500 E. Medical Center Dr., Ann Arbor, MI, 48109, USA.
  2. John N Donkersloot: Michigan Medicine, Department of Surgery, 1500 E. Medical Center Dr., Ann Arbor, MI, 48109, USA.
  3. Gurjit Sandhu: Michigan Medicine, Department of Surgery, 1500 E. Medical Center Dr., Ann Arbor, MI, 48109, USA.
  4. Kathryn Ziegler: Beaumont Health, Department of Surgery, 3601 W. 13 Mile Road, Royal Oak, MI, 48073, USA.
  5. James Lau: Loyola University, Department of Surgery, 2160 South 1st Avenue, Maywood, IL, 60153, USA. Electronic address: james.lau@lumc.edu.

Abstract

BACKGROUND: Effects of the institutional macrocosm on general surgery resident wellbeing have not been well studied. We sought to identify organizational factors that impact resident wellness and burnout.
METHODS: Using a modified Delphi technique, an open-ended survey and two subsequent iterations were distributed to wellness stakeholders at two institutions to identify and stratify institutional factors in six burnout domains.
RESULTS: Response rates for each survey round were 29/106 (27%), 30/46 (65%) and 21/30 (70%). Top factors identified in each domain were: CONCLUSION: A modified Delphi technique prioritized institutional wellness and burnout factors. Top factors identified were compensation, vacation time, and autonomy. These results can direct future scholarship of barriers/facilitators of resident wellbeing.

Keywords

MeSH Term

Burnout, Professional
Delphi Technique
Female
General Surgery
Humans
Internship and Residency
Male
Mentors
Professional Autonomy
Risk Factors
Salaries and Fringe Benefits
Surgeons
Surveys and Questionnaires
Workload

Word Cloud

Created with Highcharts 10.0.0factorsresidentinstitutionalwellnessburnoutsurgeryDelphitechniquegeneralwellbeingidentifymodifiedsurveytwoTopidentifiedBACKGROUND:EffectsmacrocosmwellstudiedsoughtorganizationalimpactMETHODS:Usingopen-endedsubsequentiterationsdistributedstakeholdersinstitutionsstratifysixdomainsRESULTS:Responseratesround29/10627%30/4665%21/3070%domainwere:CONCLUSION:prioritizedcompensationvacationtimeautonomyresultscandirectfuturescholarshipbarriers/facilitatorsIdentifyingBurnoutGeneralGraduatemedicaleducationInstitutionalfactorWellness

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