Physician wellness in orthopaedic surgery: a multinational survey study

Aims: Physician burnout and its consequences have been recognized as increasingly prevalent and important issues for both organizations and individuals involved in healthcare delivery. The purpose of this study was to describe and compare the patterns of self-reported wellness in orthopaedic surgeon...

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Autores principales:	Hassan Mir, Katheryne Downes, Antonia F. Chen, Ruby Grewal, Derek M. Kelly, Michael J. Lee, Philipp Leucht, Sukhdeep K. Dulai
Formato:	article
Lenguaje:	EN
Publicado:	The British Editorial Society of Bone & Joint Surgery 2021
Materias:	physician wellness burnout physicians orthopaedic surgery orthopaedic surgeons burned fisher’s exact test chi-squared tests arthroplasty multivariate regression models statistical modelling univariate analyses Orthopedic surgery RD701-811
Acceso en línea:	https://doaj.org/article/ff6f0c09ecde49b1aee9878176d5cb2e
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spelling	oai:doaj.org-article:ff6f0c09ecde49b1aee9878176d5cb2e2021-12-01T18:44:48ZPhysician wellness in orthopaedic surgery: a multinational survey study2633-146210.1302/2633-1462.211.BJO-2021-0153https://doaj.org/article/ff6f0c09ecde49b1aee9878176d5cb2e2021-11-01T00:00:00Zhttps://online.boneandjoint.org.uk/doi/epdf/10.1302/2633-1462.211.BJO-2021-0153https://doaj.org/toc/2633-1462Aims: Physician burnout and its consequences have been recognized as increasingly prevalent and important issues for both organizations and individuals involved in healthcare delivery. The purpose of this study was to describe and compare the patterns of self-reported wellness in orthopaedic surgeons and trainees from multiple nations with varying health systems. Methods: A cross-sectional survey of 774 orthopaedic surgeons and trainees in five countries (Australia, Canada, New Zealand, UK, and USA) was conducted in 2019. Respondents were asked to complete the Mayo Clinic Well-Being Index and the Stanford Professional Fulfillment Index in addition to 31 personal/demographic questions and 27 employment-related questions via an anonymous online survey. Results: A total of 684 participants from five countries (Australia (n = 74), Canada (n = 90), New Zealand (n = 69), UK (n = 105), and USA (n = 346)) completed both of the risk assessment questionnaires (Mayo and Stanford). Of these, 42.8% (n = 293) were trainees and 57.2% (n = 391) were attending surgeons. On the Mayo Clinic Well-Being Index, 58.6% of the overall sample reported feeling burned out (n = 401). Significant differences were found between nations with regards to the proportion categorized as being at risk for poor outcomes (27.5% for New Zealand (19/69) vs 54.4% for Canada (49/90) ; p = 0.001). On the Stanford Professional Fulfillment Index, 38.9% of the respondents were classified as being burned out (266/684). Prevalence of burnout ranged from 27% for Australia (20/74 up to 47.8% for Canadian respondents (43/90; p = 0.010). Younger age groups (20 to 29: RR 2.52 (95% confidence interval (CI) 1.39 to 4.58; p = 0.002); 30 to 39: RR 2.40 (95% CI 1.36 to 4.24; p = 0.003); 40 to 49: RR 2.30 (95% CI 1.35 to 3.9; p = 0.002)) and trainee status (RR 1.53 (95% CI 1.15 to 2.03 p = 0.004)) were independently associated with increased relative risk of having a ‘at-risk’ or ‘burnout’ score. Conclusions: The rate of self-reported burnout and risk for poor outcomes among orthopaedic surgeons and trainees varies between countries but remains unacceptably high throughout. Both individual and health system characteristics contribute to physician wellness and should be considered in the development of strategies to improve surgeon wellbeing. Level of Evidence: III Cite this article: Bone Jt Open 2021;2(11):932–939.Hassan MirKatheryne DownesAntonia F. ChenRuby GrewalDerek M. KellyMichael J. LeePhilipp LeuchtSukhdeep K. DulaiThe British Editorial Society of Bone & Joint Surgeryarticlephysician wellnessburnoutphysiciansorthopaedic surgeryorthopaedic surgeonsburnedfisher’s exact testchi-squared testsarthroplastymultivariate regression modelsstatistical modellingunivariate analysesOrthopedic surgeryRD701-811ENBone & Joint Open, Vol 2, Iss 11, Pp 932-939 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	physician wellness burnout physicians orthopaedic surgery orthopaedic surgeons burned fisher’s exact test chi-squared tests arthroplasty multivariate regression models statistical modelling univariate analyses Orthopedic surgery RD701-811
spellingShingle	physician wellness burnout physicians orthopaedic surgery orthopaedic surgeons burned fisher’s exact test chi-squared tests arthroplasty multivariate regression models statistical modelling univariate analyses Orthopedic surgery RD701-811 Hassan Mir Katheryne Downes Antonia F. Chen Ruby Grewal Derek M. Kelly Michael J. Lee Philipp Leucht Sukhdeep K. Dulai Physician wellness in orthopaedic surgery: a multinational survey study
description	Aims: Physician burnout and its consequences have been recognized as increasingly prevalent and important issues for both organizations and individuals involved in healthcare delivery. The purpose of this study was to describe and compare the patterns of self-reported wellness in orthopaedic surgeons and trainees from multiple nations with varying health systems. Methods: A cross-sectional survey of 774 orthopaedic surgeons and trainees in five countries (Australia, Canada, New Zealand, UK, and USA) was conducted in 2019. Respondents were asked to complete the Mayo Clinic Well-Being Index and the Stanford Professional Fulfillment Index in addition to 31 personal/demographic questions and 27 employment-related questions via an anonymous online survey. Results: A total of 684 participants from five countries (Australia (n = 74), Canada (n = 90), New Zealand (n = 69), UK (n = 105), and USA (n = 346)) completed both of the risk assessment questionnaires (Mayo and Stanford). Of these, 42.8% (n = 293) were trainees and 57.2% (n = 391) were attending surgeons. On the Mayo Clinic Well-Being Index, 58.6% of the overall sample reported feeling burned out (n = 401). Significant differences were found between nations with regards to the proportion categorized as being at risk for poor outcomes (27.5% for New Zealand (19/69) vs 54.4% for Canada (49/90) ; p = 0.001). On the Stanford Professional Fulfillment Index, 38.9% of the respondents were classified as being burned out (266/684). Prevalence of burnout ranged from 27% for Australia (20/74 up to 47.8% for Canadian respondents (43/90; p = 0.010). Younger age groups (20 to 29: RR 2.52 (95% confidence interval (CI) 1.39 to 4.58; p = 0.002); 30 to 39: RR 2.40 (95% CI 1.36 to 4.24; p = 0.003); 40 to 49: RR 2.30 (95% CI 1.35 to 3.9; p = 0.002)) and trainee status (RR 1.53 (95% CI 1.15 to 2.03 p = 0.004)) were independently associated with increased relative risk of having a ‘at-risk’ or ‘burnout’ score. Conclusions: The rate of self-reported burnout and risk for poor outcomes among orthopaedic surgeons and trainees varies between countries but remains unacceptably high throughout. Both individual and health system characteristics contribute to physician wellness and should be considered in the development of strategies to improve surgeon wellbeing. Level of Evidence: III Cite this article: Bone Jt Open 2021;2(11):932–939.
format	article
author	Hassan Mir Katheryne Downes Antonia F. Chen Ruby Grewal Derek M. Kelly Michael J. Lee Philipp Leucht Sukhdeep K. Dulai
author_facet	Hassan Mir Katheryne Downes Antonia F. Chen Ruby Grewal Derek M. Kelly Michael J. Lee Philipp Leucht Sukhdeep K. Dulai
author_sort	Hassan Mir
title	Physician wellness in orthopaedic surgery: a multinational survey study
title_short	Physician wellness in orthopaedic surgery: a multinational survey study
title_full	Physician wellness in orthopaedic surgery: a multinational survey study
title_fullStr	Physician wellness in orthopaedic surgery: a multinational survey study
title_full_unstemmed	Physician wellness in orthopaedic surgery: a multinational survey study
title_sort	physician wellness in orthopaedic surgery: a multinational survey study
publisher	The British Editorial Society of Bone & Joint Surgery
publishDate	2021
url	https://doaj.org/article/ff6f0c09ecde49b1aee9878176d5cb2e
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Physician wellness in orthopaedic surgery: a multinational survey study

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