Submission ID 78286
| Code | OB-3-1 |
|---|---|
| At the end of this workshop, participants will be able to: | |
| Category | Medical Education |
| Type | Oral |
| Will the presenter be a: | Graduate Student |
| Title | Modelling Burnout in Academic Surgery to Inform Organizational Strategies for Change |
| Background/Purpose | Although the high prevalence of burnout in healthcare has been recognized as a consequence of system-level problems, research addressing this issue in surgical settings has primarily focused on individual-focused interventions and risk factors which has been met with limited success. Thus, the purpose of this study was to determine what organizational factors are contributing to burnout amongst surgeons in the Department of Surgery at McMaster University to inform system-level strategies for change. |
| Methods | In a cross-sectional survey, surgeons were recruited to evaluate the prevalence of organizational stressors and burnout in the department. A backwards stepwise multiple regression was employed to evaluate which organizational, clinical, and demographic factors were related to burnout symptoms (exhaustion, cynicism, and personal inefficacy) using Maslach's Burnout Inventory and the Areas of Worklife Model. |
| Results | Of the 52 surgeons who participated, 57.8% (n=30) were classified as suffering from clinical burnout. Across burnout domains, significant organizational and clinical stressors included job-related burden and resource access, control over working conditions, remuneration structures, gender, race, holding a leadership position, years in independent practice, as well as the percentage of time dedicated to clinical care, research, and educational activities. Being on a fee-for-service payment plan was consistently associated with higher burnout symptoms, even after adjusting for other organizational and demographic factors. |
| Discussion | This study identified target areas to affect meaningful structural change and ameliorate burnout within the department of surgery. Future work will involve engaging leaders in the department to generate an informed and data-driven strategy for addressing addressing organizational factors contributing to burnout. |
| Keyword 1 | Burnout |
| Keyword 2 | Surgery |
| Keyword 3 | Regression |
| Abstract content most relevant to: (check all that apply) | Other |
| Abstract Track - First Choice | Physician & Medical Student Health and Well-being |
| Authors | Ranil Sonnadara Ilun Yang Kestrel McNeill Kestrel McNeill |
