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Commitment and burnout: where should surgeons draw the line?

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Abstract

For all its abundant rewards, many assert that surgery is a career that requires significant commitment and sacrifice. Many suggest that when left unchecked, this commitment may incite burnout owing principally to the unique time and emotional demands of the profession. Burnout is variably defined as a complex stress reaction that disproportionately affects healthcare workers, including surgeons. Its significance is owed to the propensity of burnout to detriment personal and professional functioning of the surgeon and potentially impair the care they deliver to their patients. As a result of this, the phenomenon of burnout is increasing attracting attention in contemporary healthcare. This essay examines the extent to which commitment is required in a surgical career and offsets it against the risks and consequences of burnout. Ultimately, the authors conclude that surgeons must be aware of both when and how overzealous, unchecked commitment may paradoxically impair their care via the incubation of burnout.

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References

  1. Elmore L, Jeffe D, Jin L, Awad M, Turnbull I (2016) National survey of burnout among US general surgery residents. J Am Coll Surg 223(3):440–451

    Article  Google Scholar 

  2. Shanafelt T, Boone S, Tan L (2012) Burnout and satisfaction with work-life balance among US physicians relative to the general US population. Arch Intern Med 172(18):1377–1385

    Article  Google Scholar 

  3. O'Kelly F, Manecksha R, Quinlan D, Reid A, Joyce A, O'Flynn K, Speakman M, Thornhill J (2016) Rates of self-reported ‘burnout’ and causative factors amongst urologists in Ireland and the UK: a comparative cross-sectional study. BJUI 117(2):363–372

    Article  Google Scholar 

  4. Benson S, Sammour T, Neuhaus S, Findlay B, Hill A (2009) Burnout in Australasian younger fellows. ANZ J Surg 79(9):590–597

    Article  Google Scholar 

  5. Shanafelt T and Tawfik D (2018) Medical errors may stem more from physician burnout than unsafe health care settings. [Online]. Available: https://med.stanford.edu/news/all-news/2018/07/medical-errors-may-stem-more-from-physician-burnout.html. [Accessed 6 May 2019]

  6. Batten J (2019) Improving surgical workplace culture. [Online]. Available: https://www.surgeons.org/news/improving-surgical-workplace-culture/. [Accessed 6 May 2019]

  7. Royal College of Physicians of Ireland (2019) National study of wellbeing of hospital doctors in Ireland finds 50% of doctors are emotionally exhausted and overwhelmed by work. [Online]. Available: https://www.rcpi.ie/news/releases/national-study-of-wellbeing-of-hospital-doctors-in-ireland-finds-50-of-doctors-are-emotionally-exhausted-and-overwhelmed-by-work/. [Accessed 29 September 2019]

  8. Money S (2017) Surgical personalities, surgical burnout, and surgical happiness. J Vasc Surg 66(3):683–686

    Article  Google Scholar 

  9. Bailey D, Chisholm L, Fergusson L, Fraser-Kirk G, Hamilton S, Malisano L (2011) Appropriate working hours for surgical training in Australia and New Zealand. Royal Australasian College of Surgeons, Sydney

    Google Scholar 

  10. Shanafelt T, Balch C, Bechamps G (2009) Burnout and career satisfaction among American surgeons. Ann Surg 250(1):463–471

    PubMed  Google Scholar 

  11. Gawande A (2002) Complications: a surgeon’s notes on an imperfect science. Picador, New York

    Google Scholar 

  12. Royal Australasian College of Surgeons (2019) How do I become a surgeon?. [Online]. Available: https://www.surgeons.org/become-a-surgeon/how-do-i-become-a-surgeon. [Accessed 28 September 2019]

  13. Royal College of Surgeons (2018) Improving your chances of entering surgical training. [Online]. Available: https://www.rcseng.ac.uk/careers-in-surgery/medical-students/improving-your-chances-of-entering-surgical-training/. [Accessed 28 September 2019]

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Correspondence to Christopher K. T. G. Erian.

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Erian, C.K.T.G., Erian, M.M.A.S. Commitment and burnout: where should surgeons draw the line?. Ir J Med Sci 189, 719–721 (2020). https://doi.org/10.1007/s11845-019-02121-5

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  • DOI: https://doi.org/10.1007/s11845-019-02121-5

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