부산대학교 도서관

Keywords Burnout; Mistreatment; Surgery resident; Surgical education Highlights * 68% of residents in this study reported experiencing mistreatment behaviors. * Almost half of the residents in this study (48%) met criteria for burnout. * Patients, fellow residents, and faculty members play a role in resident burnout. Abstract Introduction Surgery residents have high burnout rates and mistreatment occurs during training. We hypothesized that residents who reported mistreatment would be more likely to experience burnout. Methods A multi-institutional observational study asked residents to complete the Maslach Burnout Inventory and to rate how often they experienced mistreatment. Scores in the high-risk range for emotional exhaustion or depersonalization were classified as burnout. Associations between mistreatment behaviors, program, sex, post graduate year(PGY), and clinical status were measured by Spearman's correlation, linear regression, and logistic regression. Results We invited 398 residents to participate; 180 responded(45%). 52%(n = 93) were female, there was an even distribution among PGY, and seven programs were represented. Almost half of the cohort (48%) reported high risk for burnout and 68% reported experiencing mistreatment. Mistreatment by senior physician team members were correlated with EE(rho = 0.184,p = 0.016) and DP(rho = 0.181,p = 0.016). Conclusion While overall burnout was not significantly associated with mistreatment behaviors, both burnout and mistreatment were commonly reported. Author Affiliation: (a) Department of Surgery, University of Alabama Birmingham, Birmingham, AL, USA (b) Department of Surgery, Emory University, Atlanta, GA, USA (c) Department of Surgery, University of Michigan, Ann Arbor, MI, USA (d) Department of Surgery, University of Cincinnati, Cincinnati, OH, USA (e) Department of Surgery, Wake Forest School of Medicine, Winston-Salem, NC, USA (f) Department of Surgery, Penn State School of Medicine, Hershey, PA, USA (g) Department of Surgery, University of South Alabama, Mobile, AL, USA * Corresponding author. University of Alabama at Birmingham, Department of General Surgery, 217 Kracke Building 1922, 7th Ave South, Birmingham, AL, 35233, USA. Article History: Received 21 June 2020; Revised 6 January 2021; Accepted 18 June 2021 (footnote)[white star] Thank you for your consideration of this manuscript. We have no conflicts of interests to disclose. All authors have contributed substantially to the conception, design, acquisition, analysis, and interpretation of the data. In addition, all authors have participated in the critical revision and approval of the final manuscript. This research was accepted at the annual Association of Surgical Educator conference in Seattle, Washington 2020 (canceled due to COVID-19). This research was funded by the ASE MERG- Multi-institutional Education Research Grant (awarded to Dr. Brenessa Lindeman). Byline: Samantha Baker [Sjbaker@uabmc.edu] (a,*), Frank Gleason (a), Brendan Lovasik (b), Gurjit Sandhu (c), Alexander Cortez (d), Amy Hildreth (e), Amanda Cooper (f), Jon Simmons (g), Keith A. Delman (b), Brenessa Lindeman (a)