Stress and burnout among surgeons: understanding and managing the syndrome and avoiding the adverse consequences.

Training for and practicing surgery are stressful endeavors. 1-4 Studies 5-11 involving national samples of surgeons from surgical subspecialty societies and graduates of surgical training programs suggest that burnout rates among surgeons range from 30% to 38%. These statistics indicate that a substantial number of our colleagues are struggling with personal and professional distress at a level that should be of concern to all surgeons.

[1]  M. A. Martín,et al.  Prognosis of physicians treated for alcoholism and drug dependence. , 1984, JAMA.

[2]  G. Gabbard.  The role of compulsiveness in the normal physician. , 1985, JAMA.

[3]  J. Brewster.  Prevalence of alcohol and other drug problems among physicians. , 1986, JAMA.

[4]  G. Gabbard,et al.  Sources of conflict in the medical marriage. , 1987, American Journal of Psychiatry.

[5]  A. Green,et al.  Stress in surgeons , 1990, The British journal of surgery.

[6]  J. Anthony,et al.  Prevalence of substance use among US physicians. , 1992, JAMA.

[7]  D. Reuben,et al.  Alcohol and Other Substance Abuse and Impairment among Physicians in Residency Training , 1992, Annals of Internal Medicine.

[8]  Jonas T Johnson,et al.  Professional burnout among head and neck surgeons: Results of a survey , 1993, Head & neck.

[9]  Lewis Jm,et al.  Marital satisfaction in the lives of physicians. , 1993 .

[10]  J. Richman,et al.  Substance use and addiction among medical students, residents, and physicians. , 1993, The Psychiatric clinics of North America.

[11]  K Kroenke,et al.  Utility of a new procedure for diagnosing mental disorders in primary care. The PRIME-MD 1000 study. , 1994, JAMA.

[12]  J. Graham,et al.  Burnout and psychiatric disorder among cancer clinicians. , 1995, British Journal of Cancer.

[13]  A. Unwin,et al.  Dislocation after hemiarthroplasty of the hip: a comparison of the dislocation rate after posterior and lateral approaches to the hip. , 1995, Annals of the Royal College of Surgeons of England.

[14]  G. Kent,et al.  Conflicting demands in surgical practice. , 1995, Annals of the Royal College of Surgeons of England.

[15]  S. Jackson,et al.  Maslach burnout inventory manual , 1996 .

[16]  J. Lönnqvist,et al.  A Systematic Review on Gender-Specific Suicide Mortality in Medical Doctors , 1996, British Journal of Psychiatry.

[17]  B. Rollman,et al.  Medical specialty and the incidence of divorce. , 1997, The New England journal of medicine.

[18]  J Greenhalgh,et al.  Doctors' perceptions of the links between stress and lowered clinical care. , 1997, Social science & medicine.

[19]  A. Spickard,et al.  Physician impairment by substance abuse. , 1997, The Medical clinics of North America.

[20]  D. Ford,et al.  Depression is a risk factor for coronary artery disease in men: the precursors study. , 1998, Archives of internal medicine.

[21]  M. Linzer,et al.  Career satisfaction of US women physicians: results from the Women Physicians' Health Study. Society of General Internal Medicine Career Satisfaction Study Group. , 1999, Archives of internal medicine.

[22]  E Frank,et al.  Self-reported depression and suicide attempts among U.S. women physicians. , 1999, The American journal of psychiatry.

[23]  Katie Kirkland.  On the Decline in Average Weekly Hours Worked , 2000 .

[24]  C. Gross,et al.  Physician, heal Thyself? Regular source of care and use of preventive health services among physicians. , 2000, Archives of internal medicine.

[25]  T. Whelan,et al.  Cancer care workers in Ontario: prevalence of burnout, job stress and job satisfaction. , 2000, CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne.

[26]  E. Frank,et al.  Mortality rates and causes among U.S. physicians. , 2000, American journal of preventive medicine.

[27]  L. Greenfield,et al.  Burnout among American surgeons. , 2001, Surgery.

[28]  D. Meier,et al.  The inner life of physicians and care of the seriously ill. , 2001, JAMA.

[29]  R. Levine,et al.  Identifying and Assisting the Impaired Physician , 2001, The American journal of the medical sciences.

[30]  Tait Shanafelt,et al.  Burnout and Self-Reported Patient Care in an Internal Medicine Residency Program , 2002, Annals of Internal Medicine.

[31]  S. Gabbe,et al.  Mid-career burnout in generalist and specialist physicians. , 2002, JAMA.

[32]  Robert Michels,et al.  Confronting depression and suicide in physicians: a consensus statement. , 2003, JAMA.

[33]  T. Habermann,et al.  The well-being of physicians. , 2003, The American journal of medicine.

[34]  E. Copeland.  Mentoring faculty members. , 2003, Surgery.

[35]  W. Sotile,et al.  Physicians' wives evaluate their marriages, their husbands, and life in medicine: results of the AMA-Alliance Medical Marriage Survey. , 2004, Bulletin of the Menninger Clinic.

[36]  J. Gould,et al.  A 25-Year Single Institution Analysis of Health, Practice, and Fate of General Surgeons , 2005, Annals of surgery.

[37]  T. Shanafelt.  Finding meaning, balance, and personal satisfaction in the practice of oncology. , 2005, The journal of supportive oncology.

[38]  A. Eshelman,et al.  A national study of burnout among American transplant surgeons. , 2005, Transplantation proceedings.

[39]  T. Habermann,et al.  Association of perceived medical errors with resident distress and empathy: a prospective longitudinal study. , 2006, JAMA.

[40]  T. Shanafelt,et al.  Shaping your career to maximize personal satisfaction in the practice of oncology. , 2006, Journal of clinical oncology : official journal of the American Society of Clinical Oncology.

[41]  Matthew R. Thomas,et al.  A multicenter study of burnout, depression, and quality of life in minority and nonminority US medical students. , 2006, Mayo Clinic proceedings.

[42]  J. Yager,et al.  The Impact of the Changing Health Care Environment on the Health and Well-Being of Faculty at Four Medical Schools , 2006, Academic medicine : journal of the Association of American Medical Colleges.

[43]  L. Gelberg,et al.  Marital and parental satisfaction of married physicians with children , 1999, Journal of General Internal Medicine.

[44]  Jennifer S. Haas,et al.  Is the professional satisfaction of general internists associated with patient satisfaction? , 2000, Journal of General Internal Medicine.

[45]  T. Shanafelt.  A Career in Surgical Oncology: Finding Meaning, Balance, and Personal Satisfaction , 2007, Annals of Surgical Oncology.

[46]  F. F. Charles M. Balch MD,et al.  Stress and Burnout Among Surgical Oncologists: A Call for Personal Wellness and a Supportive Workplace Environment , 2007, Annals of Surgical Oncology.

[47]  B. Findlay,et al.  SE20
THE ANATOMY OF COMPLICATIONS IN THE UPPER LIMB , 2007 .

[48]  S. Singletary,et al.  Career Satisfaction, Practice Patterns and Burnout among Surgical Oncologists: Report on the Quality of Life of Members of the Society of Surgical Oncology , 2007, Annals of Surgical Oncology.

[49]  J. Monson,et al.  Stress and burnout in colorectal and vascular surgical consultants working in the UK National Health Service , 2008, Psycho-oncology.