Are We Working Too Hard?-A Functional Scoring of Orthopaedic Surgeons.

Dear Editor, It is no secret that surgeons are subjected (or subject themselves) to long hours at work, be it in the operating theatre, the clinic, the offi ce, or otherwise. Such a lifestyle is likely to result in health problems in the long run. The mental health of doctors has been extensively studied, with many doctors revealing evidence of psychiatric morbidity.1,2 This has implications on both the health of doctors and healthcare in general, as burnout can be associated with poorer performance and increased turnover rate of healthcare workers.3 For orthopaedic surgeons and trainees especially, it was found that there was a high incidence of reported emotional exhaustion, psychological distress, and burnout.4-6 Given the positive correlation with work hours, it is worth exploring whether we face the same problem locally. There have also been surprisingly few studies on the physical health of surgeons. For orthopaedic surgeons, standing long hours in the operating room, applying manual traction, and hammering nails are all part of the job. Such physical demands are sure to take their toll on their health in ways that could possibly be unique to orthopaedic surgeons.7

[1]  I. Harris,et al.  Burnout in orthopaedic surgeons: a review , 2013, ANZ journal of surgery.

[2]  R. Barrack,et al.  Quality of life during orthopaedic training and academic practice: part 2: spouses and significant others. , 2012, The Journal of bone and joint surgery. American volume.

[3]  J. Sluiter,et al.  Physical job demands and related health complaints among surgeons , 2012, International Archives of Occupational and Environmental Health.

[4]  Rollin J. Fairbanks,et al.  Association Between Poor Sleep, Fatigue, and Safety Outcomes in Emergency Medical Services Providers , 2012, Prehospital emergency care : official journal of the National Association of EMS Physicians and the National Association of State EMS Directors.

[5]  C. Willis-Owen,et al.  Orthopaedic surgeons: as strong as an ox and almost twice as clever? Multicentre prospective comparative study , 2011, BMJ : British Medical Journal.

[6]  Yimin Zhang,et al.  The relationship between job satisfaction, burnout, and turnover intention among physicians from urban state-owned medical institutions in Hubei, China: a cross-sectional study , 2011, BMC health services research.

[7]  J. Freischlag,et al.  Surgeon distress as calibrated by hours worked and nights on call. , 2010, Journal of the American College of Surgeons.

[8]  R. Pietrobon,et al.  Editorial: A Paucity of Women Among Residents, Faculty, and Chairpersons in Orthopaedic Surgery , 2010, Clinical orthopaedics and related research.

[9]  R. Barrack,et al.  Quality of life during orthopaedic training and academic practice. Part 1: orthopaedic surgery residents and faculty. , 2009, The Journal of bone and joint surgery. American volume.

[10]  T. Habermann,et al.  Association of resident fatigue and distress with perceived medical errors. , 2009, JAMA.

[11]  J. Freischlag,et al.  Burnout and Career Satisfaction Among American Surgeons , 2009, Annals of surgery.

[12]  R. Barrack,et al.  Stress and coping among orthopaedic surgery residents and faculty. , 2004, The Journal of bone and joint surgery. American volume.

[13]  R. Spitzer,et al.  The PHQ-9 , 2001, Journal of General Internal Medicine.

[14]  John E. Ware,et al.  SF-36 Health Survey Update , 2000, Spine.

[15]  A Cull,et al.  Mental health of hospital consultants: the effects of stress and satisfaction at work , 1996, The Lancet.