Skip to main content
Erschienen in: Clinical Orthopaedics and Related Research® 8/2016

25.04.2016 | Clinical Research

Among Musculoskeletal Surgeons, Job Dissatisfaction Is Associated With Burnout

verfasst von: Olivier D. R. van Wulfften Palthe, MD, Valentin Neuhaus, MD, Stein J. Janssen, MD, Thierry G. Guitton, MD, PhD, David Ring, MD, PhD, on behalf of the Science of Variation Group

Erschienen in: Clinical Orthopaedics and Related Research® | Ausgabe 8/2016

Einloggen, um Zugang zu erhalten

Abstract

Background

Burnout is common in professions such as medicine in which employees have frequent and often stressful interpersonal interactions where empathy and emotional control are important. Burnout can lead to decreased effectiveness at work, negative health outcomes, and less job satisfaction. A relationship between burnout and job satisfaction is established for several types of physicians but is less studied among surgeons who treat musculoskeletal conditions.

Questions/purposes

We asked: (1) For surgeons treating musculoskeletal conditions, what risk factors are associated with worse job dissatisfaction? (2) What risk factors are associated with burnout symptoms?

Methods

Two hundred ten (52% of all active members of the Science of Variation Group [SOVG]) surgeons who treat musculoskeletal conditions (94% orthopaedic surgeons and 6% trauma surgeons; in Europe, general trauma surgeons do most of the fracture surgery) completed the Global Job Satisfaction instrument, Shirom–Malamed Burnout Measure, and provided practice and surgeon characteristics. Most surgeons were male (193 surgeons, 92%) and most were academically employed (186 surgeons, 89%). Factors independently associated with job satisfaction and burnout were identified with multivariable analysis.

Results

Greater symptoms of burnout (β, −7.13; standard error [SE], 0.75; 95% CI, −8.60 to −5.66; p < 0.001; adjusted R2, 0.33) was the only factor independently associated with lower job satisfaction. Having children (β, −0.45; SE, 0.0.21; 95% CI, −0.85 to −0.043; p = 0.030; adjusted R2, 0.046) was the only factor independently associated with fewer symptoms of burnout.

Conclusions

Among an active research group of largely academic surgeons treating musculoskeletal conditions, most are satisfied with their job. Efforts to limit burnout and job satisfaction by optimizing engagement in and deriving meaning from the work are effective in other settings and merit attention among surgeons.

Level of Evidence

Level II, prognostic study.
Anhänge
Nur mit Berechtigung zugänglich
Literatur
1.
Zurück zum Zitat Ahmadiyeh N, Cho NL, Kellogg KC, Lipsitz SR, Moore FD Jr, Ashley SW, Zinner MJ, Breen EM. Career satisfaction of women in surgery: perceptions, factors, and strategies. J Am Coll Surg. 2010;210:23–28.CrossRefPubMed Ahmadiyeh N, Cho NL, Kellogg KC, Lipsitz SR, Moore FD Jr, Ashley SW, Zinner MJ, Breen EM. Career satisfaction of women in surgery: perceptions, factors, and strategies. J Am Coll Surg. 2010;210:23–28.CrossRefPubMed
2.
Zurück zum Zitat Balch CM, Shanafelt TD, Dyrbye L, Sloan JA, Russell TR, Bechamps GJ, Freischlag JA. Surgeon distress as calibrated by hours worked and nights on call. J Am Coll Surg. 2010;211:609–619.CrossRefPubMed Balch CM, Shanafelt TD, Dyrbye L, Sloan JA, Russell TR, Bechamps GJ, Freischlag JA. Surgeon distress as calibrated by hours worked and nights on call. J Am Coll Surg. 2010;211:609–619.CrossRefPubMed
3.
Zurück zum Zitat Balch CM, Shanafelt TD, Sloan JA, Satele DV, Freischlag JA. Distress and career satisfaction among 14 surgical specialties, comparing academic and private practice settings. Ann Surg. 2011;254:558–568.CrossRefPubMed Balch CM, Shanafelt TD, Sloan JA, Satele DV, Freischlag JA. Distress and career satisfaction among 14 surgical specialties, comparing academic and private practice settings. Ann Surg. 2011;254:558–568.CrossRefPubMed
4.
Zurück zum Zitat Bertges Yost W, Eshelman A, Raoufi M, Abouljoud MS. A national study of burnout among American transplant surgeons. Transplant Proc. 2005;37:1399–1401. Bertges Yost W, Eshelman A, Raoufi M, Abouljoud MS. A national study of burnout among American transplant surgeons. Transplant Proc. 2005;37:1399–1401.
5.
Zurück zum Zitat Brooks SK, Chalder T, Gerada C. Doctors vulnerable to psychological distress and addictions: treatment from the Practitioner Health Programme. J Ment Health. 2011;20:157–164.CrossRefPubMed Brooks SK, Chalder T, Gerada C. Doctors vulnerable to psychological distress and addictions: treatment from the Practitioner Health Programme. J Ment Health. 2011;20:157–164.CrossRefPubMed
6.
Zurück zum Zitat Cho YI, Johnson TP, Vangeest JB. Enhancing surveys of health care professionals: a meta-analysis of techniques to improve response. Eval Health Prof. 2013;36:382–407.CrossRefPubMed Cho YI, Johnson TP, Vangeest JB. Enhancing surveys of health care professionals: a meta-analysis of techniques to improve response. Eval Health Prof. 2013;36:382–407.CrossRefPubMed
7.
Zurück zum Zitat Cunningham BP, Swanson D, Basmajian H, McLemore R, Ortega G. Professional demands and job satisfaction in orthopaedic trauma: an OTA member survey. J Orthop Trauma. 2015;29:e499–503.CrossRefPubMed Cunningham BP, Swanson D, Basmajian H, McLemore R, Ortega G. Professional demands and job satisfaction in orthopaedic trauma: an OTA member survey. J Orthop Trauma. 2015;29:e499–503.CrossRefPubMed
8.
Zurück zum Zitat DeVoe J, Fryer GE Jr, Hargraves JL, Phillips RL, Green LA. Does career dissatisfaction affect the ability of family physicians to deliver high-quality patient care? J Fam Pract. 2002;51:223–228.PubMed DeVoe J, Fryer GE Jr, Hargraves JL, Phillips RL, Green LA. Does career dissatisfaction affect the ability of family physicians to deliver high-quality patient care? J Fam Pract. 2002;51:223–228.PubMed
9.
Zurück zum Zitat Guitton TG, Ring D; Science of Variation Group. Interobserver reliability of radial head fracture classification: two-dimensional compared with three-dimensional CT. J Bone Joint Surg Am. 2011;93:2015–2021. Guitton TG, Ring D; Science of Variation Group. Interobserver reliability of radial head fracture classification: two-dimensional compared with three-dimensional CT. J Bone Joint Surg Am. 2011;93:2015–2021.
10.
Zurück zum Zitat Guntupalli KK, Fromm RE Jr. Burnout in the internist: intensivist. Intensive Care Med. 1996;22:625–630.CrossRefPubMed Guntupalli KK, Fromm RE Jr. Burnout in the internist: intensivist. Intensive Care Med. 1996;22:625–630.CrossRefPubMed
11.
Zurück zum Zitat Hageman MG, Guitton TG, Ring D; Science of Variation Group. How surgeons make decisions when the evidence is inconclusive. J Hand Surg Am. 2013;38:1202–1208. Hageman MG, Guitton TG, Ring D; Science of Variation Group. How surgeons make decisions when the evidence is inconclusive. J Hand Surg Am. 2013;38:1202–1208.
12.
Zurück zum Zitat Kellerman SE, Herold J. Physician response to surveys: a review of the literature. Am J Prev Med. 2001;20:61–67.CrossRefPubMed Kellerman SE, Herold J. Physician response to surveys: a review of the literature. Am J Prev Med. 2001;20:61–67.CrossRefPubMed
13.
Zurück zum Zitat Kilfedder CJ, Power KG, Wells TJ. Burnout in psychiatric nursing. J Adv Nurs. 2001;34:383–396.CrossRefPubMed Kilfedder CJ, Power KG, Wells TJ. Burnout in psychiatric nursing. J Adv Nurs. 2001;34:383–396.CrossRefPubMed
14.
Zurück zum Zitat Kuerer HM, Eberlein TJ, Pollock RE, Huschka M, Baile WF, Morrow M, Michelassi F, Singletary SE, Novotny P, Sloan J, Shanafelt TD. Career satisfaction, practice patterns and burnout among surgical oncologists: report on the quality of life of members of the Society of Surgical Oncology. Ann Surg Oncol. 2007;14:3043–3053.CrossRefPubMed Kuerer HM, Eberlein TJ, Pollock RE, Huschka M, Baile WF, Morrow M, Michelassi F, Singletary SE, Novotny P, Sloan J, Shanafelt TD. Career satisfaction, practice patterns and burnout among surgical oncologists: report on the quality of life of members of the Society of Surgical Oncology. Ann Surg Oncol. 2007;14:3043–3053.CrossRefPubMed
15.
Zurück zum Zitat Larsen A, Boggild H, Mortensen JT, Foldager L, Hansen J, Christensen A, Arendt M, Rosenberg N, Munk-Jorgensen P. Psychopathology, defence mechanisms, and the psychosocial work environment. Int J Soc Psychiatry. 2010;56:563–577.CrossRefPubMed Larsen A, Boggild H, Mortensen JT, Foldager L, Hansen J, Christensen A, Arendt M, Rosenberg N, Munk-Jorgensen P. Psychopathology, defence mechanisms, and the psychosocial work environment. Int J Soc Psychiatry. 2010;56:563–577.CrossRefPubMed
16.
Zurück zum Zitat Lloyd S, Streiner D, Hahn E, Shannon S. Development of the emergency physician job satisfaction measurement instrument. Am J Emerg Med. 1994;12:1–10.CrossRefPubMed Lloyd S, Streiner D, Hahn E, Shannon S. Development of the emergency physician job satisfaction measurement instrument. Am J Emerg Med. 1994;12:1–10.CrossRefPubMed
17.
Zurück zum Zitat Mache S, Vitzthum K, Klapp BF, Danzer G. Surgeons’ work engagement: influencing factors and relations to job and life satisfaction. Surgeon. 2014;12:181–190.CrossRefPubMed Mache S, Vitzthum K, Klapp BF, Danzer G. Surgeons’ work engagement: influencing factors and relations to job and life satisfaction. Surgeon. 2014;12:181–190.CrossRefPubMed
18.
Zurück zum Zitat Maslach C, Schaufeli WB, Leiter MP. Job burnout. Ann Rev Psychol. 2001;52:397–422. Maslach C, Schaufeli WB, Leiter MP. Job burnout. Ann Rev Psychol. 2001;52:397–422.
19.
Zurück zum Zitat McAbee JH, Ragel BT, McCartney S, Jones GM, Michael LM 2nd, DeCuypere M, Cheng JS, Boop FA, Klimo P Jr. Factors associated with career satisfaction and burnout among US neurosurgeons: results of a nationwide survey. J Neurosurg. 2015;123:161–173.CrossRefPubMed McAbee JH, Ragel BT, McCartney S, Jones GM, Michael LM 2nd, DeCuypere M, Cheng JS, Boop FA, Klimo P Jr. Factors associated with career satisfaction and burnout among US neurosurgeons: results of a nationwide survey. J Neurosurg. 2015;123:161–173.CrossRefPubMed
20.
Zurück zum Zitat Melamed S, Shirom A, Toker S, Berliner S, Shapira I. Burnout and risk of cardiovascular disease: evidence, possible causal paths, and promising research directions. Psychol Bull. 2006;132:327–353.CrossRefPubMed Melamed S, Shirom A, Toker S, Berliner S, Shapira I. Burnout and risk of cardiovascular disease: evidence, possible causal paths, and promising research directions. Psychol Bull. 2006;132:327–353.CrossRefPubMed
21.
Zurück zum Zitat Melamed S, Shirom A, Toker S, Shapira I. Burnout and risk of type 2 diabetes: a prospective study of apparently healthy employed persons. Psychosom Med. 2006;68:863–869.CrossRefPubMed Melamed S, Shirom A, Toker S, Shapira I. Burnout and risk of type 2 diabetes: a prospective study of apparently healthy employed persons. Psychosom Med. 2006;68:863–869.CrossRefPubMed
22.
Zurück zum Zitat Qureshi HA, Rawlani R, Mioton LM, Dumanian GA, Kim JY, Rawlani V. Burnout phenomenon in U.S. plastic surgeons: risk factors and impact on quality of life. Plast Reconstr Surg. 2015;135:619–626.CrossRefPubMed Qureshi HA, Rawlani R, Mioton LM, Dumanian GA, Kim JY, Rawlani V. Burnout phenomenon in U.S. plastic surgeons: risk factors and impact on quality of life. Plast Reconstr Surg. 2015;135:619–626.CrossRefPubMed
23.
Zurück zum Zitat Rafferty JP, Lemkau JP, Purdy RR, Rudisill JR. Validity of the Maslach Burnout Inventory for family practice physicians. J Clin Psychol. 1986;42:488–492.CrossRefPubMed Rafferty JP, Lemkau JP, Purdy RR, Rudisill JR. Validity of the Maslach Burnout Inventory for family practice physicians. J Clin Psychol. 1986;42:488–492.CrossRefPubMed
24.
Zurück zum Zitat Raptis DA, Schlegel A, Tschuor C, Clavien PA. Job satisfaction among young board-certified surgeons at academic centers in Europe and North America. Ann Surg. 2012;256:796-803; discussion 803–800. Raptis DA, Schlegel A, Tschuor C, Clavien PA. Job satisfaction among young board-certified surgeons at academic centers in Europe and North America. Ann Surg. 2012;256:796-803; discussion 803–800.
25.
Zurück zum Zitat Saleh KJ, Quick JC, Conaway M, Sime WE, Martin W, Hurwitz S, Einhorn TA. The prevalence and severity of burnout among academic orthopaedic departmental leaders. J Bone Joint Surg Am. 2007;89:896–903.CrossRefPubMed Saleh KJ, Quick JC, Conaway M, Sime WE, Martin W, Hurwitz S, Einhorn TA. The prevalence and severity of burnout among academic orthopaedic departmental leaders. J Bone Joint Surg Am. 2007;89:896–903.CrossRefPubMed
26.
Zurück zum Zitat Shanafelt TD, Balch CM, Bechamps GJ, Russell T, Dyrbye L, Satele D, Collicott P, Novotny PJ, Sloan J, Freischlag JA. Burnout and career satisfaction among American surgeons. Ann Surg. 2009;250:463–471.PubMed Shanafelt TD, Balch CM, Bechamps GJ, Russell T, Dyrbye L, Satele D, Collicott P, Novotny PJ, Sloan J, Freischlag JA. Burnout and career satisfaction among American surgeons. Ann Surg. 2009;250:463–471.PubMed
27.
Zurück zum Zitat Shanafelt TD, Balch CM, Bechamps G, Russell T, Dyrbye L, Satele D, Collicott P, Novotny PJ, Sloan J, Freischlag J. Burnout and medical errors among American surgeons. Ann Surg. 2010;251:995–1000.CrossRefPubMed Shanafelt TD, Balch CM, Bechamps G, Russell T, Dyrbye L, Satele D, Collicott P, Novotny PJ, Sloan J, Freischlag J. Burnout and medical errors among American surgeons. Ann Surg. 2010;251:995–1000.CrossRefPubMed
28.
Zurück zum Zitat Shanafelt TD, Bradley KA, Wipf JE, Back AL. Burnout and self-reported patient care in an internal medicine residency program. Ann Intern Med. 2002;136:358–367.CrossRefPubMed Shanafelt TD, Bradley KA, Wipf JE, Back AL. Burnout and self-reported patient care in an internal medicine residency program. Ann Intern Med. 2002;136:358–367.CrossRefPubMed
29.
Zurück zum Zitat Shirom A, Melamed S. A comparison of the construct validity of two burnout measures in two groups of professionals. Int J Stress Manag. 2006;13:176–200.CrossRef Shirom A, Melamed S. A comparison of the construct validity of two burnout measures in two groups of professionals. Int J Stress Manag. 2006;13:176–200.CrossRef
30.
Zurück zum Zitat Shirom A, Westman M, Shamai O, Carel RS. Effects of work overload and burnout on cholesterol and triglycerides levels: the moderating effects of emotional reactivity among male and female employees. J Occup Health Psychol. 1997;2:275–288.CrossRefPubMed Shirom A, Westman M, Shamai O, Carel RS. Effects of work overload and burnout on cholesterol and triglycerides levels: the moderating effects of emotional reactivity among male and female employees. J Occup Health Psychol. 1997;2:275–288.CrossRefPubMed
31.
Zurück zum Zitat Toker S, Melamed S, Berliner S, Zeltser D, Shapira I. Burnout and risk of coronary heart disease: a prospective study of 8838 employees. Psychosom Med. 2012;74:840–847.CrossRefPubMed Toker S, Melamed S, Berliner S, Zeltser D, Shapira I. Burnout and risk of coronary heart disease: a prospective study of 8838 employees. Psychosom Med. 2012;74:840–847.CrossRefPubMed
32.
Zurück zum Zitat von Websky MW, Oberkofler CE, Rufibach K, Raptis DA, Lehmann K, Hahnloser D, Clavien PA. Trainee satisfaction in surgery residency programs: modern management tools ensure trainee motivation and success. Surgery. 2012;152:794–801.CrossRef von Websky MW, Oberkofler CE, Rufibach K, Raptis DA, Lehmann K, Hahnloser D, Clavien PA. Trainee satisfaction in surgery residency programs: modern management tools ensure trainee motivation and success. Surgery. 2012;152:794–801.CrossRef
Metadaten
Titel
Among Musculoskeletal Surgeons, Job Dissatisfaction Is Associated With Burnout
verfasst von
Olivier D. R. van Wulfften Palthe, MD
Valentin Neuhaus, MD
Stein J. Janssen, MD
Thierry G. Guitton, MD, PhD
David Ring, MD, PhD
on behalf of the Science of Variation Group
Publikationsdatum
25.04.2016
Verlag
Springer US
Erschienen in
Clinical Orthopaedics and Related Research® / Ausgabe 8/2016
Print ISSN: 0009-921X
Elektronische ISSN: 1528-1132
DOI
https://doi.org/10.1007/s11999-016-4848-6

Weitere Artikel der Ausgabe 8/2016

Clinical Orthopaedics and Related Research® 8/2016 Zur Ausgabe

Arthropedia

Grundlagenwissen der Arthroskopie und Gelenkchirurgie. Erweitert durch Fallbeispiele, Videos und Abbildungen. 
» Jetzt entdecken

Notfall-TEP der Hüfte ist auch bei 90-Jährigen machbar

26.04.2024 Hüft-TEP Nachrichten

Ob bei einer Notfalloperation nach Schenkelhalsfraktur eine Hemiarthroplastik oder eine totale Endoprothese (TEP) eingebaut wird, sollte nicht allein vom Alter der Patientinnen und Patienten abhängen. Auch über 90-Jährige können von der TEP profitieren.

Arthroskopie kann Knieprothese nicht hinauszögern

25.04.2024 Gonarthrose Nachrichten

Ein arthroskopischer Eingriff bei Kniearthrose macht im Hinblick darauf, ob und wann ein Gelenkersatz fällig wird, offenbar keinen Unterschied.

Therapiestart mit Blutdrucksenkern erhöht Frakturrisiko

25.04.2024 Hypertonie Nachrichten

Beginnen ältere Männer im Pflegeheim eine Antihypertensiva-Therapie, dann ist die Frakturrate in den folgenden 30 Tagen mehr als verdoppelt. Besonders häufig stürzen Demenzkranke und Männer, die erstmals Blutdrucksenker nehmen. Dafür spricht eine Analyse unter US-Veteranen.

Ärztliche Empathie hilft gegen Rückenschmerzen

23.04.2024 Leitsymptom Rückenschmerzen Nachrichten

Personen mit chronischen Rückenschmerzen, die von einfühlsamen Ärzten und Ärztinnen betreut werden, berichten über weniger Beschwerden und eine bessere Lebensqualität.

Update Orthopädie und Unfallchirurgie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.