Veille documentaire MTPH

Auteur     Hannan A. Qureshi
Auteur     Roshni Rawlani
Auteur     Lauren M. Mioton
Auteur     Gregory A. Dumanian
Auteur     John Ys Kim
Auteur     Vinay Rawlani
Publication     Plastic and Reconstructive Surgery
ISSN     1529-4242
Date     Oct 29, 2014
Résumé     BACKGROUND:: Recent studies by the American College of Surgeons (ACS) reveal that nearly 40% of US surgeons exhibit signs of burnout. We endeavored to quantify the incidence of burnout among US plastic surgeons, determine identifiable risk factors, and evaluate its impact on quality of life. METHODS:: All US residing members of the American Society of Plastic Surgeons (ASPS) were invited to complete an anonymous survey between September 2010 and 2011. The survey contained a validated measure of burnout (Maslach Burnout Inventory) and evaluated surgeon demographics, professional and personal risk factors, career satisfaction, self-perceived medical errors, professional impairment, and family-home conflicts. RESULTS:: Of the 5,942 surgeons invited, 1,691 (28.5%) actively practicing US plastic surgeons completed the survey. The validated rate of burnout was 29.7%. Significant risk factors for burnout included subspecialty, number of hours worked and night calls per week, annual income, practice setting, and academic rank. Approximately one-fourth of plastic surgeons had significantly lower quality of life scores than the US population norm and this risk increases in burned out surgeons. In addition to having lower career satisfaction and more work-home conflicts, plastic surgeons with burnout also had nearly a two-fold increased risk of self-reported medical errors and self-reported impairment. CONCLUSIONS:: Over one-fourth of plastic surgeons in the US experience validated burnout, with concomitant attenuated career satisfaction and quality of life. Multivariate analysis identified predisposing factors that may aid in better understanding risk profiles that lead to burnout; therefore, efforts to understand and thereby avoid this burnout phenomenon are warranted.Level of Evidence: Prognostic/Risk II.