Abstract
Background: Burnout and depression in General Surgery residents affect patient care and drive attrition. Few impactful interventions exist, in part because little is known about influential drivers and mechanistic relationships. Methods: Residents from 16 general surgery programs completed published well-being scales in January 2021. Social network analysis demonstrated influential relationships between factors, and path analysis revealed drivers of burnout and depression. Results: 300 residents completed the survey (34% response rate). Workplace demand and mindfulness influenced depressive symptoms and emotional exhaustion, mediated by perceived stress. Mindfulness increased personal accomplishment, mediated by psychological well-being (p < 0.05 for all results). All mediated effects were greater than direct effects. Conclusions: This study yielded a quantitative conceptual model of mechanistic relationships affecting well-being in surgical residency, identifying stress and psychological well-being (measuring sense of purpose) as central mediators, and triangulating workplace demand and mindfulness as potentially high-yield interventional targets for reducing burnout and depression in surgical residency.
Original language | English (US) |
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Pages (from-to) | 45-51 |
Number of pages | 7 |
Journal | American journal of surgery |
Volume | 228 |
DOIs | |
State | Published - Feb 2024 |
Bibliographical note
Publisher Copyright:© 2023 Elsevier Inc.
Keywords
- Burnout
- Depression
- Mindfulness
- Residency
- Training
- Well-being
PubMed: MeSH publication types
- Journal Article