Evidence map›Paper›PMID 35141639›Full record

ArticleNorth American Spine Society journal2021

Factors associated with burnout amongst medical students, residents, and attendings in Orthopaedics.

David S Kirwin, Harold G Moore, Taylor D Ottesen, Alexander M Moushey, Marissa A Justen, Jonathan N Grauer

Abstract read
In one paragraph

Article in North American Spine Society journal, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

David S KirwinYale University School of Medicine, New Haven, CT, USA.
Harold G MooreWeill Cornell Medical College, New York, NY, USA.
Taylor D OttesenYale University School of Medicine, New Haven, CT, USA.
Alexander M MousheyYale University School of Medicine, New Haven, CT, USA.
Marissa A JustenYale University School of Medicine, New Haven, CT, USA.
Jonathan N GrauerDepartment of Orthopaedics and Rehabilitation, Yale University School of Medicine, New Haven, CT, USA.

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Short-Term Reserch Training: Students in Health SchoolsT35HL007649 · NHLBI · YALE UNIVERSITY · PI Sarwat I Chaudhry, Erica L Herzog · 1987 to 2026
$5.7M
NCATS NIH HHS UL1 TR001863NHLBI NIH HHS T35 HL007649
6 · The paper itself

Abstract

backgroundBurnout is an important and timely topic in medicine as a whole and spine orthopaedics as a specialty. Prior studies analyzing burnout in orthopaedics generally assess for the prevalence of burnout, without using a targeted analysis on possible causes and/or the potential association with work hours. In addition, burnout has not been assessed along the spectrum of the orthopaedist's career.

methodsAn anonymous survey was given to 24 medical students on surgical rotations, 20 orthopaedic residents, and 20 orthopaedic surgeons between June 2019 and August 2019 at a single academic institution. The survey inquired about demographics, general attributes, work hours, and included the aMBI (abbreviated Maslach Burnout Inventory [aMBI]).

resultsResidents worked the most hours per week (p <0.0001). Job satisfaction and home support were not significantly different between students, residents, and attendings. Control over life/schedule was greatest for attendings (p=0.0036).In terms of the aMBI scores, depersonalization was highest for residents (p=0.0020), and personal accomplishment was highest for attendings (p=0.0095).Taking all survey participants together, increased work hours correlated with greater depersonalization (p=0.015), greater sense of personal accomplishment (p=0.049), but was not correlated with emotional exhaustion. Higher job satisfaction correlated with lower emotional exhaustion and higher personal accomplishment.

conclusionWith work hours correlating with depersonalization and personal accomplishment, continuing to focus on these factors seems important. With higher job satisfaction correlating with lower emotional exhaustion and higher personal accomplishment, burnout is a topic that will need to continue to be addressed for the well-being of our profession.

Identifiers

PMID35141639
PMCPMC8819969

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.