Evidence map›Paper›PMID 42312558›Full record

ArticleAnnals of surgery2026

A National Assessment of Well-being and Mistreatment Among Academic General Surgery Faculty.

Kellie A Brue, Sarah E Huber, Joshua S Eng, Brian Ruedinger, Daniela Amortegui, Natalia Mackiewicz, Yue-Yung Hu, Karl Y Bilimoria, Amy L Holmstrom

Abstract read
In one paragraph

Article in Annals of surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

9 authors.

Kellie A BrueSurgical Outcomes and Quality Improvement Center (SOQIC), Department of Surgery, Indiana University School of Medicine, Indianapolis, IN.
Sarah E HuberSurgical Outcomes and Quality Improvement Center (SOQIC), Department of Surgery, Indiana University School of Medicine, Indianapolis, IN.
Joshua S EngSurgical Outcomes and Quality Improvement Center (SOQIC), Department of Surgery, Indiana University School of Medicine, Indianapolis, IN.
Brian RuedingerSurgical Outcomes and Quality Improvement Center (SOQIC), Department of Surgery, Indiana University School of Medicine, Indianapolis, IN.
Daniela AmorteguiSurgical Outcomes and Quality Improvement Center (SOQIC), Department of Surgery, Indiana University School of Medicine, Indianapolis, IN.
Natalia MackiewiczSurgical Outcomes and Quality Improvement Center (SOQIC), Department of Surgery, Indiana University School of Medicine, Indianapolis, IN.
Yue-Yung HuSurgical Outcomes and Quality Improvement Center (SOQIC), Department of Surgery, Indiana University School of Medicine, Indianapolis, IN.
Karl Y BilimoriaSurgical Outcomes and Quality Improvement Center (SOQIC), Department of Surgery, Indiana University School of Medicine, Indianapolis, IN.
Amy L HolmstromSurgical Outcomes and Quality Improvement Center (SOQIC), Department of Surgery, Indiana University School of Medicine, Indianapolis, IN.ORCID 0009-0000-4142-2398

Funding

Surgical Oncology Research Training at Indiana (SORTI)T32CA282070 · NCI · INDIANA UNIVERSITY INDIANAPOLIS · PI KARL Y BILIMORIA, Harikrishna Nakshatri · 2024 to 2026
$1.5M
CTSA Postdoctoral T32 at Indiana UniversityT32TR004389 · NCATS · INDIANA UNIVERSITY INDIANAPOLIS · PI THOMAS D. HURLEY, MARY A MCDOWELL · 2024 to 2026
$760k
NCATS NIH HHS T32 TR004389NCI NIH HHS T32 CA282070
6 · The paper itself

Abstract

objectivesTo define the prevalence of poor faculty well-being and workplace mistreatment and investigate factors impacting surgical faculty well-being. SUMMARY BACKGROUND DATA: Recent qualitative data suggests that faculty well-being has been largely unaddressed. Rates of poor faculty well-being are undefined and workplace factors influencing well-being are poorly characterized.

methodsA national cross-sectional survey was sent to all general surgery faculty through the ACGME in 2024. Multivariable logistic regression models evaluated associations of faculty and departmental characteristics with measures of well-being.

resultsResponses from 3253 (30.0% response rate) surgical faculty from all 350 general surgery programs were analyzed. Weekly burnout symptoms were reported by 34.9% of faculty, thoughts of attrition were reported by 30.2%, and suicidal thoughts were reported by 4.4%. Mistreatment was reported by 66.2% of faculty (n= 2132), including bullying (54.4%), discrimination (46.3%), or sexual harassment (13.2%). Women reported significantly higher mistreatment (88.6% vs. 55.7%, P <0.001). Faculty were more likely to report burnout if they were women (OR 1.30, 95% CI: 1.06-1.60) or working >70 hours/week (aOR 2.09, 95% CI: 1.63-2.68) or >7 nights on call/month on average (aOR 1.58, 95% CI: 1.30-1.93). Faculty were more likely to consider leaving their job if they were non-White (aOR 1.25, 95% CI: 1.04-1.51), childless (aOR 1.32, 95% CI: 1.05-1.67), or making < $350K (aOR 2.00, 95% CI: 1.34-2.97). After adjusting for mistreatment, the association between gender and burnout was no longer observed (aOR 0.95, 95% CI: 0.77-1.18).

conclusionsBurnout and mistreatment are common, especially among female surgeons, which may be driven by differential workplace mistreatment. These results provide actionable targets for interventions within institutions to improve surgeon well-being.

Indexed as

Burnout, ProfessionalFaculty, MedicalGeneral SurgeryAcademiaBullyingCross-Sectional StudiesFemaleHumansMalePsychological Well-BeingSexual HarassmentSurveys and QuestionnairesUnited StatesWorking Conditionsattritionbullyingburnoutdiscriminationfemale surgeonsmistreatmentsexual harassmentsuicidalitysurgical facultywell-being

Identifiers

PMID42312558
PMCPMC13440652

What OpenQuestion holds

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Registered trials

None linked

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.