Journal article
Investigating influential factors and mechanisms of surgical resident well-being using social network analysis
The American journal of surgery, Vol.228, pp.45-51
02/2024
DOI: 10.1016/j.amjsurg.2023.09.004
PMID: 37722938
Abstract
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.
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.
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.
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.
•This national study quantitatively modeled well-being in general surgery residency.•Analysis yielded drivers and mediators of well-being outcomes.•Workplace demand and mindfulness are key influences on burnout and depression.•Stress and psychological well-being mediate these effects.•Workplace demand and mindfulness are high-yield interventional targets.
Details
- Title: Subtitle
- Investigating influential factors and mechanisms of surgical resident well-being using social network analysis
- Creators
- Ari S. Coopersmith - University of California, San FranciscoMichael H. Berler - University of California, San FranciscoBrianna Johnston - University of California, San FranciscoLillian Knutilla - University of California, San FranciscoAnya L. Edwards - University of California, San FranciscoCarter C. Lebares - University of California, San FranciscoCelia Divino - Icahn School of Medicine at Mount SinaiJennifer N. Choi - University of IndianapolisJennifer E. Hrabe - University of IowaJulia S. Shelton - University of IowaChristopher M. Foglia - Texas Health DallasVaruna Sundaram - Texas Health DallasBrooke Gurland - Stanford UniversityDavid A. Spain - Stanford UniversityMatthew Hanlon - SUNY Upstate Medical UniversityAndreas H. Meier - SUNY Upstate Medical UniversityKelly R. Haisley - The Ohio State University Wexner Medical CenterAlan Harzman - The Ohio State University Wexner Medical CenterEmily Huang - The Ohio State University Wexner Medical CenterJennifer Preston - University of ArizonaValentine Nfonsam - University of ArizonaTaylor S. Riall - University of ArizonaBarnard J.A. Palmer - Department of Surgery, UCSF-East Bay, Oakland, CA, USAGregory P. Victorino - Department of Surgery, UCSF-East Bay, Oakland, CA, USATim R. Donahue - Department of Surgery, David Geffen School of Medicine at University of California Los Angeles, Los Angeles, CA, USAVeronica F. Sullins - Department of Surgery, David Geffen School of Medicine at University of California Los Angeles, Los Angeles, CA, USAKenzo Hirose - University of California, San FranciscoLinda M. Reilly - University of California, San FranciscoKshama R. Jaiswal - University of Colorado DenverMark R. Nehler - University of Colorado DenverMelissa Brunsvold - University of MinnesotaDaniel E. Kendrick - University of MinnesotaM. Timothy Nelson - University of OklahomaRobert B. Lim - University of OklahomaKaren D. Horvath - University of WashingtonLorrie A. Langdale - University of WashingtonRebecca Maine - University of WashingtonGeneral Surgery Research Collaborative on Resident Wellbeing
- Resource Type
- Journal article
- Publication Details
- The American journal of surgery, Vol.228, pp.45-51
- Publisher
- Elsevier Inc
- DOI
- 10.1016/j.amjsurg.2023.09.004
- PMID
- 37722938
- ISSN
- 0002-9610
- eISSN
- 1879-1883
- Grant note
- DOI: 10.13039/100006240, name: Association for Surgical Education; DOI: 10.13039/100015514, name: Department of Surgery, School of Medicine, University of North Carolina at Chapel Hill; DOI: 10.13039/100003608, name: Association for Surgical Education Foundation, award: 2021-ASEF-P
- Language
- English
- Electronic publication date
- 09/2023
- Date published
- 02/2024
- Academic Unit
- Stead Family Department of Pediatrics; Surgery
- Record Identifier
- 9984464480302771
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