scholarly journals Burnout in Surgical Trainees: a Narrative Review of Trends, Contributors, Consequences and Possible Interventions

2021 ◽  
Author(s):  
Judith Johnson ◽  
Tmam Abdulaziz Al-Ghunaim ◽  
Chandra Shekhar Biyani ◽  
Anthony Montgomery ◽  
Roland Morley ◽  
...  
Keyword(s):  
Well Being ◽  
Work Conditions ◽  
Linear Increase ◽  
Surgical Trainee ◽  
Safe Patient Care ◽  
The Past ◽  
Surgical Trainees ◽  
Training Programmes ◽  
The Impact ◽  
And Training

AbstractSurgical disciplines are popular and training places are competitive to obtain, but trainees report higher levels of burnout than either their non-surgical peers or attending or consultant surgeons. In this review, we critically summarise evidence on trends and changes in burnout over the past decade, contributors to surgical trainee burnout, the personal and professional consequences of burnout and consider the evidence for interventions. There is no evidence for a linear increase in burnout levels in surgeons over the past decade but the impact of the COVID-19 pandemic has yet to be established and is likely to be significant. Working long hours and experiencing stressful interpersonal interactions at work are associated with higher burnout in trainees but feeling more supported by training programmes and receiving workplace supervision are associated with reduced burnout. Burnout is associated with poorer overall mental and physical well-being in surgical trainees and has also been linked with the delivery of less safe patient care in this group. Useful interventions could include mentorship and improving work conditions, but there is a need for more and higher quality studies.

scholarly journals ‘Slepen al the nyght with open ye’: Personal reflections after 35 years of being on-call

2020 ◽  
Vol 10 (3) ◽  
pp. 20190095 ◽  
Author(s):  
Chris Fitzpatrick
Keyword(s):  
Well Being ◽  
The Past ◽  
Clinical Events ◽  
European Working ◽  
Personal Reflections ◽  
Shift Length ◽  
Medical Specialities ◽  
Working Time Directive ◽  
The Impact ◽  
And Training

The European Working Time Directive (2003) has had a significant impact in reducing the total number of hours worked per week, as well as shift-lengths. There is, however, no agreement on optimal shift-lengths and day/night work balance in different medical specialities. Given the time it takes for clinical events to unfold, particularly in relation to labour, there may be advantages in retaining the 24 hours on-call shift for obstetricians––in the interests of patient care and training. Increasingly seen as a relic of the past, this shift-length merits further research, which should include the impact on clinician well-being.

Voices of Distress: The Emotional Peril of Not Attaining a Dietetic Internship in Ontario

2013 ◽  
Vol 1 (3) ◽  
pp. 9
Author(s):  
Jennifer Lee Brady ◽  
Annie Hoang ◽  
Olivia Siswanto ◽  
Jordana Riesel ◽  
Jacqui Gingras
Keyword(s):  
Empirical Research ◽  
Current Model ◽  
Well Being ◽  
Structured Interview ◽  
Application Process ◽  
Dietetic Education ◽  
Dietetic Internship ◽  
The Impact ◽  
And Training ◽  
Future Growth

Obtaining dietetic licensure in Ontario requires completion of a Dietitians of Canada (DC) accredited four-year undergraduate degree in nutrition and an accredited post-graduate internship or combined Master’s degree program. Given the scarcity of internship positions in Ontario, each year approximately two-thirds of the eligible applicants who apply do not receive a position XX, XX, XX, XX, XX, XX, in press). Anecdotally, not securing an internship position is known to be a particularly disconcerting experience that has significant consequences for individuals’ personal, financial, and professional well-being. However, no known empirical research has yet explored students’ experiences of being unsuccessful in applying for internship positions. Fifteen individuals who applied between 2005 and 2009 to an Ontario-based dietetic internship program, but were unsuccessful at least once, participated in a one-on-one semi-structured interview. Findings reveal that participants’ experiences unfold successively in four phases that are characterized by increasingly heightened emotional peril: naïveté, competition, devastation, and frustration. The authors conclude that the current model of dietetic education and training in Ontario causes lasting distress to students and hinders the future growth and vitality of the dietetic profession. Further research is required to understand the impact of the current model on dietetic educators, internship coordinators, and preceptors as coincident participants in the internship application process.

scholarly journals P38 COVID-19 impact on Surgical Training And Recovery Planning (COVID-STAR) Survey

BJS Open ◽  
2021 ◽  
Vol 5 (Supplement_1) ◽  
Author(s):  
◽  
Joshua Clements
Keyword(s):  
Surgical Training ◽  
Negative Impact ◽  
Healthcare Delivery ◽  
Cross Sectional Study ◽  
Surgical Trainee ◽  
Surgical Specialty ◽  
Cross Sectional ◽  
Training Time ◽  
Surgical Trainees ◽  
And Training

Abstract Background The COVID-19 pandemic has resulted in dynamic changes to healthcare delivery. Surgery as a specialty has been significantly affected and with that the delivery of surgical training. Method This national, collaborative, cross sectional study comprising 13 surgical trainee associations distributed a pan surgical specialty survey on the COVID-19 impact on surgical training over a 4-week period (11th May - 8th June 2020). The survey was voluntary and open to medical students and surgical trainees of all specialties and training grades. All aspects of training were qualitatively assessed. This study was reported according to STROBE guidelines. Results 810 completed responses were analysed. (M401: F 390) with representation from all deaneries and training grades. 41% of respondents (n = 301) were redeployed with 74% (n = 223) redeployed > 4 weeks. Complete loss of training was reported in elective operating (69.5% n = 474), outpatient activity (67.3%, n = 457), Elective endoscopy (69.5% n = 246) with > 50% reduction in training time reported in emergency operating (48%, n = 326) and completion of work-based assessments (WBA) (46%, n = 309). 81% (n = 551) reported course cancellations and departmental and regional teaching programmes were cancelled without rescheduling in 58% and 60% of cases respectively. A perceived lack of Elective operative exposure and completions of WBA’s were the primary reported factor affecting potential training progression. Overall, > 50% of trainees (n = 377) felt they would not meet the competencies required for that training period. Conclusion This study has demonstrated a perceived negative impact on numerous aspects of surgical training affecting all training specialties and grades.

scholarly journals The Science of Ageism: Two Steps Forward, One Step Back

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 646-646
Author(s):  
Jerin Lee ◽  
Natalie Shook
Keyword(s):  
Psychological Health ◽  
Well Being ◽  
Census Bureau ◽  
Complex Nature ◽  
The Past ◽  
Growing Pains ◽  
Research Findings ◽  
One Step ◽  
Prejudicial Attitudes ◽  
The Impact

Abstract The past two decades have been marked by a rapidly aging population in the U.S. (U.S. Census Bureau, 2018), making prejudicial attitudes toward older adults (i.e., ageism) and the impact of such attitudes more relevant. As such, ageism researchers have worked tirelessly to not only understand this normalized and insidious form of bias, but also develop efforts to combat it. This symposium will feature four ageism researchers who will showcase both the growing pains and novel contributions of ageism research, ranging from the impact of ageism on psychological health to ageism interventions to issues related to the measurement of ageism. Specifically, Dr. Ayalon will present findings regarding difficulties with the assessment of exposure to ageism and the consequences of ageism for psychological well-being. Dr. Horhota will share research demonstrating challenges associated with confronting ageism. Dr. Levy will present a model showcasing factors associated with the reduction of ageism. Ms. Lee will discuss research findings examining the construct validity of several ageism measures. These talks highlight theoretical and real-world implications associated with the complex nature of ageism, providing important directions for enriching ageism research going forward.

scholarly journals Maudsley International: improving mental health and well-being around the world

2018 ◽  
Vol 15 (3) ◽  
pp. 49-51 ◽  
Author(s):  
Nick Bouras ◽  
Silvia Davey ◽  
Tracey Power ◽  
Jonathan Rolfe ◽  
Tom Craig ◽  
...  
Keyword(s):  
Mental Health ◽  
Social Care ◽  
Well Being ◽  
Building Capacity ◽  
The Past ◽  
Health And Social Care ◽  
The World ◽  
Set Up ◽  
Health And Well Being ◽  
And Training

Maudsley International was set up to help improve people's mental health and well-being around the world. A variety of programmes have been developed by Maudsley International over the past 10 years, for planning and implementing services; building capacity; and training and evaluation to support organisations and individuals, professionals and managers to train and develop health and social care provisions. Maudsley International's model is based on collaboration, sharing expertise and cultural understanding with international partners.

Prestige versus Practicality—A Dilemma for the Engineering Profession

1985 ◽  
Vol 199 (3) ◽  
pp. 139-144 ◽  
Author(s):  
K McCormick
Keyword(s):  
Educational System ◽  
Well Being ◽  
Education And Training ◽  
Working Environment ◽  
Full Time ◽  
Engineering Profession ◽  
The Past ◽  
Social Prestige ◽  
The Social ◽  
And Training

British engineers have claimed that their important contributions to economic and social well-being, based on their achievements as practical people, have gone unrecognized or unrewarded. Yet over the past thirty years efforts to boost the social prestige of British engineers appear to have undermined the social arrangements which fostered the strong practical ethos. Increasing reliance on the full-time educational system is tending to raise social prestige through bringing the ‘all graduate profession’ and through trends to recruitment from higher social backgrounds. Yet these trends have been associated with a fall in traditional and recognizable training. This paper examines both the nature of the ‘practical’ tradition and efforts to raise ‘prestige’ and asks whether the engineering profession is caught on the horns of an irresolvable dilemma—to boost either prestige or practicality. The paper concludes that in principle the British pattern of education and training has much to commend it still, with the strong emphasis on training elements in a working environment. But it is argued that its success will depend on engineers and their employers becoming much more active in the field of training.

scholarly journals ANALYSIS OF METEOROLOGICAL CONDITIONS SIGNIFICANT FOR SMALL AVIATION AND TRAINING FLIGHTS AT THE AIRFIELD “BALKHASH” FOR PLANNING AND FLIGHT SAFETY PURPOSES

2021 ◽  
Vol 2 (446) ◽  
pp. 62-67
Author(s):  
N. Dolzhenko ◽  
E. Mailyanova ◽  
I. Assilbekova ◽  
Z. Konakbay
Keyword(s):  
Meteorological Conditions ◽  
Flight Safety ◽  
The Past ◽  
The Republic ◽  
The Impact ◽  
And Training ◽  
Term Data ◽  
Small Aircraft

Cloudiness and range of visibility are the most significant flight conditions for aircraft. The impact of clouds and visibility on the safety of aircraft flights, especially small aircraft, cannot be overestimated. According to the Interstate Air Committee, Kazakhstan ranks second in the number of aviation disasters. The average age of a third of Kazakhstan's small aircraft is more than 30 years. Over the past few years, 14 air accidents have occurred in the Republic of Kazakhstan, 11 of them with small aircraft. In this work, we investigate long-term data on cloudiness and visibility at the most weather-favorable airfield in Balkhash, for the possibility of safe and economical flights of small aircraft and planning training flights.

scholarly journals Trainees4trainees: an innovative peer support project for junior doctors across specialties

BJPsych Open ◽  
2021 ◽  
Vol 7 (S1) ◽  
pp. S126-S126
Author(s):  
Sophie Behrman ◽  
Aisling Higham ◽  
Haido Vlachos ◽  
Gerti Stegen
Keyword(s):  
Peer Support ◽  
Support Groups ◽  
Psychological Impact ◽  
Working Hours ◽  
Well Being ◽  
Training Programme ◽  
Mental Wellbeing ◽  
Junior Doctors ◽  
Training Programmes ◽  
The Impact

AimsThe BMA's survey results (Caring for the Mental Health of the Medical Workforce, 2019) and HEE's NHS Staff and Learners’ Mental Wellbeing Commission report (2019) highlighted declining staff wellbeing. The COVID-19 pandemic has sharpened focus on this and the effects of moral injury on healthcare professionals. Shielding, social distancing and redeployment led to many medical trainees being increasingly isolated at a time of heightened anxiety and adversity. Psychiatry trainees tend to have good access to reflective groups, but this is not customary in other training programmes.MethodIntervention“Trainees4trainees” was set up by trainees across specialties as a HEE-TV well-being project, led by the Deanery Trainee Improvement Fellow. Peer support groups are run on Zoom, facilitated by 2 trainees with special training in peer support. Psychiatry trainees have been involved in designing and facilitating groups and training facilitators from other specialties; facilitators have regular supervision from a consultant psychiatrist in medical psychotherapy. Trainees are supported to discuss challenging experiences and think about their emotional responses in a supportive and validating group.ResultFeedbackWe are in the process of formal data collection to assess the impact of the intervention. Informal feedback suggests the groups are a powerful support to individuals who otherwise have no avenue to think about the psychological impact of their experiences. The groups have supported trainees to feel less isolated and bolstered their resilience.ConclusionFuture plansWe have faced challenges in the practicalities of establishing and maintaining groups. We are working with Training Programme Directors to move towards running the groups in protected time within working hours and advocate that reflective groups, such as our peer support groups, are a key part of future medical and surgical Training Programmes.

scholarly journals 982 Higher General Surgical Trainee preferences for Annual Review of Competency Progression during COVID-19 Pandemic

2021 ◽  
Vol 108 (Supplement_6) ◽  
Author(s):  
K Khan ◽  
G Torpiano ◽  
N Galbraith ◽  
M McLellan ◽  
A Lannigan
Keyword(s):  
Surgical Training ◽  
Annual Review ◽  
Surgical Trainee ◽  
Training Groups ◽  
Surgical Trainees ◽  
The Impact

Abstract Aim The COVID-19 pandemic has caused significant disruption in surgical training. We aim to explore the preferences of higher general surgical trainees for Annual Review of Competency Progression (ARCP) also compare the responses across different training grades. Method All higher general surgical trainee in a single deanery were invited to participate in an online voluntary anonymous survey. The respondents were divided in two groups: junior (ST3-ST5) and senior higher surgical trainees (ST6-ST8) and responses compared. Results Sixty-four of 88 trainees responded. Thirty-three (51.6%) were ST3–ST5, 24 (37.5%) were ST6–ST8 and 7 (10.9%) were out-of-training. More trainees in ST3–ST5 group preferred to defer the next rotation for 12 months (18.2% vs 0%, p = 0.034), repeat current sub-specialty (33.3% vs 4.2%, p = 0.009), or add 12 months to training and delay predicted CCT date by 12 months (18.2% vs 0%, p = 0.034). Most trainees in both groups preferred the option of prolonging training should be offered to all trainees with an option to decline extension if ARCP competencies met (66.7% vs 50.0%, p = 0.276). Conclusions The preference for ARCP and length of training was different between two training groups, hence the need of trainees should be considered by training committees when addressing the impact of COVID-19.

Implementing schools of surgery

2007 ◽  
Vol 89 (10) ◽  
pp. 352-353 ◽  
Author(s):  
Ruth Graham ◽  
Kate Bowman ◽  
Rob Gillies
Keyword(s):  
Education And Training ◽  
Quality Education ◽  
Organisational Structure ◽  
High Quality Education ◽  
Training Systems ◽  
The Past ◽  
Organisational Structures ◽  
Training Programmes ◽  
High Level ◽  
And Training

The past year of surgical education and training has been characterised with transformations of curricula, recruitment, regulation and organisational structures. As part of the organisational structure of the postgraduate deaneries in England, Wales and Northern Ireland, schools of surgery have been established or are emerging and are the means of delivery of the new training systems. In Scotland a different organisational structure has emerged with similar purpose, a surgical specialties training board. The establishment of these schools has been varied based on existing local training committee structures and the needs and funds of the deanery. At their heart is high-level deanery and College collaboration enabling the delivery of high-quality education and training programmes in a coordinated manner by local surgeons.

Sign in / Sign up

Export Citation Format

Share Document