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Identification of Surgeon Burnout via a Single-Item Measure

Houdmont, J; Daliya, P; Adiamah, A; Theophilidou, E; Hassard, J; Lobo, D N; Ahmed, Jamil; Babu, Victor; Baker, Daryll; Bartlett, David; Beckingham, Ian; Bhatti, Imran; Brooks, Adam; Brown, Steven; Burke, Josh; Byrne, Hannah; Chetter, Ian; Cook, Hannah; Coulston, James; Cruddas, Lucinda; Dias, Richard; Dor, Frank; Dube, Mukul; Grant, Katherine; Hammond, John; Hargest, Rachel; Joachim, Theophilus; Joseph, Annie; Kara, Naveed; Karavias, Dimitrios; Kotecha, Sita; Kushairi, Anisa; Lal, Roshan; Lam, Kit; Lasrado, Irwin; Lee, Rachel; Mann, Gurminder; Mannu, George; Maxwell-Armstrong, Charles; McCaslin, James; McDermot, Frank; Miller, Andrew; Miller, Sarah; Morgan, Jenna; Nandhra, Sandip; Narayanasamy, Sangara; O’Brien, Patrick; Parry, Laura; Peters, Kizzie; Pitsika, Marina; Psaltis, Emmanouil; Sargen, Kevin; Sarmah, Panchali; Shyamsundar, Murali; Reddy, Chinnappa; Rollins, Katie; Roslan, Farah; Shalhoub, Joseph; Stanislas, Matt; Tan, Benjamin; Tewari, Nilanjana; Thomas, Pradeep; Thomas, Tony;...

Authors

P Daliya

A Adiamah

E Theophilidou

DILEEP LOBO dileep.lobo@nottingham.ac.uk
Professor of Gastrointestinal Surgery

Jamil Ahmed

Victor Babu

Daryll Baker

David Bartlett

Ian Beckingham

Imran Bhatti

Adam Brooks

Steven Brown

Josh Burke

Hannah Byrne

Ian Chetter

Hannah Cook

James Coulston

Lucinda Cruddas

Richard Dias

Frank Dor

Mukul Dube

Katherine Grant

John Hammond

Rachel Hargest

Theophilus Joachim

Annie Joseph

Naveed Kara

Dimitrios Karavias

Sita Kotecha

Anisa Kushairi

Roshan Lal

Kit Lam

Irwin Lasrado

Rachel Lee

Gurminder Mann

George Mannu

Charles Maxwell-Armstrong

James McCaslin

Frank McDermot

Andrew Miller

Sarah Miller

Jenna Morgan

Sandip Nandhra

Sangara Narayanasamy

Patrick O’Brien

Laura Parry

Kizzie Peters

Marina Pitsika

Emmanouil Psaltis

Kevin Sargen

Panchali Sarmah

Murali Shyamsundar

Chinnappa Reddy

Katie Rollins

Farah Roslan

Joseph Shalhoub

Matt Stanislas

Benjamin Tan

Nilanjana Tewari

Pradeep Thomas

Tony Thomas

Jim Tiernan

Giles Toogood

Karl Trimble

Peter Vauhan

Luke Wheldon

Steven White

Tim White

Imeshi Wijetunga

Michael Wilson

Rebecca Winterborn

Lynda Wyld

Lora Young



Abstract

Background
Burnout is endemic in surgeons in the UK and linked with poor patient safety and quality of care, mental health problems, and workforce sustainability. Mechanisms are required to facilitate the efficient identification of burnout in this population. Multi-item measures of burnout may be unsuitable for this purpose owing to assessment burden, expertise required for analysis, and cost.

Aims
To determine whether surgeons in the UK reporting burnout on the 22-item Maslach Burnout Inventory (MBI) can be reliably identified by a single-item measure of burnout. Methods Consultant (n = 333) and trainee (n = 217) surgeons completed the MBI and a single-item measure of burnout. We applied tests of discriminatory power to assess whether a report of high burnout on the single-item measure correctly classified MBI cases and non-cases.

Results
The single-item measure demonstrated high discriminatory power on the emotional exhaustion burnout domain: the area under the curve was excellent for consultants and trainees (0.86 and 0.80), indicating high sensitivity and specificity. On the depersonalisation domain, discrimination was acceptable for consultants (0.76) and poor for trainees (0.69). In contrast, discrimination was acceptable for trainees (0.71) and poor for consultants (0.62) on the personal accomplishment domain.

Conclusions
A single-item measure of burnout is suitable for the efficient assessment of emotional exhaustion in consultant and trainee surgeons in the UK. Administered regularly, such a measure would facilitate the early identification of at-risk surgeons and swift intervention, as well as the monitoring of group-level temporal trends to inform resource allocation to coincide with peak periods.

Citation

Houdmont, J., Daliya, P., Adiamah, A., Theophilidou, E., Hassard, J., Lobo, D. N., …Young, L. (2022). Identification of Surgeon Burnout via a Single-Item Measure. Occupational Medicine, 72(9), 641-643. https://doi.org/10.1093/occmed/kqac116

Journal Article Type Article
Acceptance Date Oct 5, 2022
Online Publication Date Oct 31, 2022
Publication Date 2022-12
Deposit Date Nov 3, 2022
Publicly Available Date Nov 3, 2022
Journal Occupational Medicine
Print ISSN 0962-7480
Electronic ISSN 1471-8405
Publisher Oxford University Press (OUP)
Peer Reviewed Peer Reviewed
Volume 72
Issue 9
Pages 641-643
DOI https://doi.org/10.1093/occmed/kqac116
Keywords Public Health, Environmental and Occupational Health
Public URL https://nottingham-repository.worktribe.com/output/13175942
Publisher URL https://academic.oup.com/occmed/article/72/9/641/6782930
Additional Information Burnout Study Group: Jamil Ahmed, Victor Babu, Daryll Baker, David Bartlett, Ian Beckingham, Imran Bhatti, Adam Brooks, Steven Brown, Josh Burke, Hannah Byrne, Ian Chetter, Hannah Cook, James Coulston, Lucinda Cruddas, Richard Dias, Frank Dor, Mukul Dube, Katherine Grant, John Hammond, Rachel Hargest, Theophilus Joachim, Annie Joseph, Naveed Kara, Dimitrios Karavias, Sita Kotecha, Anisa Kushairi, Roshan Lal, Kit Lam, Irwin Lasrado, Rachel Lee, Gurminder Mann, George Mannu, Charles Maxwell-Armstrong, James McCaslin, Frank McDermot, Andrew Miller, Sarah Miller, Jenna Morgan, Sandip Nandhra, Sangara Narayanasamy, Patrick O’Brien, Laura Parry, Kizzie Peters, Marina Pitsika, Emmanouil Psaltis, Kevin Sargen, Panchali Sarmah, Murali Shyamsundar, Chinnappa Reddy, Katie Rollins, Farah Roslan, Joseph Shalhoub, Matt Stanislas, Benjamin Tan, Nilanjana Tewari, Pradeep Thomas, Tony Thomas, Jim Tiernan, Giles Toogood, Karl Trimble, Peter Vauhan, Luke Wheldon, Steven White, Tim White, Imeshi Wijetunga, Michael Wilson, Rebecca Winterborn, Lynda Wyld, Lora Young.

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