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  1. Article ; Online: Burnout in General Surgery Residents. Survey From the Spanish Association of Surgeons.

    Lucas-Guerrero, Victoria / Pascua-Solé, Mireia / Ramos Rodríguez, José Luis / Trinidad Borrás, Anna / González de Pedro, Carlos / Jover Navalón, José María / Rebasa, Pere / Targarona Soler, Eduardo Ma / Serra-Aracil, Xavier

    Cirugia espanola

    2020  Volume 98, Issue 8, Page(s) 442–449

    Abstract: Introduction: Physicians, especially surgeons, are significatively affected by burnout. Duty-hour violation, as well as discrimination, abuse and sexual harassment may contribute to burnout. A study about this topic has been published in residents from ... ...

    Title translation Desgaste profesional o burnout en los residentes de Cirugía General. Encuesta de la Asociación Española de Cirujanos.
    Abstract Introduction: Physicians, especially surgeons, are significatively affected by burnout. Duty-hour violation, as well as discrimination, abuse and sexual harassment may contribute to burnout. A study about this topic has been published in residents from United States, demonstrating a high incidence of burnout. Our objective is to know which is the situation in Spain and to compare it with United States.
    Methods: Cross-sectional observational study carried out in January-February 2020, based on the responses to a validated survey administered to General Surgery residents in Spain.
    Results: There are 931 General Surgery Residents. 739 have entered in the survey and 452 (61.2%) eventually responded to it. In any occasion during the training period, 55.1% reported discrimination based on their gender, 8.8% reported racial discrimination, 73.9% reported verbal/psychological abuse, 7.1% reported physical abuse and 16.4% reported sexual harassment. Attending surgeons are the most frequent source of sexual harassment and physical and verbal abuse, whereas patients are the most frequent cause of gender discrimination. Burnout symptoms were reported by 47.6% of residents and 4.6% reported suicidal thoughts. 98% of residents reported duty-hour violations and 47% of them do not have the day off after to be on call. Both of these issues are burnout predictive factors.
    Conclusions: Mistreatment (discrimination, abuse and harassment) occurs among General Surgery residents during their training period in our country. Every kind of mistreatment is more frequent in Spain than in the United States, with the exception of racial discrimination. It is associated with exceeding weekly duty-hour. It is necessary to know these problems and to avoid them in order to improve work environment of General Surgery training period.
    MeSH term(s) Burnout, Professional/diagnosis ; Burnout, Professional/epidemiology ; Cross-Sectional Studies ; Emotional Abuse/psychology ; Emotional Abuse/statistics & numerical data ; Female ; Humans ; Incidence ; Internship and Residency/statistics & numerical data ; Male ; Physical Abuse/psychology ; Physical Abuse/statistics & numerical data ; Racism/psychology ; Racism/statistics & numerical data ; Sexism/psychology ; Sexism/statistics & numerical data ; Sexual Harassment/psychology ; Sexual Harassment/statistics & numerical data ; Spain/epidemiology ; Suicidal Ideation ; Surgeons/organization & administration ; Surgeons/psychology ; Surveys and Questionnaires/statistics & numerical data ; United States/epidemiology ; Workplace/psychology
    Language Spanish
    Publishing date 2020-05-16
    Publishing country Spain
    Document type Comparative Study ; Journal Article ; Observational Study
    ISSN 2173-5077
    ISSN (online) 2173-5077
    DOI 10.1016/j.ciresp.2020.04.013
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: The surgical experience of general surgery residents: an analysis of the applicability of the specialty program in General and Digestive Surgery.

    Targarona Soler, Eduardo Ma / Jover Navalon, Jose Ma / Gutierrez Saiz, Javier / Turrado Rodríguez, Víctor / Parrilla Paricio, Pascual

    Cirugia espanola

    2015  Volume 93, Issue 3, Page(s) 152–158

    Abstract: Unlabelled: Residents in our country have achieved a homogenous surgical training by following a structured residency program. This is due to the existence of specific training programs for each specialty. The current program, approved in 2007, has a ... ...

    Abstract Unlabelled: Residents in our country have achieved a homogenous surgical training by following a structured residency program. This is due to the existence of specific training programs for each specialty. The current program, approved in 2007, has a detailed list of procedures that a surgeon should have performed in order to complete training. The aim of this study is to analyze the applicability of the program with regard to the number of procedures performed during the residency period.
    Material and methods: A data collection form was designed that included the list of procedures from the program of the specialty; it was sent in April 2014 to all hospitals with accredited residency programs. In September 2014 the forms were analysed, and a general descriptive study was performed; a subanalysis according to the resident's sex and Autonomous region was also performed. The number of procedures performed according to the number of residents in the different centers was also analyzed.
    Results: The survey was sent to 117 hospitals with accredited programs, which included 190 resident places. A total of 91 hospitals responded (53%). The training offered adapts in general to the specialty program. The total number of procedures performed in the different sub-areas, in laparoscopic and emergency surgery is correct or above the number recommended by the program, with the exception of esophageal-gastric and hepatobiliary surgery. The sub-analysis according to Autonomous region did not show any significant differences in the total number of procedures, however, there were significant differences in endocrine surgery (P=.001) and breast surgery (P=.042). A total of 55% of residents are female, with no significant differences in distribution in Autonomous regions. However, female surgeons operate more than their male counterparts during the residency period (512±226 vs. 625±244; P<.01). The number of residents in the hospital correlates with the number of procedures performed; the residents with more procedures trained in hospitals where there were less residents (669±237 vs. 527±209; P=.004).
    Conclusion: The surgical activity performed by spanish surgeons is adequate to the specialty program, except in hepatobiliary and esophageal-gastric surgery. The distribution is homogeneous in the different autonomous regions, although there are differences that depend on the number and sex the of residents in each hospital. This information is essential to evaluate the quality of the specialty program and to design new training programs.
    MeSH term(s) Curriculum ; Digestive System Surgical Procedures/education ; Female ; General Surgery/education ; Humans ; Internship and Residency ; Male
    Language Spanish
    Publishing date 2015-03
    Publishing country Spain
    Document type Journal Article
    ZDB-ID 730701-9
    ISSN 1578-147X ; 0009-739X
    ISSN (online) 1578-147X
    ISSN 0009-739X
    DOI 10.1016/j.ciresp.2015.01.001
    Database MEDical Literature Analysis and Retrieval System OnLINE

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