Neurosurgery trainee well-being in a pediatric neurosurgery hospital: baseline data to motivate toward implementing change

Maryam N. Shahin Department of Neurological Surgery, Doernbecher Children’s Hospital, Oregon Health & Science University, Portland, Oregon;

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V. Jane Horak Chicago Medical School, Rosalind Franklin University of Medicine and Science, North Chicago, Illinois;

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Hanna Kemeny Department of Neurological Surgery, Northwestern University Feinberg School of Medicine, Chicago, Illinois; and

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Mark W. Youngblood Department of Neurological Surgery, Northwestern University Feinberg School of Medicine, Chicago, Illinois; and

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Sandi K. Lam Department of Neurological Surgery, Northwestern University Feinberg School of Medicine, Chicago, Illinois; and
Division of Pediatric Neurosurgery, Ann & Robert H. Lurie Children’s Hospital, Chicago, Illinois

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Jeffrey S. Raskin Department of Neurological Surgery, Northwestern University Feinberg School of Medicine, Chicago, Illinois; and
Division of Pediatric Neurosurgery, Ann & Robert H. Lurie Children’s Hospital, Chicago, Illinois

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OBJECTIVE

The aim of this study was to obtain aggregated baseline pediatric neurosurgery well-being data at a tertiary care institution.

METHODS

An institutional grant funded the completion of the Maslach Burnout Inventory (MBI) by 100% (n = 13) of the trainees during a 1-year period, including 1 pediatric neurosurgery fellow and 12 residents from 4 regional neurosurgery training programs. Aggregated and anonymized group results included frequency scores ranging from 0 (never) to 6 (every day). The mean ± SD group scores were compared to the general population of > 11,000 people in the human services professions. Burnout profiles were calculated on the basis of MBI scale scores by using established comparisons to standardized normal values. Burnout profile types include engaged, ineffective, overextended, disengaged, and burnout.

RESULTS

The mean ± SD score for emotional exhaustion was 2.6 ± 1.1 for trainees compared with 2.3 ± 1.2 in the comparison population. The mean ± SD score for depersonalization was 1.6 ± 1 compared with 1.7 ± 1.2 in the comparison population. The mean ± SD score for personal accomplishment was 4.9 ± 0.7 compared with 4.3 ± 0.9 in the comparison population. Profiles were classified as engaged (n = 6), ineffective (n = 3), overextended (n = 3), and burnout (n = 1).

CONCLUSIONS

Problematic profiles were present for more than half (7 [53.8%]) of pediatric neurosurgery trainees who cited higher emotional exhaustion than the general population of healthcare providers. Trainees scored lower in depersonalization and higher in personal accomplishment compared with the general population, which are both protective against burnout. Targeting factors that contribute to emotional exhaustion may have an impact on improving the overall well-being of pediatric neurosurgery trainees.

ABBREVIATIONS

HSS = Human Services Survey; LCH = Ann & Robert H. Lurie Children’s Hospital of Chicago; MBI = Maslach Burnout Inventory; PRB-RSC = Pediatric Resident Burnout-Resilience Study Consortium.
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Illustration from Caklili et al. (pp 223–235). © Savas Ceylan, published with permission.

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