Satisfaction and wellbeing of general surgery trainees in the Saudi Arabian residency educational environment: A mixed-methods study

IF 1.4 Q3 SURGERY Surgery open science Pub Date : 2024-07-05 DOI:10.1016/j.sopen.2024.06.011
Mohammed F. Shaheen , Abdulrahman Y. Alhabeeb , Moustafa S. Alhamadh , Meshal A. Alothri , Rakan S. Aldusari
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Abstract

Background

Surgical residency training is prominently demanding and stressful. This can affect the residents' wellbeing, work-life balance and increase the rates of burnout. We aimed to assess rates of satisfaction and burn-out among GS residents in the national training programs and provide a subsequent in-depth analysis of the potential reasons.

Method

A sequential explanatory mixed-methods study was conducted using an online survey and virtual interviews. The validated abbreviated Maslach Burnout Inventory (aMBI) was used to assess burnout while satisfaction was assessed via 5-points Likert scale.

Results

After excluding incomplete responses from the total 74 received, 53 were analyzed. The average participant age was 27.4 ± 2 years, with females comprising 52 % of the sample. Junior residents made up 58.5 %, and nearly half −45 %- considered quitting GS training. Moderate to high burnout rates were noted on each aMBI subscale, ranging from 41.7 % to 62.5 %. The majority of residents expressed dissatisfaction with the level of research engagement (81.1 %), supervision, and mentorship. However, operative exposure was a source of satisfaction. Dissatisfaction rates with intra-operative learning, academia, teaching, and clinical exposure were 62.3 %, 52.8 %, 50.9 %, and 35.8 %, respectively. Interviews revealed surgical case flow and a friendly work environment as major satisfaction sources. Conversely, lack of academic supervision and suboptimal hands-on training were major dissatisfaction sources.

Conclusion

Dissatisfaction and burn-out is prevalent among national GS training programs. Sub-optimal educational delivery and low-quality hands-on operative exposure -rather than lack of exposure to cases- seem to be the culprit.

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沙特阿拉伯住院医师教育环境中普外科学员的满意度和幸福感:混合方法研究
背景外科住院医师培训要求高、压力大。这会影响住院医师的身心健康、工作与生活的平衡,并增加倦怠率。我们的目的是评估国家培训项目中外科学住院医师的满意度和倦怠率,并对潜在原因进行深入分析。结果从收到的 74 份问卷中剔除不完整的回答后,对 53 份问卷进行了分析。参与者的平均年龄为 27.4 ± 2 岁,女性占样本的 52%。初级住院医师占 58.5%,近一半(45%)考虑退出 GS 培训。在 aMBI 各分量表中,倦怠率从中度到高度不等,从 41.7% 到 62.5%。大多数住院医师对研究参与度(81.1%)、督导和导师表示不满。然而,对手术的接触则表示满意。对术中学习、学术、教学和临床接触不满意的比例分别为 62.3%、52.8%、50.9% 和 35.8%。访谈显示,手术病例流程和友好的工作环境是满意度的主要来源。结论 在国家一般事务培训项目中,普遍存在不满意和倦怠的情况。次优的教学方式和低质量的动手操作--而不是缺乏病例--似乎是罪魁祸首。
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来源期刊
CiteScore
1.30
自引率
0.00%
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0
审稿时长
66 days
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