Burnout amongst Cardiothoracic Surgery Trainees in the UK: Insights from the GMC National Trainee Survey

Authors

  • Maria Comanici Department of Cardiac Surgery, Harefield Hospital, London, United Kingdom
  • Timothy Jones Department of Congenital Cardiac Surgery, Birmingham Women's and Children's Hospital and University Hospitals, Birmingham, United Kingdom
  • Shahzad G. Raja Department of Cardiac Surgery, Harefield Hospital, London, United Kingdom

DOI:

https://doi.org/10.14738/bjhr.1202.18626

Keywords:

Burnout, cardiothoracic surgery, emotional exhaustion, national trainee survey, workforce

Abstract

Background: Burnout among medical professionals profoundly impacts both individuals and patient care. This study looks into the escalating burnout rates among cardiothoracic surgery trainees in the UK, using data from the General Medical Council National Trainee Survey conducted in 2023. Methods: Survey responses from 45 cardiothoracic surgery trainees were analysed and compared with those of trainees from various other surgical specialties. The survey assessed emotional exhaustion, frustration, and work-related fatigue. Results: Cardiothoracic surgery trainees exhibited a higher burnout rate of 24.4% compared to the overall average for surgical specialties of 22.7% (P=0.9417). A detailed analysis revealed that 60% of trainees experienced a high or very high degree of emotional exhaustion, and 44% reported burnout due to work. These rates have shown an alarming upward trend over the years, with a 351.85% increase in high burnout levels from 2019 to 2023. Conclusion: The data underscores a worrying trend of increasing burnout among cardiothoracic surgery trainees in the UK, with rates significantly higher than the average for other surgical specialties. Addressing the rising burnout rates among cardiothoracic surgery trainees is crucial to ensuring high-quality patient care, a sustainable workforce, and the overall well-being of medical professionals.

References

Maslach C, Leiter MP. Understanding the burnout experience: recent research and its implications for psychiatry. World Psychiatry. 2016;15:103-11.

Elwood AD, MaloneyPatel N, Hutchinson-Colas J. Resident Burnout Trends During COVID-19: A Retrospective Observational Study. J Surg Educ. 2023;80:846-852.

Dyrbye LN, Massie FS Jr, Eacker A, et al. Relationship between burnout and professional conduct and attitudes among US medical students. JAMA. 2010;304:1173-80.

Shanafelt TD, Hasan O, Dyrbye LN, et al. Changes in Burnout and Satisfaction With Work-Life Balance in Physicians and the General US Working Population Between 2011 and 2014. Mayo Clin Proc. 2015;90:1600-13.

Shanafelt TD, Boone S, Tan L, et al. Burnout and satisfaction with work-life balance among US physicians relative to the general US population. Arch Intern Med. 2012 Oct 8;172(18):1377-85.

Shanafelt T, Goh J, Sinsky C. The Business Case for Investing in Physician Well-being. JAMA Intern Med. 2017;177:1826-1832.

Parker PA, Kulik JA. Burnout, self- and supervisor-rated job performance, and absenteeism among nurses. J Behav Med. 1995;18:581-99.

Leiter MP, Harvie P, Frizzell C. The correspondence of patient satisfaction and nurse burnout. Soc Sci Med. 1998;47:1611-7.

Maslach C, Schaufeli WB, Leiter MP. Job burnout. Annu Rev Psychol. 2001;52:397-422.

Goldberg R, Boss RW, Chan L, et al. Burnout and its correlates in emergency physicians: four years' experience with a wellness booth. Acad Emerg Med. 1996;3:1156-64.

Lemkau J, Rafferty J, Gordon R Jr. Burnout and career-choice regret among family practice physicians in early practice. Fam Pract Res J. 1994;14:213-22.

Ramirez AJ, Graham J, Richards MA, et al. Burnout and psychiatric disorder among cancer clinicians. Br J Cancer. 1995;71:1263-9.

Jean WC, Ironside NT, Felbaum DR, Syed HR. The Impact of Work-Related Factors on Risk of Resident Burnout: A Global Neurosurgery Pilot Study. World Neurosurg. 2020;138:e345-e353.

Hewitt DB, Chung JW, Ellis RJ, et al. National Evaluation of Surgical Resident Grit and the Association With Wellness Outcomes. JAMA Surg. 2021;156:856-863.

General Medical Council. National training surveys reports 2022, https://www.gmc-uk.org/about/what-wedo-andwhy/data-and-research/national-training-surveys-reports [Accessed 17/12/2024].

Kristensen TS, Borritz M, Villadsen E, Christensen KB. The Copenhagen Burnout Inventory: a new tool for the assessment of burnout. Work Stress. 2005;19:192–207.

Montgomery AP, Azuero A, Patrician PA. Psychometric properties of Copenhagen Burnout Inventory among nurses. Res Nurs Health. 2021;44:308–18.

General Medical Council. National training survey briefing note 2. Data collection in 2019, https://www.gmcuk.org/-/ media/documents/nts-2019---briefing-note-2-final_pdf- 76725119.pdf [Accessed 18/12/2024].

General Medical Council. National training survey briefing note 2. Data collection in 2021, https://www.gmcuk.org/-/ media/documents/nts-2021---briefing-note-2-final-v2_pdf- 85481337.pdf [Accessed 18/12/2024].

Health Research Authority. What approvals and decisions do I need? https://www.hra.nhs.uk/approvalsamendments/ what-approvals-do-i-need/ [Accessed 17/10/2024].

General Medical Council. National training survey (NTS) – Doctors in training: Your privacy and confidentiality, https://www.gmc-uk.org/education/ how-we-quality-assure-medical-education-andtraining/ evidence-data-and-intelligence/national-training-surveys/ national-training-surveys---doctors-intraining/your-privacyand- confidentiality [Accessed 17/10/2024]. 366

Chow OS, Sudarshan M, Maxfield MW, et al. National Survey of Burnout and Distress Among Cardiothoracic Surgery Trainees. Ann Thorac Surg. 2021;111:2066-2071.

Sehgal VS, Ahmed A, Mathew DM. Keep beating: handling burnout in cardiothoracic surgery. Series Cardiol Res. 2023;5:20-22.

Zhu H, Yang X, Xie S, Zhou J. Prevalence of burnout and mental health problems among medical staff during the COVID-19 pandemic: a systematic review and meta-analysis. BMJ Open. 2023;13:e061945.

Nasim A, Srinivasmurthy D, Searle H, Yu Y-Y. The prevalence and solutions to burnout amongst surgical trainees. J Vasc Soc G B Irel. 2024;4:5-17.

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Published

2025-04-25

How to Cite

Comanici, M., Jones, T., & Raja, S. G. (2025). Burnout amongst Cardiothoracic Surgery Trainees in the UK: Insights from the GMC National Trainee Survey. British Journal of Healthcare and Medical Research, 12(02), 356–367. https://doi.org/10.14738/bjhr.1202.18626

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