Unwellness: Skull Base Surgery's Greatest Challenge and Opportunity
Notice bibliographique
Résumé
Introduction: Skull base surgeons (SBS) are likely to have poor work–life balance (WLB) and burnout due to long and complicated surgeries and demanding clinical needs. However, there are no previous papers that primarily explore the wellness of SBS. Objectives: 1. To assess workload, WLB, and job satisfaction among SBS. 2. To determine rate of burnout among SBS. 3. To compare burnout, workload, WLB, and job satisfaction among SBS and non-SBS. Methods: An international survey developed using a physician wellness framework was sent to staff neurosurgeons (SBS and non-SBS) between June and November 2021. Results: A total of 299 respondents who answered questions regarding their subspecialty were included in the analysis. Forty-seven were SBS and 252 were non-SBS. Over 70% of SBS reported workloads that were too heavy; 63.8% did not have adequate time for their family, and 59.6% were not content with the balance between their work and home life. Almost 50% of SBS stated that they were sleep deprived, had difficulty balancing their professional and personal life, and did not have enough time to perform both work and personal duties. About 75% of SBS had good job satisfaction; 59.6% of them used their time at home to connect with their friends and families and 53.2% felt that the time spent with them was satisfying. The rate of burnout among SBS was 34%. Compared with non-SBS, SBS had 2.79 times the odds of bringing work home (OR: 2.79, 95% CI: 1.32–6.38, p = 0.003). However, SBS were found to be more satisfied with their incomes than non-SBS (OR: 1.77, 95% CI: 0.89–3.52, p = 0.09). No significant differences were found between SBS and non-SBS in terms of burnout (OR: 1.11, 95% CI: 0.53–2.27, p = 0.73), workload (OR: 1.56, 95% CI: 0.76–2.40, p = 0.25), sleep deprivation (OR: 1.20, 95% CI: 0.61–2.36, p = 0.63), WLB (OR: 1.43, 95% CI: 0.74–2.79, p = 0.27), job satisfaction (OR: 1.05, 95% CI: 0.50–2.36, p = 1), and quality time with their families (OR: 0.78, 95% CI: 0.39–1.56, p = 0.51). Conclusion: SBS show signs of significant un-wellness, particularly in terms of workloads and balancing work and non-work activities. Personal life activities are suffering in at least half of SBS with burnout being prevalent. The profession and organizations like hospitals and universities should take measures to realign workloads by creating strategies that enhance surgeons' abilities to achieve personal goals around work and non-work-related activities. Organized skull base surgery societies can take a leadership role in advocating for better wellness strategies globally. Publication History Article published online: 01 February 2023 © 2023. Thieme. All rights reserved. Georg Thieme Verlag KG Rüdigerstraße 14, 70469 Stuttgart, Germany
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,001 | 0,006 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,001 | 0,001 |
| Études des sciences et des technologies | 0,003 | 0,002 |
| Communication savante | 0,002 | 0,002 |
| Science ouverte | 0,001 | 0,002 |
| Intégrité de la recherche | 0,001 | 0,003 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,014 | 0,001 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».