Exploring Professional Quality of Life, Self-Compassion and Wellness in Skull Base Surgeons
Notice bibliographique
Résumé
Introduction: Skull base surgery (SBS) is a highly rewarding but at times stressful subspecialty given the complexity of patients and current work environments that can contribute to stress, anxiety and reduced professional quality of life for surgeons. Measures of professional quality of life include compassion satisfaction, compassion fatigue and burnout. Despite the importance of these issues, there are currently no studies that focus primarily on the elements of professional quality of life and other components of wellness among skull base surgeons (SBS). Objectives: This article aims to assess the levels of compassion satisfaction, self-compassion, self-esteem, compassion fatigue and burnout among (SBS) and compare these with non-skull base surgeons (non-SBS). Method: An international electronic survey, developed using a physician wellness framework, was distributed to neurosurgeons. Only those who responded to the question regarding their subspecialty were included in the analysis. Results: Out of a total of 250 responses, 47 were skull base surgeons (SBS) and 203 were non-skull base surgeons (non-SBS). More SBS were male (OR: 2.60, 95% CI: 1.02–7.89, p = 0.03) and practiced in academic centers (OR: 5.22, 95% CI: 2.25–13.51, p < 0.001) compared to non-SBS. There was no significant difference between SBS and non-SBS in terms of age, relationship status, work experience and region of practice. Both SBS and non-SBS had high compassion satisfaction (66 vs. 72.3%, p = 0.39), normal self-esteem (95.7 vs. 94.1%, p = 0.65), and similar rates of burnout (34 vs. 32.7%, p = 0.86). There was no significant difference in levels of self-compassion between the two groups. However, SBS HAD higher levels of compassion fatigue compared to non-SBS ( p = 0.004). SBS are more likely to experience high levels of anxiety, stress, and depression due to reaction/responses from the physician colleagues they work with compared to non-SBS (34.8 vs. 21.4%, OR: 1.96, 95% CI: 0.91–4.11, p = 0.055). Other sources of high levels of anxiety, stress, and depression reported by skull base surgeons (SBS) is from the reactions/responses from the patients they try to help (31.1%), people outside of work (20%), and non-medical colleagues, such as nurses and administrators (17.8%). Conclusion: Although SBS have high levels of compassion satisfaction, self-compassion and self-esteem which are protective factors against burnout, SBS experience higher levels of compassion fatigue compared to their non-SBS counterparts. Surgical/medical colleagues were found to be the most critical source of stress, anxiety, depression among SBS. To improve the wellness of SBS, it is vital to address both individual and organizational factors. Organized skull base surgery societies can take a leading role in advocating for and implementing comprehensive wellness strategies worldwide. Publication History Article published online: 07 February 2025 © 2025. Thieme. All rights reserved. Georg Thieme Verlag KG Oswald-Hesse-Straße 50, 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 | 0,003 | 0,011 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,001 |
| Bibliométrie | 0,001 | 0,001 |
| Études des sciences et des technologies | 0,001 | 0,001 |
| Communication savante | 0,003 | 0,001 |
| Science ouverte | 0,001 | 0,002 |
| Intégrité de la recherche | 0,001 | 0,002 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,002 | 0,000 |
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 ».