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What Is the Prevalence of Burnout, Depression, and Substance Use Among Orthopaedic Surgery... 2020
https://ncsu.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwpV1Nb9NAEF1BuXBBIBAUChokOLWm9q7ttU8ooERUVESKEombtfau1apSghKnf5F_wu9g9tN2KVIROSSRHe9EeS-zs-M3s4S8Y5moeVzLSDVtG6VlKiOR1WkU162QqmGFKMWNZM4vXwtzq4r99L-hxWMIri6V_Qd4w6B4AN8jyPiMMOPznYDWzbePz3YmgtQNmYQpI9JB4Ce8erPvrFtxgtd1kGuix-hMvcBK9yYxew7Nt90FLqL1vRs8b-qldX5f7zva2V7Oxthkq4y1hZalz-yGPe_ZzFS4B1Zdq9FwQUhimvm7XIvNhKGla-3CQqNb3zjBF21u-nHstzAFOEq_DnJxWlV02Vzs_PadWvM4zPXaGpT18dfLoPSZYuR71Rfah2lia8Jir1R2iWSXGqG9MA9nNufOKa6REzby9ykvBsQuBt474XE5iAQSbqeGP2YZ1714vljY9pfukTCn0B119f42r2ar8_NqOf2-vE8eUF6W1GeVXMTA0oz66rKSn9468Dhu-stiyARFy8fkkVvNwMSy8gm5p9ZPyU9NEjjbAf6I0DMSNi04Rp5Az8cTQEQhsBGQjWDYCAP6gGMjBDaaq4whZKOxpNkIjo0fYQIjLo4GG3ARPBfBcBEsF8Fw8RlZzabLz18it19I1NCMdhFG_oVAF4NLgDxu00SUscL4O1aS8jyRgnNZNKlu4UjzrFR5S1mdNxJPUIFBm2IvCCQyzxEPVUgh01rmBW3QXXEheSzKpsgOyQcPQ_XD9oOpvI5D41bdxO2QHHmwKuc1dhWuO_Q2PxnLD8nbcBodu75bJ9Zqs8fPYKTIdX4GbT63IAeLzOglaPbyDle_Ig_7_8YROei2e_WaHGjf-sbQ8DdM3tFW
Clinical Orthopaedics And Related Research, Vol. 478, Issue 8, pp. 1709 - 1718.
Burnout and depression among healthcare professionals and trainees remain alarmingly common. In 2009, 56% of orthopaedic surgery residents reported burnout. Alcohol and illicit drug use are potenti... Read more
Burnout and depression among healthcare professionals and trainees remain alarmingly common. In 2009, 56% of orthopaedic surgery residents reported burnout. Alcohol and illicit drug use are potential exacerbating factors of burnout and depression; however, these have been scarcely studied in residency populations. (1) What proportion of orthopaedic residents report symptoms of burnout and depression? (2) What factors are independently associated with an orthopaedic resident reporting emotional exhaustion, depersonalization, low personal accomplishment, and depression? (3) What proportion of orthopaedic residents report hazardous alcohol or drug use? (4) What factors are independently associated with an orthopaedic resident reporting hazardous alcohol or drug use? We asked 164 orthopaedic surgery programs to have their residents participate in a 34-question internet-based, anonymous survey, 28% of which (46 of 164) agreed. The survey was distributed to all 1147 residents from these programs, and 58% (661 of 1147) of these completed the survey. The respondents were evenly distributed among training years. Eighty-three percent (551 of 661) were men, 15% (101 of 661) were women, and 1% (nine of 661) preferred not to provide their gender. The survey asked about demographics, educational debt, sleep and work habits, perceived peer or program support, and substance use, and validated instruments were used to assess burnout (abbreviated Maslach Burnout Inventory), depression (Patient Health Questionnaire-2), and hazardous alcohol use (Alcohol Use Disorder Identification Test-Consumption). The main outcome measures included overall burnout, emotional exhaustion, depersonalization, low personal accomplishment, depression, and hazardous alcohol and drug use. Using the variables gathered in the survey, we performed an exploratory analysis to identify significant associations for each of the outcomes, followed by a multivariable analysis. Burnout was reported by 52% (342 of 661) of residents. Thirteen percent of residents (83 of 656) had positive screening results for depression. Factors independently associated with high emotional exhaustion scores included early training year (odds ratio 1.15; 95% confidence interval, 1.01-1.32; p = 0.03) unmanageable work volume (OR 3.13; 95% CI, 1.45-6.67; p < 0.01), inability to attend health maintenance appointments (OR 3.23; 95% CI, 1.69-6.25; p < 0.01), lack of exercise (OR 1.69; 95% CI, 1.08-2.70; p = 0.02), and lack of program support (OR 3.33; 95% CI, 2.00-5.56; p < 0.01). Factors independently associated with depersonalization included early training year (OR 1.27; 95% CI, 1.12-1.41; p < 0.01), inability to attend health maintenance appointments (OR 2.70; 95% CI, 1.67-4.35; p < 0.01), and lack of co-resident support (OR 2.52; 95% CI, 1.52-4.18; p < 0.01). Low personal accomplishment was associated with a lack of co-resident support (OR 2.85; 95% CI, 1.54-5.28; p < 0.01) and lack of program support (OR 2.33; 95% CI, 1.32-4.00; p < 0.01). Factors associated with depression included exceeding duty hour restrictions (OR 2.50; 95% CI, 1.43-4.35; p < 0.01) and lack of program support (OR 3.85; 95% CI, 2.08-7.14; p < 0.01). Sixty-one percent of residents (403 of 656) met the criteria for hazardous alcohol use. Seven percent of residents (48 of 656) reported using recreational drugs in the previous year. Factors independently associated with hazardous alcohol use included being a man (OR 100; 95% CI, 35-289; p < 0.01), being Asian (OR 0.31; 95% CI, 0.17-0.56; p < 0.01), single or divorced marital status (OR 2.33; 95% CI, 1.47-3.68; p < 0.01), and more sleep per night (OR 1.92; 95% CI, 1.21-3.06; p < 0.01). Finally, single or divorced marital status was associated with drug use in the past year (OR 2.30; 95% CI, 1.26-4.18; p < 0.01). The lack of wellness among orthopaedic surgery residents is troubling, especially because most of the associated risk factors are potentially modifiable. Programs should capitalize on the modifiable elements to combat burnout and improve overall wellbeing. Programs should also educate residents on burnout, focus on work volume, protect access to health maintenance, nurture those in the early years of training, and remain acutely aware of the risk of substance abuse. Orthopaedic surgery trainees should strive to encourage peer support, cultivate personal responsibility, and advocate for themselves or peers when faced with challenges. At a minimum, programs and educational leaders should foster an environment in which admitting symptoms of burnout is not seen as a weakness or failure. Level II, prognostic study. Read less
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Books & Media
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Political corruption in America : an encyclopedia of scandals, power, and greed
https://catalog.lib.ncsu.edu/catalog/NCSU4878749
Online Resources JK2249 .G76 2017 ebook | Book
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The radical reader : a documentary history of the American radical tradition
https://catalog.lib.ncsu.edu/catalog/NCSU1656012
Hill HN90 .R3 R355 2003 | Book
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Fall of Britain : By Theophilus Stephens, John Williams, and Charles Thompson, esqrs
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Annual report (United States. J. William Fulbright Foreign Scholarship Board)
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Newspaper Clippings Honouring William J. Moore's 80th Birthday
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Eighteenth century journals. V, The lady's magazine and other titles, 1712-1835, from Birmingham...
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British newsreels, 1911-1930
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Literary manuscripts. Victorian manuscripts from the Henry W. and Albert A. Berg Collection of...
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Orlando Magic Co-Founder Pat Williams (Thirty Minute Mentors)
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Learn how lessons from on the court translate to leadership lessons from Pat Williams, co-founder of the NBA's Orlando Magic and former general manager of the Philadelphia 76ers.
Learn how lessons from on the court translate to leadership lessons from Pat Williams, co-founder of the NBA's Orlando Magic and former general manager of the Philadelphia 76ers. Read less
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of North Carolina (System) Regan, Tom North Carolina State Wolfpack (Basketball team) Harrelson, J. W. (John William), 1885-1955 Clarke, Lewis J. (Lewi... Read more
of North Carolina (System) Regan, Tom North Carolina State Wolfpack (Basketball team) Harrelson, J. W. (John William), 1885-1955 Clarke, Lewis J. (Lewis James) Caldwell, John Read less
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https://www.lib.ncsu.edu/sites/default/files/publications/pdf/focus.magazine.30.2%20.pdf
for Students8 © Jeff Goldberg - Esto 18 © Jeff Goldberg - Esto 18 SUMMER, 2013VICE PROVOST AND DIRECTOR OF LIBRARIES: Susan K. Nutter EDITOR: Charles J. Samuels, Director
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FocusVol.30no.4.sm__1.pdf
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NCSU Libraries Volume 30, No. 4, Summer, 2014 North Carolina Literary Festival John Cotton Dana Award Award-Winning Libraries The Hunt Library Wins the Stanford Prize
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