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Assessing Resident Well-Being After the ABSITE: A Bad Time to Ask?

Assess the association of residents’ exam performance and transient emotions with their reports of burnout, suicidality, and mistreatment. BACKGROUND: An annual survey evaluating surgical resident well-being is administered following the American Board of Surgery In-Training Examination (ABSITE). On...

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Autores principales: Cheung, Elaine O., Hu, Yue-Yung, Jones, Andrew, Ma, Meixi, Schlick, Cary Jo R., Moskowitz, Judith T., Agarwal, Gaurava, Bilimoria, Karl Y.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer Health, Inc. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9782176/
https://www.ncbi.nlm.nih.gov/pubmed/36590890
http://dx.doi.org/10.1097/AS9.0000000000000209
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author Cheung, Elaine O.
Hu, Yue-Yung
Jones, Andrew
Ma, Meixi
Schlick, Cary Jo R.
Moskowitz, Judith T.
Agarwal, Gaurava
Bilimoria, Karl Y.
author_facet Cheung, Elaine O.
Hu, Yue-Yung
Jones, Andrew
Ma, Meixi
Schlick, Cary Jo R.
Moskowitz, Judith T.
Agarwal, Gaurava
Bilimoria, Karl Y.
author_sort Cheung, Elaine O.
collection PubMed
description Assess the association of residents’ exam performance and transient emotions with their reports of burnout, suicidality, and mistreatment. BACKGROUND: An annual survey evaluating surgical resident well-being is administered following the American Board of Surgery In-Training Examination (ABSITE). One concern about administering a survey after the ABSITE is that stress from the exam may influence their responses. METHODS: A survey was administered to all general surgery residents following the 2018 ABSITE assessing positive and negative emotions (scales range from 0 to 12), as well as burnout, suicidality over the past 12 months, and mistreatment (discrimination, sexual harassment verbal/emotional or physical abuse) in the past academic year. Multivariable hierarchical regressions assessed the associations of exam performance and emotions with burnout, suicidality, and mistreatment. RESULTS: Residents from 262 programs provided complete responses (N = 6987, 93.6% response rate). Residents reported high mean positive emotion (M = 7.54, SD = 2.35) and low mean negative emotion (M = 5.33, SD = 2.43). While residents in the bottom ABSITE score quartile reported lower positive and higher negative emotion than residents in the top 2 and 3 quartiles, respectively (P < 0.005), exam performance was not associated with the reported likelihood of burnout, suicidality, or mistreatment. CONCLUSIONS: Residents’ emotions after the ABSITE are largely positive. Although poor exam performance may be associated with lower positive and higher negative emotion, it does not seem to be associated with the likelihood of reporting burnout, suicidality, or mistreatment. After adjusting for exam performance and emotions, mistreatment remained independently associated with burnout and suicidality. These findings support existing evidence demonstrating that burnout and suicidality are stable constructs that are robust to transient stress and/or emotions.
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spelling pubmed-97821762022-12-28 Assessing Resident Well-Being After the ABSITE: A Bad Time to Ask? Cheung, Elaine O. Hu, Yue-Yung Jones, Andrew Ma, Meixi Schlick, Cary Jo R. Moskowitz, Judith T. Agarwal, Gaurava Bilimoria, Karl Y. Ann Surg Open Original Study Assess the association of residents’ exam performance and transient emotions with their reports of burnout, suicidality, and mistreatment. BACKGROUND: An annual survey evaluating surgical resident well-being is administered following the American Board of Surgery In-Training Examination (ABSITE). One concern about administering a survey after the ABSITE is that stress from the exam may influence their responses. METHODS: A survey was administered to all general surgery residents following the 2018 ABSITE assessing positive and negative emotions (scales range from 0 to 12), as well as burnout, suicidality over the past 12 months, and mistreatment (discrimination, sexual harassment verbal/emotional or physical abuse) in the past academic year. Multivariable hierarchical regressions assessed the associations of exam performance and emotions with burnout, suicidality, and mistreatment. RESULTS: Residents from 262 programs provided complete responses (N = 6987, 93.6% response rate). Residents reported high mean positive emotion (M = 7.54, SD = 2.35) and low mean negative emotion (M = 5.33, SD = 2.43). While residents in the bottom ABSITE score quartile reported lower positive and higher negative emotion than residents in the top 2 and 3 quartiles, respectively (P < 0.005), exam performance was not associated with the reported likelihood of burnout, suicidality, or mistreatment. CONCLUSIONS: Residents’ emotions after the ABSITE are largely positive. Although poor exam performance may be associated with lower positive and higher negative emotion, it does not seem to be associated with the likelihood of reporting burnout, suicidality, or mistreatment. After adjusting for exam performance and emotions, mistreatment remained independently associated with burnout and suicidality. These findings support existing evidence demonstrating that burnout and suicidality are stable constructs that are robust to transient stress and/or emotions. Wolters Kluwer Health, Inc. 2022-09-28 /pmc/articles/PMC9782176/ /pubmed/36590890 http://dx.doi.org/10.1097/AS9.0000000000000209 Text en Copyright © 2022 The Author(s). Published by Wolters Kluwer Health, Inc. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND) (https://creativecommons.org/licenses/by-nc-nd/4.0/) , where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.
spellingShingle Original Study
Cheung, Elaine O.
Hu, Yue-Yung
Jones, Andrew
Ma, Meixi
Schlick, Cary Jo R.
Moskowitz, Judith T.
Agarwal, Gaurava
Bilimoria, Karl Y.
Assessing Resident Well-Being After the ABSITE: A Bad Time to Ask?
title Assessing Resident Well-Being After the ABSITE: A Bad Time to Ask?
title_full Assessing Resident Well-Being After the ABSITE: A Bad Time to Ask?
title_fullStr Assessing Resident Well-Being After the ABSITE: A Bad Time to Ask?
title_full_unstemmed Assessing Resident Well-Being After the ABSITE: A Bad Time to Ask?
title_short Assessing Resident Well-Being After the ABSITE: A Bad Time to Ask?
title_sort assessing resident well-being after the absite: a bad time to ask?
topic Original Study
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9782176/
https://www.ncbi.nlm.nih.gov/pubmed/36590890
http://dx.doi.org/10.1097/AS9.0000000000000209
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