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Am J Surg ; 214(6): 1118-1124, 2017 Dec.
Article in English | MEDLINE | ID: mdl-28987413

ABSTRACT

BACKGROUND: We aim to evaluate the prevalence of PTSD, its association with physician burnout, and risk factors for PTSD among surgical residents. METHODS: A cross-sectional national survey of surgical residents was conducted screening for PTSD. Causative traumatic stressors were queried, and thirty-one potential risk factors for PTSD were evaluated. RESULTS: A positive PTSD screen (PTSD+) was found in 22% of 582 surgical residents, and an additional 35% were "at risk" for PTSD. Traumatic experiences occurred most commonly as a PGY1, and the most common stressor was bullying. An increase in average hours of work per week (p < 0.001), a high-risk screen for PBO (p < 0.001), and feeling unhealthy (p = 0.001) were associated with an increasing prevalence of screening PTSD+. CONCLUSIONS: The prevalence of screening PTSD+ among surgical residents (22%) was more than three times the general population. Increased work-hours, a high-risk PBO screen, and reduced resident wellness were associated with screening PTSD+.


Subject(s)
Burnout, Professional/etiology , Burnout, Professional/psychology , General Surgery/education , Internship and Residency , Physicians/psychology , Stress Disorders, Post-Traumatic/etiology , Stress Disorders, Post-Traumatic/psychology , Adult , Bullying , Burnout, Professional/epidemiology , Cross-Sectional Studies , Female , Health Status , Humans , Male , Prevalence , Risk Factors , Stress Disorders, Post-Traumatic/epidemiology , Surveys and Questionnaires , United States/epidemiology , Workload
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