The Impact of Low Workplace Support During Pregnancy on Surgeon Distress and Career Dissatisfaction.

Autor:	Lwin TM; Department of Surgery, Division of Surgical Oncology, City of Hope, Duarte, CA., Castillo-Angeles M; Department of Surgery, Brigham and Women's Hospital, Boston, MA.; Center for Surgery and Public Health, Brigham and Women's Hospital, Boston, MA., Cunningham CE; Department of Surgery, Division of Gastrointestinal and Oncological Surgery, Massachusetts General Hospital, Boston, MA., Atkinson RB; Department of Surgery, Brigham and Women's Hospital, Boston, MA., Kim E; Division of Pediatric Surgery, Children's Hospital Los Angeles, Keck School of Medicine, University of Southern California, Los Angeles, CA., Easter SR; Department of Obstetrics and Gynecology, Division of Maternal Fetal Medicine, Brigham and Women's Hospital, Boston, MA., Gosain A; Department of Surgery, University of Colorado School of Medicine, Aurora, CO., Hu YY; Division of Pediatric Surgery, Ann & Robert Lurie Children's Hospital, Northwestern University Feinberg School of Medicine, Chicago, IL., Rangel EL; Department of Surgery, Division of Gastrointestinal and Oncological Surgery, Massachusetts General Hospital, Boston, MA.
Jazyk:	angličtina
Zdroj:	Annals of surgery [Ann Surg] 2024 Aug 07. Date of Electronic Publication: 2024 Aug 07.
DOI:	10.1097/SLA.0000000000006484
Abstrakt:	Objective: To describe the impact of lack of workplace support (LOWS) for obstetric health on surgeon distress and career satisfaction. Background: Although most pregnant surgeons desire clinical duty reductions to mitigate obstetric risk, few modify their schedules due to low workplace support. Methods: US surgeons with at least one live birth completed an electronic survey. LOWS during pregnancy was defined as (1) disagreeing that colleagues/leadership were supportive of obstetric-mandated bedrest; (2) feeling unable to reduce clinical duties despite health concerns due to risk of financial penalties, requirement to make up missed call shifts, being perceived as "weak", burdening colleagues, or accommodations being denied by the workplace. Multivariate logistic regression determined the association between LOWS and burnout, low quality of life, plans to leave clinical practice or to reduce work hours, and likelihood of recommending a surgical career to one's child. Results: Of 557 surgeons, the 360 (64.6%) who reported LOWS during pregnancy were more likely to report burnout (OR:2.57; 95%CI:1.60-4.13), low quality of life (OR:1.57; 95%CI:1.02-2.41), a desire to leave their practice (OR:2.74; 95%CI: 1.36-5.49), plans to reduce clinical hours in the next year (OR:4.25; 95%CI:1.82-9.90), and were less likely to recommend their career to their child (OR:0.44; 95%CI:0.28-0.70). Conclusions: LOWS for maternal-fetal health concerns is associated with burnout, low quality of life, and career dissatisfaction. The work environment is a modifiable factor requiring system-level interventions to limit clinical work during pregnancy and provide fair compensation for covering surgeons. Supporting surgeons during pregnancy is a short-term investment with long-term implications for improving longevity and diversity of the workforce. Competing Interests: Conflict of Interest Disclosures: The authors declare they have no affiliations with or involvement in any organization or entity with any financial interest in the subject matter or materials discussed in this manuscript. (Copyright © 2024 Wolters Kluwer Health, Inc. All rights reserved.)
Databáze:	MEDLINE
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