title: Attending surgeon burnout and satisfaction with the establishment of a regional acute care surgical service.
abstract: BACKGROUND
  Establishment of the Acute Care Surgical Service (ACSS) has dramatically changed the management of acute, nontrauma surgical patients in Winnipeg, Manitoba. Its formation was partially driven by increasing strain on surgeons and surgical services. We sought to determine surgeon level of burnout and satisfaction with the ACSS.
  
  
  METHODS
  All Winnipeg ACSS surgeons were mailed surveys. Burnout was established using the Maslach Burnout Inventory Human Services Survey. Satisfaction was ascertained with a series of questions.
  
  
  RESULTS
  We attained a response rate of 76%. Most surgeons were married men with children. A burnout level of 61% was determined. Although most surgeons felt the ACSS was a positive change in their careers, they felt that operating room accessibility and teaching opportunities were lacking.
  
  
  CONCLUSIONS
  Although a high level of burnout exists among ACSS surgeons, most are satisfied with its establishment. Factors such as operating room accessibility and teaching opportunities must be addressed.
authors.affiliation: The Department of Surgery, University of Manitoba, Winnipeg, Manitoba, Canada.
authors.forename: Ramzi M
authors.initials: RM
authors.lastname: Helewa
authors.forename: Ramin
authors.initials: R
authors.lastname: Kholdebarin
authors.forename: David J
authors.initials: DJ
authors.lastname: Hochman
mesh_terms: D000328:Adult; D002055:Burnout, Professional / Q000453:epidemiology*; D003430:Cross-Sectional Studies; D005260:Female; D013502:General Surgery / Q000458:organization & administration*; D006801:Humans; D007588:Job Satisfaction; D008297:Male; D008350:Manitoba / Q000453:epidemiology; D008505:Medical Staff, Hospital / Q000523:psychology* / Q000706:statistics & numerical data*; D008875:Middle Aged; D013503:Surgery Department, Hospital / Q000458:organization & administration*; D011795:Surveys and Questionnaires; D016526:Workload