title: An interactive individualized intervention to promote behavioral change to increase personal well-being in US surgeons.
abstract: OBJECTIVE
  Evaluate the utility of a computer-based, interactive, and individualized intervention for promoting well-being in US surgeons.
  
  
  BACKGROUND
  Distress and burnout are common among US surgeons. Surgeons experiencing distress are unlikely to seek help on their own initiative. A belief that distress and burnout are a normal part of being a physician and lack of awareness of distress level relative to colleagues may contribute to this problem.
  
  
  METHODS
  Surgeons who were members of the American College of Surgeons were invited to participate in an intervention study. Participating surgeons completed a 3-step, interactive, electronic intervention. First, surgeons subjectively assessed their well-being relative to colleagues. Second, surgeons completed the 7-item Mayo Clinic Physician Well-Being Index and received objective, individualized feedback about their well-being relative to national physician norms. Third, surgeons evaluated the usefulness of the feedback and whether they intended to make specific changes as a result.
  
  
  RESULTS
  A total of 1150 US surgeons volunteered to participate in the study. Surgeons' subjective assessment of their well-being relative to colleagues was poor. A majority of surgeons (89.2%) believed that their well-being was at or above average, including 70.5% with scores in the bottom 30% relative to national norms. After receiving objective, individualized feedback based on the Mayo Clinic Physician Well-Being Index score, 46.6% of surgeons indicated that they intended to make specific changes as a result. Surgeons with lower well-being scores were more likely to make changes in each dimension assessed (all Ps<0.001).
  
  
  CONCLUSIONS
  US surgeons do not reliably calibrate their level of distress. After self-assessment and individualized feedback using the Mayo Clinic Physician Well-Being Index, half of participating surgeons reported that they were contemplating behavioral changes to improve personal well-being.
authors: *Mayo Clinic, Rochester, MN †University of California, San Francisco Fresno; and ‡University of Washington, Seattle.
authors: Tait D
authors: TD
authors: Shanafelt
authors: Krista L
authors: KL
authors: Kaups
authors: Heidi
authors: H
authors: Nelson
authors: Daniel V
authors: DV
authors: Satele
authors: Jeff A
authors: JA
authors: Sloan
authors: Michael R
authors: MR
authors: Oreskovich
authors: Lotte N
authors: LN
authors: Dyrbye
mesh_terms: D002055:Burnout, Professional / Q000175:diagnosis* / Q000453:epidemiology / Q000628:therapy; D059026:Diagnostic Self Evaluation; D005260:Female; D013502:General Surgery / Q000706:statistics & numerical data*; D015438:Health Behavior; D006801:Humans; D020407:Internet; D008297:Male; D008875:Middle Aged; D010820:Physicians / Q000523:psychology*; D013315:Stress, Psychological / Q000175:diagnosis* / Q000453:epidemiology / Q000628:therapy; D014481:United States / Q000453:epidemiology
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