title: Prevalence and factors of burnout among Australian orthopaedic trainees: a cross-sectional study.
abstract: OBJECTIVE
  To assess the prevalence and factors of burnout among Australian orthopaedic trainees.
  
  
  METHODS
  236 orthopaedic registrars of the Australian Orthopaedic Association were invited to participate in a 32-item survey by email. The questionnaire assessed potential factors associated with burnout, satisfaction with the choice of orthopaedics as a career and work-life balance, and subjective overall health, as well as 3 subscales of the Maslach Burnout Inventory - Human Services Survey for assessing burnout: emotional exhaustion, depersonalisation, and personal accomplishment. Participants with high levels of either emotional exhaustion or depersonalisation were defined as having burnout. Those with and without burnout were compared.
  
  
  RESULTS
  51 (22%) of the 236 trainees completed the questionnaire. Of whom, 88% were satisfied with their choice of orthopaedics as a career, whereas 27% were satisfied with their work-life balance. 27 (53%) respondents were considered burned out. Compared with those who did not burn out, those who burned out were less satisfied with their careers (p=0.004) and work-life balance (p=0.021).
  
  
  CONCLUSIONS
  53% of Australian orthopaedic trainees were burned out. Burnout trainees were more likely to be dissatisfied with their career choice and worklife balance. Active interventions to combat burnout and improve work-life balance are needed.
authors.affiliation: St George Clinical School, University of New South Wales, Sydney, Australia.
authors.forename: Manit
authors.initials: M
authors.lastname: Arora
authors.affiliation: St George Clinical School, University of New South Wales, Sydney, Australia & Orthopaedic Research Institute, Sydney, Australia.
authors.forename: Ashish D
authors.initials: AD
authors.lastname: Diwan
authors.affiliation: Whitlam Orthopaedic Research Center, Sydney, Australia & South Western Sydney Clinical School, University of New South Wales, Sydney, Australia & South Western Sydney Local Health District, Sydney, Australia.
authors.forename: Ian A
authors.initials: IA
authors.lastname: Harris
mesh_terms: D000328:Adult; D001315:Australia / Q000453:epidemiology; D002055:Burnout, Professional / Q000453:epidemiology*; D003430:Cross-Sectional Studies; D003625:Data Collection; D005260:Female; D006801:Humans; D007396:Internship and Residency / Q000706:statistics & numerical data*; D007588:Job Satisfaction; D008297:Male; D009985:Orthopedics / Q000706:statistics & numerical data*; D015995:Prevalence; D012307:Risk Factors
keywords: burnout, professional; job satisfaction; orthopaedics