title: Factors associated With burnout among French digestive surgeons in training: results of a national survey on 328 residents and fellows.
abstract: BACKGROUND
  Digestive surgery training is notoriously difficult and medical students choose this path less and less often leading to a veritable demographic crisis for this specialty in France. The aim of this study was to evaluate the working conditions to measure the prevalence of burnout syndrome (BOS) and to identify potential risk factors to implement preventive measures and appropriate support.
  
  
  METHODS
  This was a multicenter, cross-sectional study. An anonymous questionnaire was sent by e-mail to 500 French digestive surgeons in training (residents and fellows).
  
  
  RESULTS
  The response rate was 65.6%. The mean working week was 75.7 hours (±12) and the mean number of night shifts was 5.3 (±1.6)/month. Sixty-seven percent of respondents had trouble sleeping and 12% reported suicidal thoughts. High-emotional exhaustion, depersonalization, and personal accomplishment low scores were observed respectively in 24.7%, 44.6%, and 47%, corresponding to a high score of BOS in 52%.
  
  
  CONCLUSIONS
  This study showed a high rate of BOS in French digestive surgeons in training and a worrying rate of suicide ideation.
authors: Department of Digestive Surgery, Rouen University Hospital, 76031 Rouen Cedex, France.
authors: Rachid
authors: R
authors: Chati
authors: Department of Digestive Surgery, Rouen University Hospital, 76031 Rouen Cedex, France.
authors: Emmanuel
authors: E
authors: Huet
authors: Department of Digestive Surgery, Rouen University Hospital, 76031 Rouen Cedex, France.
authors: Lucie
authors: L
authors: Grimberg
authors: Department of Digestive Surgery, Rouen University Hospital, 76031 Rouen Cedex, France.
authors: Lilian
authors: L
authors: Schwarz
authors: Department of Digestive Surgery, Rouen University Hospital, 76031 Rouen Cedex, France. Electronic address: Jean-jacques.tuech@chu-rouen.fr.
authors: Jean-Jacques
authors: JJ
authors: Tuech
authors: Department of Digestive Surgery, Rouen University Hospital, 76031 Rouen Cedex, France.
authors: Valérie
authors: V
authors: Bridoux
mesh_terms: D000328:Adult; D002055:Burnout, Professional / Q000453:epidemiology*; D003430:Cross-Sectional Studies; D003861:Depersonalization; D013505:Digestive System Surgical Procedures / Q000193:education; D005221:Fatigue / Q000209:etiology / Q000523:psychology; D005257:Fellowships and Scholarships; D005260:Female; D005602:France / Q000453:epidemiology; D006801:Humans; D007396:Internship and Residency; D008297:Male; D007319:Sleep Initiation and Maintenance Disorders / Q000209:etiology / Q000523:psychology; D013043:Specialties, Surgical; D059020:Suicidal Ideation; D011795:Surveys and Questionnaires
keywords: Burn-out; Maslach Burnout Inventory; Residents; Surgery