AI Article Synopsis
- The study surveyed general surgeons from April to May 2023 to understand their workload, academic involvement, and rest after on-call duty, receiving 1,046 responses with diverse representation, particularly from Europe and North America.
- Over 78% of respondents engaged in research activities, with European surgeons averaging more published studies yearly, while teaching participation was highest in North America and Africa.
- Results indicated significant disparities in on-call frequencies and post-shift days off, with only 35.1% of surgeons receiving a day off afterwards, influenced by factors like Human Development Index (HDI) and hospital capacity.
Article Abstract
The workload of general surgeons is multifaceted, encompassing not only surgical procedures but also a myriad of other responsibilities. From April to May 2023, we conducted a CHERRIES-compliant internet-based survey analyzing clinical practice, academic engagement, and post-on-call rest. The questionnaire featured six sections with 35 questions. Statistical analysis used Chi-square tests, ANOVA, and logistic regression (SPSS v. 28). The survey received a total of 1.046 responses (65.4%). Over 78.0% of responders came from Europe, 65.1% came from a general surgery unit; 92.8% of European and 87.5% of North American respondents were involved in research, compared to 71.7% in Africa. Europe led in publishing research studies (6.6 ± 8.6 yearly). Teaching involvement was high in North America (100%) and Africa (91.7%). Surgeons reported an average of 6.7 ± 4.9 on-call shifts per month, with European and North American surgeons experiencing 6.5 ± 4.9 and 7.8 ± 4.1 on-calls monthly, respectively. African surgeons had the highest on-call frequency (8.7 ± 6.1). Post-on-call, only 35.1% of respondents received a day off. Europeans were most likely (40%) to have a day off, while African surgeons were least likely (6.7%). On the adjusted multivariable analysis HDI (Human Development Index) (aOR 1.993) hospital capacity > 400 beds (aOR 2.423), working in a specialty surgery unit (aOR 2.087), and making the on-call in-house (aOR 5.446), significantly predicted the likelihood of having a day off after an on-call shift. Our study revealed critical insights into the disparities in workload, access to research, and professional opportunities for surgeons across different continents, underscored by the HDI.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11455666 | PMC |
| http://dx.doi.org/10.1007/s13304-024-01859-7 | DOI Listing |
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