Global disparities in surgeons’ workloads, academic engagement and rest periods: the on-calL shIft fOr geNEral SurgeonS (LIONESS) study

Other authors

Institut Català de la Salut

[Podda M] Department of Surgical Science, Emergency Surgery Unit, Policlinico Universitario “D. Casula”, Azienda OspedalieroUniversitaria di Cagliari, University of Cagliari, Cagliari, Monserrato, Italy. [Di Martino M] Department of Health Sciences, Università del Piemonte Orientale, Novara, Italy. [Pata F, Pisanu A] Department of Pharmacy, Health and Nutritional Sciences, University of Calabria, Rende, Italy. [Nigri G] Department of Medical-Surgical Sciences and Translational Medicine, Sapienza University of Rome, Rome, Italy. [Di Saverio S] Department of Surgery, Madonna del Soccorso Hospital, San Benedetto del Tronto, Italy. [Pellino G] Unitat de Cirurgia de Còlon i Recte, Vall d’Hebron Hospital Universitari, Barcelona, Spain. Universitat Autònoma de Barcelona, Bellaterra, Spain. Department of Advanced Medical and Surgical Sciences, Universitá degli Studi della Campania ‘Luigi Vanvitelli’, Naples, Italy

Vall d'Hebron Barcelona Hospital Campus

Publication date

2024-10-11T10:02:48Z

2024-10-11T10:02:48Z

2024-09



Abstract

Global research; Surgeon’s well-being; Surgeon’s workload


Investigación global; Bienestar del cirujano; Carga de trabajo del cirujano


Recerca global; Benestar del cirurgià; Càrrega de treball del cirurgià


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.

Document Type

Article


Published version

Language

English

Publisher

Springer Nature

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Rights

Attribution 4.0 International

http://creativecommons.org/licenses/by/4.0/

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