JMIR Publications

ABSTRACT

Background:

Health care provider burnout worsened during the COVID-19 pandemic.

Objective:

This qualitative study describes General Surgery residents’ perceptions of burnout, the impact of COVID-19, and attitudes towards wellness initiatives.

Methods:

General Surgery residents at a large training program in Canada completed a 21-item survey focused on self-reported burnout, mental health, perceptions of wellness resources, and the effects of the COVID-19 pandemic. Free-text responses were extracted for qualitative thematic content analysis. A coding framework was established and emergent themes identified.

Results:

51 residents completed the survey (62% response rate). Most respondents were senior residents (21/51; 41%) and identified as male (32/51; 63%). Thirty-three residents (65%) met criteria for burnout. Three themes were identified: i) the culture of General Surgery does not promote wellness, ii) the COVID-19 pandemic worsened existing access to vacation and rest, and iii) wellness education in General Surgery is ineffective and onerous to complete. General Surgery residents emphasized the rigid lifestyle and culture of the specialty. Residents said the idea of wellness was poorly executed. COVID-19 protocols increased the acceptance of taking sick days but this was offset by staff shortages during the pandemic. Finally, residents emphasized the inefficacy of wellness education. They felt they did not lack knowledge on reaching wellness, but simply lacked the adequate time and resources to improve their well-being.

Conclusions:

There are persistent concerns within the culture of General Surgery that were further impacted by workload and stress during the pandemic. These results may inform future programmatic efforts to decrease resident burnout.