CORRESPONDENCE I would welcome comments from the authors regarding the Letter: The Prevalence of Burnout Among aforementioned issues to further strengthen the findings of this US Neurosurgery Residents important study. To the Editor: I read with great interest the article of Shakir et al in a Disclosure recent issue of the Neurosurgery. The authors performed a cross The authors have no personal, financial, or institutional interest in any of the sectional study to determine the prevalence of burnout among US drugs, materials, or devices described in this article. neurosurgery residents and concluded that neurosurgery residents have a significantly lower prevalence of burnout than other Gildasio De Oliveira, Jr, MD, MSCI, MBA residents/fellows and practicing physicians. The authors should Department of Anesthesiology be commended for addressing an important topic in medical The Warren Alpert Medical School of Brown University Providence, 2,3 practice. In addition, the need to identify specific medical Rhode Island specialties associated with high burnout rates is an important 4,5 concept that needs to be further explored. REFERENCES Although the study of Shakir et al was well designed and 1. Shakir HJ, McPheeters MJ, Shallwani H, Pittari JE, Reynolds RM. The conducted, I have a few questions that need to be clarified. prevalence of burnout among US neurosurgery residents. Neurosurgery. 2017. doi: Burnout in residents has been highly associated with the number 10.1093/neuros/nyx494. [Published online ahead of print] of working hours per week. Since neurosurgery is particularly 2. De Oliveira GS, Jr. Biological evidence of the impact of burnout on the health of anesthesiologists. J Clin Anesth. 2017;41:62. known for having a very demanding working load, the findings 3. Bekelis K, Missios S, MacKenzie TA. Outcomes of elective cerebral aneurysm of a low rate of burnout detected by the authors is intriguing. treatment performed by attending neurosurgeons after night work. Neurosurgery. The low response rate presented by the authors strongly suggests 2018;82(3):329-334. the possibility of response bias. It is possible that residents who 4. Vinson AE, Zurakowski D, Randel GI, Schlecht KD. National survey of US academic anesthesiology chairs on clinician wellness. J Clin Anesth. 2016;34:623- were not burnout were much more willing to answer the survey than the ones who were burnout, and hence the authors’ results. 5. Gonzalez LS, Donnelly MJ. A survey of residency program directors in anesthesi- It would be important to evaluate the presence of response bias to ology regarding mentorship of residents. J Clin Anesth. 2016;33:254-265. establish the generalizability of the study results. I was concerned that the study of Shakir et al may not reflect the reality of neuro- 10.1093/neuros/nyy195 surgery residents in the United States. NEUROSURGERY VOLUME 0 | NUMBER 0 | 2018 | 1 Downloaded from https://academic.oup.com/neurosurgery/advance-article-abstract/doi/10.1093/neuros/nyy195/4995092 by Ed 'DeepDyve' Gillespie user on 11 July 2018
Neurosurgery – Oxford University Press
Published: May 11, 2018
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