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

Medientyp: E-Artikel

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

Beteiligte: Podda, Mauro; Di Martino, Marcello; Pata, Francesco; Nigri, Giuseppe; Pisanu, Adolfo; Di Saverio, Salomone; Pellino, Gianluca; Ielpo, Benedetto; Tolla, Ashenafi Negash; Abdelkhalek, Mohamed; Emile, Sameh; Dinagde, Tesfaye Aga; Bouzid, Chafik; Mansour, Ahmed Mohammed Farid Mahmoud; Garzali, Ibrahim Umar; Aregawi, Alazar Berhe; Zaghloul, Tarek M.; Kchaou, Ali; Awad, Selmy S.; Souadka, Amine; Ted, Tedla Gebretsadik; Saumtally, Mohammad Saad; Awad, Selmy S.; Ahmed, Bensaad; [...]

Erschienen: Springer Science and Business Media LLC, 2024

Sprache: Englisch

DOI: 10.1007/s13304-024-01859-7

ISSN: 2038-131X; 2038-3312

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Beschreibung: AbstractThe 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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