Work-home conflicts have a substantial impact on career decisions that affect the adequacy of the surgical workforce

Liselotte N. Dyrbye, Julie Freischlag, Krista L. Kaups, Michael R. Oreskovich, Daniel V. Satele, John B. Hanks, Jeff A. Sloan, Charles M. Balch, Tait D. Shanafelt

Research output: Contribution to journalArticle

58 Citations (Scopus)

Abstract

Objective: To evaluate factors associated with work-home conflicts (W-HCs) of US surgeons and their potential personal and professional consequences. Design: Cross-sectional study. Participants: Members of the American College of Surgeons. Main Outcome Measures: Burnout, depression, quality of life, alcohol use, career satisfaction, and career decisions (ie, reduce work hours or leave current practice). Results: Of 7197 participating surgeons, 3754 (52.5%) had experienced a W-HC in the previous 3 weeks. On multivariate analysis, hours worked per week, having children, sex, and work location (Veterans Administration or academic center) were independently associated with an increased risk for W-HC (all P < .01), while some factors (increased age and subspecialty field) reduced the risk. Surgeons with a recent W-HC were more likely to have symptoms of burnout (36.9% vs 17.1%; P < .001), depression (50.9% vs 28.1%; P < .001), alcohol abuse/dependency (17.2% vs 14.4%; P = .003), and were less likely to recommend surgery as a career option to their children (46.0% vs 54.4%; P < .001). Work-home conflicts were also independently associated with surgeons reporting amoderate or higher likelihood of planning to reduce clinical work hours (odds ratio, 1.769) and leave their current practice in the next 24 months for a reason other than retirement (odds ratio, 1.706) after controlling for other personal and professional factors. Conclusions: Integrating personal and professional lives is a substantial challenge for US surgeons. Conflict in this balance appears to be a major factor in their decision to reduce work hours and/or move to a new practice, with potential substantive manpower implications for the surgical workforce.

Original languageEnglish (US)
Pages (from-to)933-939
Number of pages7
JournalArchives of Surgery
Volume147
Issue number10
DOIs
StatePublished - Oct 2012
Externally publishedYes

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Odds Ratio
Sex Work
Depression
United States Department of Veterans Affairs
Retirement
Age Factors
Workplace
Alcoholism
Conflict (Psychology)
Multivariate Analysis
Cross-Sectional Studies
Alcohols
Quality of Life
Outcome Assessment (Health Care)
Surgeons
Dependency (Psychology)

ASJC Scopus subject areas

  • Surgery

Cite this

Dyrbye, L. N., Freischlag, J., Kaups, K. L., Oreskovich, M. R., Satele, D. V., Hanks, J. B., ... Shanafelt, T. D. (2012). Work-home conflicts have a substantial impact on career decisions that affect the adequacy of the surgical workforce. Archives of Surgery, 147(10), 933-939. https://doi.org/10.1001/archsurg.2012.835

Work-home conflicts have a substantial impact on career decisions that affect the adequacy of the surgical workforce. / Dyrbye, Liselotte N.; Freischlag, Julie; Kaups, Krista L.; Oreskovich, Michael R.; Satele, Daniel V.; Hanks, John B.; Sloan, Jeff A.; Balch, Charles M.; Shanafelt, Tait D.

In: Archives of Surgery, Vol. 147, No. 10, 10.2012, p. 933-939.

Research output: Contribution to journalArticle

Dyrbye, LN, Freischlag, J, Kaups, KL, Oreskovich, MR, Satele, DV, Hanks, JB, Sloan, JA, Balch, CM & Shanafelt, TD 2012, 'Work-home conflicts have a substantial impact on career decisions that affect the adequacy of the surgical workforce', Archives of Surgery, vol. 147, no. 10, pp. 933-939. https://doi.org/10.1001/archsurg.2012.835
Dyrbye, Liselotte N. ; Freischlag, Julie ; Kaups, Krista L. ; Oreskovich, Michael R. ; Satele, Daniel V. ; Hanks, John B. ; Sloan, Jeff A. ; Balch, Charles M. ; Shanafelt, Tait D. / Work-home conflicts have a substantial impact on career decisions that affect the adequacy of the surgical workforce. In: Archives of Surgery. 2012 ; Vol. 147, No. 10. pp. 933-939.
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abstract = "Objective: To evaluate factors associated with work-home conflicts (W-HCs) of US surgeons and their potential personal and professional consequences. Design: Cross-sectional study. Participants: Members of the American College of Surgeons. Main Outcome Measures: Burnout, depression, quality of life, alcohol use, career satisfaction, and career decisions (ie, reduce work hours or leave current practice). Results: Of 7197 participating surgeons, 3754 (52.5{\%}) had experienced a W-HC in the previous 3 weeks. On multivariate analysis, hours worked per week, having children, sex, and work location (Veterans Administration or academic center) were independently associated with an increased risk for W-HC (all P < .01), while some factors (increased age and subspecialty field) reduced the risk. Surgeons with a recent W-HC were more likely to have symptoms of burnout (36.9{\%} vs 17.1{\%}; P < .001), depression (50.9{\%} vs 28.1{\%}; P < .001), alcohol abuse/dependency (17.2{\%} vs 14.4{\%}; P = .003), and were less likely to recommend surgery as a career option to their children (46.0{\%} vs 54.4{\%}; P < .001). Work-home conflicts were also independently associated with surgeons reporting amoderate or higher likelihood of planning to reduce clinical work hours (odds ratio, 1.769) and leave their current practice in the next 24 months for a reason other than retirement (odds ratio, 1.706) after controlling for other personal and professional factors. Conclusions: Integrating personal and professional lives is a substantial challenge for US surgeons. Conflict in this balance appears to be a major factor in their decision to reduce work hours and/or move to a new practice, with potential substantive manpower implications for the surgical workforce.",
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AU - Satele, Daniel V.

AU - Hanks, John B.

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