Evaluate the utility of a computer-based, interactive, and individualized intervention for promoting well-being in US surgeons.
Distress and burnout are common among US surgeons. Surgeons experiencing distress are unlikely to seek help on their own initiative. A belief that distress and burnout are a normal part of being a physician and lack of awareness of distress level relative to colleagues may contribute to this problem.
Surgeons who were members of the American College of Surgeons were invited to participate in an intervention study. Participating surgeons completed a 3-step, interactive, electronic intervention. First, surgeons subjectively assessed their well-being relative to colleagues. Second, surgeons completed the 7-item Mayo Clinic Physician Well-Being Index and received objective, individualized feedback about their well-being relative to national physician norms. Third, surgeons evaluated the usefulness of the feedback and whether they intended to make specific changes as a result.
A total of 1150 US surgeons volunteered to participate in the study. Surgeons' subjective assessment of their well-being relative to colleagues was poor. A majority of surgeons (89.2%) believed that their well-being was at or above average, including 70.5% with scores in the bottom 30% relative to national norms. After receiving objective, individualized feedback based on the Mayo Clinic Physician Well-Being Index score, 46.6% of surgeons indicated that they intended to make specific changes as a result. Surgeons with lower well-being scores were more likely to make changes in each dimension assessed (all Ps < 0.001).
US surgeons do not reliably calibrate their level of distress. After self-assessment and individualized feedback using the Mayo Clinic Physician Well-Being Index, half of participating surgeons reported that they were contemplating behavioral changes to improve personal well-being.
We evaluated the utility of a computer-based, interactive, and individualized intervention, based on the Mayo Clinic Physician Well-Being Index (MPWBI), in US surgeons. The results indicate that surgeons do not reliably calibrate their own distress. After objective, individualized feedback on their well-being using the MPWBI, 47% of surgeons indicated that they intended to make specific changes to improve personal well-being.
*Mayo Clinic, Rochester, MN
†University of California, San Francisco Fresno; and
‡University of Washington, Seattle
Reprints: Tait D. Shanafelt, MD, Mayo Clinic, 200 1st St SW # W4, Rochester, MN 55905. E-mail: firstname.lastname@example.org.
Supported by funding from the National Institutes of Health (ACOSOG CCOP U10 CA149950), the American College of Surgeons, and the Mayo Clinic Department of Medicine Program on Physician Well-Being.
Disclosure: T. Shanafelt and L. Dyrbye developed both the Medical Student Well-Being Index and Mayo Clinic Physician Well-Being Index. Mayo Clinic holds the copyright on these technologies and accordingly Mayo Clinic and Drs Shanafelt and Dyrbye have a potential financial interest in these technologies. The Medical Student Well-Being Index has been licensed to a commercial entity, although no royalties have been received to date. To obtain permission to use the index, please contact the corresponding author. The authors declare no conflicts of interest.