Self-reported surgeon health behaviours: A multicentre, cross-sectional exploration into the modifiable factors that impact surgical performance with the association of surgeons in training

• Published in: Annals of medicine and surgery Vol. 65; p. 102299
• Main Authors: Whelehan, Dale F., Connelly, Tara M., Burke, Joshua R., Doherty, Eva M., Ridgway, Paul F.
• Format: Journal Article
• Language: English
• Published: England Elsevier Ltd 01.05.2021; Elsevier
• Subjects: ASiT; Cross-sectional Study; Fatigue; Performance management; Sleep deprivation; Surgical performance; Surgical performance; Fatigue; ASiT; Performance management; Sleep deprivation
• ISSN: 2049-0801; 2049-0801
• DOI: 10.1016/j.amsu.2021.102299

Surgeons regularly educate patients on health promoting behaviours including diet, sleep and exercise. No study thus far has explored surgeons’ personal compliance with these health behaviours and their relationship with surgical performance. The primary outcomes of this study were self-reported health, health related behaviours, wellbeing, fatigue and surgical performance. A survey of validated themes on health related behaviours, workplace variables and performance was distributed to surgical trainees and consultants in the UK and Ireland through the Association for Surgeons in Training (ASiT). Non-parametric analysis was used to determine inferential associations. Ninety five surgeons (51.5% female, 39.9% registrars) completed the survey. 94% and 74% reported ‘good’ or better overall health and mental wellbeing respectively. The majority (54.7%) reported inconsistent sleep patterns. Less than a quarter engage in regular exercise. Sixty two and 64.2% reported being regularly fatigued and bothered by feelings of anxiety and/or depression respectively. Poor self-reported health and wellbeing were associated with poorer reported off-call performance (p < .01). Higher levels of fatigue negatively impacted self-reported surgical and non-surgical task proficiency (p < .01). Surgeons reported high levels of overall health. However, healthy behaviours around sleep, diet and exercise were not consistently reported. Fewer reported good mental health and emotional well-being. Self-reported health behaviours including sleep and physical activity were associated with surgical performance. Strategies to improve modifiable lifestyle factors which will optimise physical health, mental wellbeing and levels of fatigue may optimise surgical performance. •94% and 74% respectively reported having at least ‘good’ health and well-being.•A majority reported being regularly fatigued and inconsistent sleep patterns.•Poorer health and wellbeing were associated with poorer performance off-call (p < .01).•Higher levels of fatigue negatively impacted technical and non-technical performance.•Improving modifiable factors to optimise health and wellbeing may improve performance.