@article{ref1,
title="Burnout, discrimination, abuse and mistreatment in Latin America neurosurgical training during the covid-19 pandemic",
journal="World neurosurgery",
year="2021",
author="De la Cerda-Vargas, María F. and Stienen, Martin N. and Campero, Álvaro and Pérez-Castell, Armando F. and Soriano-Sánchez, José A. and Nettel-Rueda, Barbara and Borba, Luis A. B. and Castillo-Rangel, Carlos and Navarro-Domínguez, Pedro and Muñoz-Hernández, Melisa A. and Segura-López, F. K. and Guinto-Nishimura, Gerardo Y. and Sandoval-Bonilla, B. A.",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="BACKGROUND: Discrimination, abuse and mistreatment are prevailing problems reported in neurosurgical-training programs globally. Moreover, the current COVID-19-pandemic may also display a negative impact on burnout levels in neurosurgery-residents. This study aims to evaluate burnout, discrimination and mistreatment in neurosurgical-residents training in Latin-America during the SARS-CoV-2 era. <br><br>METHODS: A 33-item electronic survey was sent to neurosurgery-residents from Latin-America from May-10 to May-25, 2021. Statistical analysis was made using IBM-SPSS-25. <br><br>RESULTS: 111 neurosurgery residents responded the survey. Mean age was 29.39±2.37 years; 22.5% were female and 36% were training in Mexico. Residents who reported suffering from discrimination for testing positive to COVID-19 had the highest levels of depersonalization (66.7%, p=0.043) and emotional-exhaustion (75%, p= 0.023). Female respondents presented higher rates of gender discrimination (80%vs.1.2%, p=0.001), abuse (84%vs.58.1%, p<0.005) and sexual-harassment (24%vs.0%, p<0.001) than male respondents. Residents training in Mexico presented lower rates of emotional or verbal abuse (59.2%vs.32.5%, p=0.007) and bullying (p<0.005) than other countries in Latin-America. Older-age was a protective factor for high depersonalization scores (OR 0.133, 95%CI 0.035-0.500). Suffering from discrimination represented a risk factor for presenting high emotional-exhaustion scores (OR 3.019, 95%CI 1.057-8.629). High levels of depersonalization were associated with a 7-fold increased risk of presenting suicidal ideation (OR 7.869, 95%CI 1.266-48.88). <br><br>CONCLUSION: The COVID-19 pandemic has been a significant burden on several aspects of healthcare workers' lives. Our results provide a broad overview of its impact on burnout, discrimination and mistreatment as experienced by neurosurgery residents training in Latin-America, laying the groundwork for future studies and potential interventions.<p /> <p>Language: en</p>",
language="en",
issn="1878-8750",
doi="10.1016/j.wneu.2021.10.188",
url="http://dx.doi.org/10.1016/j.wneu.2021.10.188"
}