Abstract 8: The Perspective of Plastic Surgery Program Directors in Managing Resident Mental Health

Abstract

Background: Burnout and mental illness are highly prevalent among surgical trainees. Program Directors (PDs) have a unique opportunity and obligation to screen for and help trainees affected by these issues. The purpose of this study is to explore perspectives of Plastic Surgery PDs on handling issues related to resident mental health and burnout. Methods: After piloting and iterative revisions for construct validity, an IRB approved, anonymous survey was electronically distributed to PDs of plastic surgery residency programs nationally. Results: Forty-one PDs completed the survey (mean PD-term=7 years, mean categorical residents per program=12). During one-on-one meetings, burnout and depression were frequently discussed topics (90% and 61% respectively). The majority of PDs believe residents should be formally screened for burnout (76%) and depression/suicidal ideation (63%). Most PDs are concerned about resident access to timely mental health care (78%), the impact of screening on future licensing and practice (68%) and possible harm to a patient due to mental illness (78%). While the majority of PDs agree screening should be annual and in-person, only 27% use standardized screening criteria for mental health and burnout. Conclusion: The majority of Plastic Surgery PDs support annual in-person mental health and burnout screening for residents. However, they are worried about access to timely mental healthcare and its impact on future licensing and practice for residents that may screen positive. Data from this study provide action items that can be targeted to improve resident mental wellbeing and patient safety.