Burnout among surgeons before and during the SARS-CoV-2 pandemic: an international survey

Background: SARS-CoV-2 pandemic has had many significant impacts within the surgical realm, and surgeons have been obligated to reconsider almost every aspect of daily clinical practice. Methods: This is a cross-sectional study reported in compliance with the CHERRIES guidelines and conducted through an online platform from June 14th to July 15th, 2020. The primary outcome was the burden of burnout during the pandemic indicated by the validated Shirom-Melamed Burnout Measure. Results: Nine hundred fifty-four surgeons completed the survey. The median length of practice was 10 years; 78.2% included were male with a median age of 37 years old, 39.5% were consultants, 68.9% were general surgeons, and 55.7% were affiliated with an academic institution. Overall, there was a significant increase in the mean burnout score during the pandemic; longer years of practice and older age were significantly associated with less burnout. There were significant reductions in the median number of outpatient visits, operated cases, on-call hours, emergency visits, and research work, so, 48.2% of respondents felt that the training resources were insufficient. The majority (81.3%) of respondents reported that their hospitals were included in the management of COVID-19, 66.5% felt their roles had been minimized; 41% were asked to assist in non-surgical medical practices, and 37.6% of respondents were included in COVID-19 management. Conclusions: There was a significant burnout among trainees. Almost all aspects of clinical and research activities were affected with a significant reduction in the volume of research, outpatient clinic visits, surgical procedures, on-call hours, and emergency cases hindering the training. Trial registration: The study was registered on clicaltrials.gov "NCT04433286" on 16/06/2020

A Novel Strategic Approach to Evaluating Higher Education Quality Standards in University Colleges Using Multi-Criteria Decision-Making

Universities worldwide strive to achieve excellence in research, learning, teaching, and community services, which are the pillars of their strategic plans. However, satisfying international ranking criteria might not directly result in achieving their strategic objectives. This paper proposes a new approach to rank university colleges by evaluating their educational quality. Standard sets of criteria from multiple international university ranking systems and a university’s strategic plan’s Balanced Scorecard perspectives were cross-mapped for the evaluation. A new multi-criteria decision-making-based framework was applied to six colleges of a non-profit university in the Middle East. It revealed their performance rankings and contributions to the university’s educational quality objectives. This paper offers a novel approach for universities to develop strategies that satisfy multiple international ranking systems while achieving their strategic goals concurrently and as per their priorities. Implications include informing university leaders on the most contributing colleges and assisting in pinpointing quality shortcomings and their causes. This helps universities design better performance indicators and allocate resources to achieve educational excellence. This paper puts forward a new approach for universities to unify their efforts in satisfying the requirements of multiple international ranking systems while achieving their strategic goals