{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,5]],"date-time":"2026-03-05T05:59:19Z","timestamp":1772690359856,"version":"3.50.1"},"reference-count":29,"publisher":"Springer Science and Business Media LLC","issue":"7","license":[{"start":{"date-parts":[[2024,6,13]],"date-time":"2024-06-13T00:00:00Z","timestamp":1718236800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"},{"start":{"date-parts":[[2024,6,13]],"date-time":"2024-06-13T00:00:00Z","timestamp":1718236800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"}],"funder":[{"DOI":"10.13039\/100026527","name":"SAGES Education and Research Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100026527","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Surg Endosc"],"published-print":{"date-parts":[[2024,7]]},"DOI":"10.1007\/s00464-024-10961-1","type":"journal-article","created":{"date-parts":[[2024,6,13]],"date-time":"2024-06-13T16:05:15Z","timestamp":1718294715000},"page":"3494-3502","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["The joy of surgery: how surgeons experience joy, time, and support"],"prefix":"10.1007","volume":"38","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8952-450X","authenticated-orcid":false,"given":"Dorothy","family":"Hughes","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Melissa N.","family":"Hanson","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adnan","family":"Alseidi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"suffix":"IV","given":"James G.","family":"Bittner","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John","family":"Romanelli","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Melina","family":"Vassiliou","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Liane S.","family":"Feldman","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Horacio","family":"Asbun","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2024,6,13]]},"reference":[{"key":"10961_CR1","doi-asserted-by":"publisher","first-page":"407","DOI":"10.1055\/s-0039-1692709","volume":"32","author":"JC Senturk","year":"2019","unstructured":"Senturk JC, Melnitchouk N (2019) Surgeon burnout: defining, identifying, and addressing the new reality. Clin Colon Rectal Surg 32:407\u2013414","journal-title":"Clin Colon Rectal Surg"},{"key":"10961_CR2","doi-asserted-by":"publisher","first-page":"1230","DOI":"10.1016\/j.jamcollsurg.2016.03.022","volume":"222","author":"FM Dimou","year":"2016","unstructured":"Dimou FM, Eckelbarger D, Riall TS (2016) Surgeon burnout: a systematic review. J Am Coll Surg 222:1230\u20131239","journal-title":"J Am Coll Surg"},{"key":"10961_CR3","doi-asserted-by":"publisher","first-page":"463","DOI":"10.1097\/SLA.0b013e3181ac4dfd","volume":"250","author":"TD Shanafelt","year":"2009","unstructured":"Shanafelt TD, Balch CM, Bechamps GJ, Russell T, Dyrbye L, Satele D, Collicott P, Novotny PJ, Sloan J, Freischlag JA (2009) Burnout and career satisfaction among American surgeons. Ann Surg 250:463\u2013471","journal-title":"Ann Surg"},{"key":"10961_CR4","doi-asserted-by":"publisher","first-page":"1600","DOI":"10.1016\/j.mayocp.2015.08.023","volume":"90","author":"TD Shanafelt","year":"2015","unstructured":"Shanafelt TD, Hasan O, Dyrbye LN, Sinsky C, Satele D, Sloan J, West CP (2015) Changes in burnout and satisfaction with work-life balance in physicians and the general US working population between 2011 and 2014. Mayo Clin Proc 90:1600\u20131613","journal-title":"Mayo Clin Proc"},{"key":"10961_CR5","doi-asserted-by":"publisher","first-page":"18","DOI":"10.1016\/j.athoracsur.2019.07.063","volume":"109","author":"M Maddaus","year":"2020","unstructured":"Maddaus M (2020) The resilience bank account: skills for optimal performance. Ann Thorac Surg 109:18\u201325","journal-title":"Ann Thorac Surg"},{"key":"10961_CR6","doi-asserted-by":"publisher","first-page":"203","DOI":"10.1097\/01.HMR.0000281626.28363.59","volume":"32","author":"ES Williams","year":"2007","unstructured":"Williams ES, Manwell LB, Konrad TR, Linzer M (2007) The relationship of organizational culture, stress, satisfaction, and burnout with physician-reported error and suboptimal patient care: results from the MEMO study. Health Care Manage Rev 32:203\u2013212","journal-title":"Health Care Manage Rev"},{"key":"10961_CR7","doi-asserted-by":"publisher","first-page":"451","DOI":"10.1001\/jamasurg.2018.5640","volume":"154","author":"S Srinivasa","year":"2019","unstructured":"Srinivasa S, Gurney J, Koea J (2019) Potential consequences of patient complications for surgeon well-being: a systematic review. JAMA Surg 154:451\u2013457","journal-title":"JAMA Surg"},{"key":"10961_CR8","doi-asserted-by":"publisher","first-page":"211","DOI":"10.1001\/archsurg.2010.310","volume":"146","author":"LN Dyrbye","year":"2011","unstructured":"Dyrbye LN, Shanafelt TD, Balch CM, Satele D, Sloan J, Freischlag J (2011) Relationship between work-home conflicts and burnout among American surgeons: a comparison by sex. Arch Surg 146:211\u2013217","journal-title":"Arch Surg"},{"key":"10961_CR9","doi-asserted-by":"publisher","first-page":"228","DOI":"10.1016\/j.amjsurg.2021.12.027","volume":"224","author":"TA Al-Ghunaim","year":"2022","unstructured":"Al-Ghunaim TA, Johnson J, Biyani CS, Alshahrani KM, Dunning A, O\u2019Connor DB (2022) Surgeon burnout, impact on patient safety and professionalism: a systematic review and meta-analysis. Am J Surg 224:228\u2013238","journal-title":"Am J Surg"},{"key":"10961_CR10","doi-asserted-by":"publisher","first-page":"99","DOI":"10.1016\/j.jsurg.2018.06.025","volume":"76","author":"PK Leach","year":"2019","unstructured":"Leach PK, Nygaard RM, Chipman JG, Brunsvold ME, Marek AP (2019) Impostor phenomenon and burnout in general surgeons and general surgery residents. J Surg Educ 76:99\u2013106","journal-title":"J Surg Educ"},{"key":"10961_CR11","doi-asserted-by":"publisher","first-page":"970","DOI":"10.1001\/jamasurg.2016.1647","volume":"151","author":"M Pulcrano","year":"2016","unstructured":"Pulcrano M, Evans SR, Sosin M (2016) Quality of life and burnout rates across surgical specialties: a systematic review. JAMA Surg 151:970\u2013978","journal-title":"JAMA Surg"},{"key":"10961_CR12","doi-asserted-by":"publisher","first-page":"265","DOI":"10.1001\/jamasurg.2016.4086","volume":"152","author":"Z Khoushhal","year":"2017","unstructured":"Khoushhal Z, Hussain MA, Greco E, Mamdani M, Verma S, Rotstein O, Tricco AC, Al-Omran M (2017) Prevalence and causes of attrition among surgical residents: a systematic review and meta-analysis. JAMA Surg 152:265\u2013272","journal-title":"JAMA Surg"},{"key":"10961_CR13","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1080\/17439760.2019.1685580","volume":"15","author":"RA Emmons","year":"2020","unstructured":"Emmons RA (2020) Joy: An introduction to this special issue. J Posit Psychol 15:1\u20134","journal-title":"J Posit Psychol"},{"key":"10961_CR14","doi-asserted-by":"publisher","first-page":"2485","DOI":"10.1056\/NEJMp2003149","volume":"382","author":"P Hartzband","year":"2020","unstructured":"Hartzband P, Groopman J (2020) Physician burnout, interrupted. N Engl J Med 382:2485\u20132487","journal-title":"N Engl J Med"},{"key":"10961_CR15","doi-asserted-by":"publisher","first-page":"5201","DOI":"10.1007\/s00464-020-08072-8","volume":"34","author":"J Romanelli","year":"2020","unstructured":"Romanelli J, Gee D, Mellinger JD, Alseidi A, Bittner JG, Auyang E, Asbun H, Feldman LS, Force SRtPoST (2020) The COVID-19 reset: lessons from the pandemic on burnout and the practice of surgery. Surg Endosc 34:5201\u20135207","journal-title":"Surg Endosc"},{"key":"10961_CR16","doi-asserted-by":"publisher","first-page":"893","DOI":"10.1001\/jamasurg.2019.1522","volume":"154","author":"RS Sawin","year":"2019","unstructured":"Sawin RS (2019) Optimizing joy in surgery. JAMA Surg 154:893\u2013894","journal-title":"JAMA Surg"},{"key":"10961_CR17","doi-asserted-by":"publisher","first-page":"106613","DOI":"10.1016\/j.ijsu.2022.106613","volume":"101","author":"T Al-Ghunaim","year":"2022","unstructured":"Al-Ghunaim T, Johnson J, Biyani CS, O\u2019Connor DB (2022) Burnout in surgeons: a qualitative investigation into contributors and potential solutions. Int J Surg 101:106613","journal-title":"Int J Surg"},{"key":"10961_CR18","doi-asserted-by":"publisher","first-page":"2272","DOI":"10.1016\/S0140-6736(16)31279-X","volume":"388","author":"CP West","year":"2016","unstructured":"West CP, Dyrbye LN, Erwin PJ, Shanafelt TD (2016) Interventions to prevent and reduce physician burnout: a systematic review and meta-analysis. Lancet 388:2272\u20132281","journal-title":"Lancet"},{"key":"10961_CR19","doi-asserted-by":"publisher","first-page":"6","DOI":"10.1016\/j.amjsurg.2021.07.029","volume":"223","author":"HR Walker","year":"2022","unstructured":"Walker HR, Evans E, Nirula R, Hyngstrom J, Matsen C, Nelson E, Pickron B, Zurbuchen E, Morrow EH (2022) \u201cI need to have a fulfilling job\u201d: A qualitative study of surgeon well-being and professional fulfillment. Am J Surg 223:6\u201311","journal-title":"Am J Surg"},{"key":"10961_CR20","doi-asserted-by":"publisher","first-page":"181","DOI":"10.1016\/j.surge.2013.11.015","volume":"12","author":"S Mache","year":"2014","unstructured":"Mache S, Vitzthum K, Klapp BF, Danzer G (2014) Surgeons\u2019 work engagement: influencing factors and relations to job and life satisfaction. Surgeon 12:181\u2013190","journal-title":"Surgeon"},{"key":"10961_CR21","doi-asserted-by":"publisher","first-page":"1105","DOI":"10.1007\/s11606-015-3235-4","volume":"30","author":"M Linzer","year":"2015","unstructured":"Linzer M, Poplau S, Grossman E, Varkey A, Yale S, Williams E, Hicks L, Brown RL, Wallock J, Kohnhorst D, Barbouche M (2015) A cluster randomized trial of interventions to improve work conditions and clinician burnout in primary care: results from the Healthy Work Place (HWP) study. J Gen Intern Med 30:1105\u20131111","journal-title":"J Gen Intern Med"},{"key":"10961_CR22","first-page":"308","volume":"43","author":"SJ Swensen","year":"2017","unstructured":"Swensen SJ, Shanafelt T (2017) An organizational framework to reduce professional burnout and bring back joy in practice. Jt Comm J Qual Patient Saf 43:308\u2013313","journal-title":"Jt Comm J Qual Patient Saf"},{"key":"10961_CR23","doi-asserted-by":"publisher","first-page":"1443","DOI":"10.1513\/AnnalsATS.202202-111IP","volume":"19","author":"M Buchbinder","year":"2022","unstructured":"Buchbinder M, Jenkins T (2022) Burnout in critical care: time for moving upstream. Ann Am Thorac Soc 19:1443\u20131445","journal-title":"Ann Am Thorac Soc"},{"key":"10961_CR24","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-023-10135-5","author":"D Hughes","year":"2023","unstructured":"Hughes D, Hanson MN, Alseidi A, Romanelli J, Vassiliou M, Feldman LS, Asbun H (2023) Factors influencing surgeon well-being: qualitatively exploring the joy of surgery. Surg Endosc: https:\/\/doi.org\/10.1007\/s00464-023-10135-5","journal-title":"Surg Endosc:"},{"key":"10961_CR25","volume-title":"Internet, mail, and mixed-mode surveys: the tailored design method","author":"DA Dillman","year":"2009","unstructured":"Dillman DA, Smyth JD, Christian LM (2009) Internet, mail, and mixed-mode surveys: the tailored design method, 3rd edn. Wiley, Hoboken","edition":"3"},{"key":"10961_CR26","doi-asserted-by":"publisher","first-page":"1453","DOI":"10.1016\/S0140-6736(07)61602-X","volume":"370","author":"E von Elm","year":"2007","unstructured":"von Elm E, Altman DG, Egger M, Pocock SJ, G\u00f8tzsche PC, Vandenbroucke JP (2007) The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies. Lancet 370:1453\u20131457","journal-title":"Lancet"},{"key":"10961_CR27","doi-asserted-by":"publisher","first-page":"439","DOI":"10.1097\/TA.0000000000003736","volume":"93","author":"CE Jones","year":"2022","unstructured":"Jones CE, Fox ED, Holsten SB, White CQ, Sayyid RK, O\u2019Keeffe T, Lawson AG (2022) Burnout reduction in acute care surgeons: Impact of faculty schedule change at a level 1 trauma and tertiary care center. J Trauma Acute Care Surg 93:439\u2013445","journal-title":"J Trauma Acute Care Surg"},{"key":"10961_CR28","first-page":"127","volume":"54","author":"I Angemeier","year":"2009","unstructured":"Angemeier I, Dunford BB, Boss AD, Boss WR, Miller JA (2009) The impact of participative management perceptions on customer service, medical errors, burnout, and turnover intentions. J Healthc Manag 54:127\u2013140","journal-title":"J Healthc Manag"},{"key":"10961_CR29","doi-asserted-by":"publisher","first-page":"50","DOI":"10.1186\/s13561-022-00396-6","volume":"12","author":"Q Shao","year":"2022","unstructured":"Shao Q (2022) Does less working time improve life satisfaction? Evidence from European Social Survey. Health Econ Rev 12:50","journal-title":"Health Econ Rev"}],"container-title":["Surgical Endoscopy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00464-024-10961-1.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00464-024-10961-1\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00464-024-10961-1.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,7,2]],"date-time":"2024-07-02T13:27:59Z","timestamp":1719926879000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00464-024-10961-1"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,6,13]]},"references-count":29,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2024,7]]}},"alternative-id":["10961"],"URL":"https:\/\/doi.org\/10.1007\/s00464-024-10961-1","relation":{},"ISSN":["0930-2794","1432-2218"],"issn-type":[{"value":"0930-2794","type":"print"},{"value":"1432-2218","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,6,13]]},"assertion":[{"value":"2 May 2024","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"23 May 2024","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"13 June 2024","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Dr. Dorothy Hughes received a grant from the Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) for time and expenses relevant to this study, paid to the University of Kansas School of Medicine Department of Population Health. Dr. Melissa Hanson has no conflicts of interest relevant to this work to disclose. Dr. Adnan Alseidi reports he is a Board Member of SAGES. Dr. James G. Bittner IV has no conflicts of interest or financial ties to disclose. Dr. John Romanelli reports he is a Board Member of SAGES. Dr. Melina Vassiliou reports she is a Board Member of SAGES. Dr. Liane Feldman reports she is a Board Member of SAGES. Dr. Horacio Asbun reports he is a Board Member of SAGES.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Disclosures"}}]}}