{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T15:28:20Z","timestamp":1785857300213,"version":"3.56.0"},"reference-count":48,"publisher":"Elsevier BV","issue":"9","license":[{"start":{"date-parts":[[2025,9,1]],"date-time":"2025-09-01T00:00:00Z","timestamp":1756684800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2025,9,1]],"date-time":"2025-09-01T00:00:00Z","timestamp":1756684800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of Surgical Education"],"published-print":{"date-parts":[[2025,9]]},"DOI":"10.1016\/j.jsurg.2025.103601","type":"journal-article","created":{"date-parts":[[2025,7,15]],"date-time":"2025-07-15T20:06:03Z","timestamp":1752609963000},"page":"103601","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":4,"title":["A Nationwide Study in T\u00fcrkiye on General Surgery Residents\u2019 Satisfaction: Challenges and Realities"],"prefix":"10.1016","volume":"82","author":[{"given":"\u00d6zg\u00fcn Cevdet","family":"K\u00f6se","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9755-8163","authenticated-orcid":false,"given":"Yi\u011fit","family":"T\u00fcrk","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sevgi \u00d6zan","family":"K\u00f6se","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5811-7808","authenticated-orcid":false,"given":"\u00d6zg\u00fcr","family":"K\u0131l\u0131n\u00e7arslan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ozan","family":"Verenda\u011f","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4717-4337","authenticated-orcid":false,"given":"Murat","family":"\u00d6zdemir","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5398-3141","authenticated-orcid":false,"given":"\u00d6zen \u00d6nen","family":"Sert\u00f6z","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4039-0088","authenticated-orcid":false,"given":"G\u00f6khan","family":"\u0130\u00e7\u00f6z","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"1","key":"10.1016\/j.jsurg.2025.103601_bib0001","first-page":"20","article-title":"Asistan Hekimlerin T\u0131pta Uzmanl\u0131k E\u011fitimi Kapsam\u0131nda Mesleki Memnuniyetleri ve Ya\u015fam Ko\u015fullar\u0131 ile \u0130li\u015fkisi","volume":"25","author":"Tan","year":"2012","journal-title":"Marmara Med J"},{"issue":"20","key":"10.1016\/j.jsurg.2025.103601_bib0002","first-page":"1394","article-title":"Job satisfaction among doctors","volume":"104","author":"Gothe","year":"2007","journal-title":"Dtsch Arztebl"},{"key":"10.1016\/j.jsurg.2025.103601_bib0003","first-page":"25","article-title":"Depression prevalence and affecting factors among general practitioners and specialists \u0130n Mersin Province","volume":"15","author":"Bugdayci","year":"2005","journal-title":"Health Soc"},{"issue":"3","key":"10.1016\/j.jsurg.2025.103601_bib0004","doi-asserted-by":"crossref","first-page":"118","DOI":"10.1136\/ebmed-2016-110381","article-title":"High prevalence of depression in medical residents: the sad reality of medical training","volume":"21","author":"Schipper","year":"2016","journal-title":"Evid Based Med"},{"issue":"10","key":"10.1016\/j.jsurg.2025.103601_bib0005","doi-asserted-by":"crossref","first-page":"970","DOI":"10.1001\/jamasurg.2016.1647","article-title":"Quality of life and burnout rates across surgical specialties: a systematic review","volume":"151","author":"Pulcrano","year":"2016","journal-title":"JAMA Surg"},{"issue":"1","key":"10.1016\/j.jsurg.2025.103601_bib0006","doi-asserted-by":"crossref","first-page":"128","DOI":"10.1016\/j.cursur.2004.07.009","article-title":"Why do residents leave general surgery? The hidden problem in today's programs","volume":"62","author":"Dodson","year":"2005","journal-title":"Curr Surg"},{"issue":"18","key":"10.1016\/j.jsurg.2025.103601_bib0007","doi-asserted-by":"crossref","first-page":"1741","DOI":"10.1056\/NEJMsa1903759","article-title":"Discrimination, abuse, harassment, and burnout in surgical residency training","volume":"381","author":"Hu","year":"2019","journal-title":"N Engl J Med"},{"key":"10.1016\/j.jsurg.2025.103601_bib0008","first-page":"9","article-title":"Practical issues in calculating the sample size for prevalence studies. Medical statistics","volume":"1","author":"Naing","year":"2006","journal-title":"Arch Orofac Sci"},{"key":"10.1016\/j.jsurg.2025.103601_bib0009","first-page":"280","article-title":"Validity and reliability of Turkish version of hospital anxiety and depression scale","volume":"8","author":"Aydemir","year":"1997","journal-title":"Turkish J Psychiatry"},{"issue":"6","key":"10.1016\/j.jsurg.2025.103601_bib0010","doi-asserted-by":"crossref","first-page":"361","DOI":"10.1111\/j.1600-0447.1983.tb09716.x","article-title":"The hospital anxiety and depression scale","volume":"67","author":"Zigmond","year":"1983","journal-title":"Acta Psychiatr Scand"},{"key":"10.1016\/j.jsurg.2025.103601_bib0011","article-title":"Maslach burnout inventory","author":"Maslach","year":"1997","journal-title":"Scarecrow Edu"},{"key":"10.1016\/j.jsurg.2025.103601_bib0012","unstructured":"Ergin C (1992). \u201cDoktor ve Hem\u015firelerde T\u00fckenmi\u015flik ve Maslach T\u00fckenmi\u015flik \u00d6l\u00e7e\u011fin Uyarlanmas\u0131\u201d, VII. Ulusal Psikoloji Kongresi Bilimsel \u00c7al\u0131\u015fmalar\u0131 El Kitab\u0131,143-154."},{"key":"10.1016\/j.jsurg.2025.103601_bib0013","series-title":"Sosyal bilimlerde ara\u015ft\u0131rma y\u00f6ntemleri","first-page":"271","author":"G\u00fcrb\u00fcz","year":"2014"},{"issue":"4","key":"10.1016\/j.jsurg.2025.103601_bib0014","doi-asserted-by":"crossref","first-page":"223","DOI":"10.1016\/j.ciresp.2020.12.010","article-title":"Sleep deprivation among surgical residents: does it affect performance while practising a laparoscopic intestinal anastomosis?","volume":"100","author":"Real Noval","year":"2022","journal-title":"Cir Esp (Engl Ed)"},{"issue":"6","key":"10.1016\/j.jsurg.2025.103601_bib0015","doi-asserted-by":"crossref","first-page":"1","DOI":"10.5455\/njppp.2017.7.0204102032017","article-title":"Effect of sleep deprivation on finger dexterity in resident doctors","volume":"7","author":"Hirkani","year":"2017","journal-title":"Nat J Physiol Pharma Pharmacol"},{"issue":"1","key":"10.1016\/j.jsurg.2025.103601_bib0016","doi-asserted-by":"crossref","first-page":"258","DOI":"10.30574\/wjarr.2022.14.1.0311","article-title":"Predictors of anxiety and depression in general surgeons and clinicians attending hospital urgencies and emergencies","volume":"14","author":"Marques","year":"2022","journal-title":"World J Adv Res Rev"},{"issue":"8","key":"10.1016\/j.jsurg.2025.103601_bib0017","doi-asserted-by":"crossref","first-page":"595","DOI":"10.1046\/j.1525-1497.2003.20919.x","article-title":"Detection of errors by attending physicians on a general medicine service","volume":"18","author":"Chaudhry","year":"2003","journal-title":"J Gen Intern Med"},{"issue":"2","key":"10.1016\/j.jsurg.2025.103601_bib0018","doi-asserted-by":"crossref","first-page":"396","DOI":"10.1097\/SLA.0000000000003909","article-title":"Association of surgical resident wellness with medical errors and patient outcomes","volume":"274","author":"Hewitt","year":"2021","journal-title":"Ann Surg"},{"key":"10.1016\/j.jsurg.2025.103601_bib0019","doi-asserted-by":"crossref","first-page":"157","DOI":"10.25282\/ted.696179","article-title":"Changes in physicians\u2019 Specalization preferences from 1987 to 2017","volume":"19","author":"Bakan Kalaycio\u011flu","year":"2020","journal-title":"T\u0131p E\u011fitimi D\u00fcnyas\u0131"},{"issue":"2","key":"10.1016\/j.jsurg.2025.103601_bib0020","doi-asserted-by":"crossref","first-page":"227","DOI":"10.1016\/j.amjsurg.2019.10.040","article-title":"A comprehensive national survey on thoughts of leaving residency, alternative career paths, and reasons for staying in general surgery training","volume":"219","author":"Ellis","year":"2020","journal-title":"Am J Surg"},{"issue":"9","key":"10.1016\/j.jsurg.2025.103601_bib0021","doi-asserted-by":"crossref","first-page":"948","DOI":"10.1001\/jamasurg.2014.935","article-title":"Factors associated with general surgery residents' desire to leave residency programs: a multi-institutional study [published correction appears in JAMA Surg. 2014 Oct;149(10):1085]","volume":"149","author":"Gifford","year":"2014","journal-title":"JAMA Surg"},{"issue":"3","key":"10.1016\/j.jsurg.2025.103601_bib0022","doi-asserted-by":"crossref","first-page":"440","DOI":"10.1016\/j.jamcollsurg.2016.05.014","article-title":"National survey of burnout among US general surgery residents","volume":"223","author":"Elmore","year":"2016","journal-title":"J Am Coll Surg"},{"key":"10.1016\/j.jsurg.2025.103601_bib0023","unstructured":"Kazanc\u0131 E Acil t\u0131p asistanlar\u0131nda anksiyete d\u00fczeyi, umutsuzluk d\u00fczeyi ve akut stres bozuklu\u011funun istifa oranlar\u0131na etkisi; (2020). Available from:https:\/\/tez.yok.gov.tr\/UlusalTezMerkezi\/TezGoster?key=Eb5EkakJlp3olBdo_wNEGZ9s2JyDYa9rvGzJCsOGRpzNt5DZeFgVooglnOF0R8Ac Accessed March 1, 2025."},{"issue":"22","key":"10.1016\/j.jsurg.2025.103601_bib0024","doi-asserted-by":"crossref","first-page":"2373","DOI":"10.1001\/jama.2015.15845","article-title":"Prevalence of depression and depressive symptoms among Resident physicians: a systematic review and meta-analysis","volume":"314","author":"Mata","year":"2015","journal-title":"JAMA"},{"issue":"7","key":"10.1016\/j.jsurg.2025.103601_bib0025","doi-asserted-by":"crossref","DOI":"10.1136\/bmjopen-2017-020655","article-title":"Prevalence of anxiety and depressive symptoms among medical residents in Tunisia: a cross-sectional survey","volume":"8","author":"Marzouk","year":"2018","journal-title":"BMJ Open"},{"issue":"3","key":"10.1016\/j.jsurg.2025.103601_bib0026","doi-asserted-by":"crossref","first-page":"253","DOI":"10.7205\/MILMED-D-10-00269","article-title":"Predictors of burnout among military mental health providers","volume":"176","author":"Ballenger-Browning","year":"2011","journal-title":"Mil Med"},{"issue":"10","key":"10.1016\/j.jsurg.2025.103601_bib0027","doi-asserted-by":"crossref","first-page":"5368","DOI":"10.3390\/ijerph18105368","article-title":"Burnout impact of COVID-19 pandemic on health-care professionals at Assiut University Hospitals, 2020","volume":"18","author":"Elghazally","year":"2021","journal-title":"Int J Environ Res Public Health"},{"issue":"1015","key":"10.1016\/j.jsurg.2025.103601_bib0028","doi-asserted-by":"crossref","first-page":"266","DOI":"10.1136\/pgmj.2009.092106","article-title":"Prevalence of burnout syndrome among medical residents: experience of a developing country","volume":"86","author":"Ashkar","year":"2010","journal-title":"Postgrad Med J"},{"issue":"3","key":"10.1016\/j.jsurg.2025.103601_bib0029","doi-asserted-by":"crossref","first-page":"463","DOI":"10.1097\/SLA.0b013e3181ac4dfd","article-title":"Burnout and career satisfaction among American surgeons","volume":"250","author":"Shanafelt","year":"2009","journal-title":"Ann Surg"},{"key":"10.1016\/j.jsurg.2025.103601_bib0030","doi-asserted-by":"crossref","DOI":"10.1016\/j.eclinm.2020.100424","article-title":"Frontline nurses' burnout, anxiety, depression, and fear statuses and their associated factors during the COVID-19 outbreak in Wuhan, China: a large-scale cross-sectional study","volume":"24","author":"Hu","year":"2020","journal-title":"EClinicalMedicine"},{"issue":"6","key":"10.1016\/j.jsurg.2025.103601_bib0031","doi-asserted-by":"crossref","first-page":"632","DOI":"10.1017\/S1049023X19004874","article-title":"A systematic review of the impact of disaster on the mental health of medical responders","volume":"34","author":"Naushad","year":"2019","journal-title":"Prehosp Disaster Med"},{"issue":"10","key":"10.1016\/j.jsurg.2025.103601_bib0032","doi-asserted-by":"crossref","first-page":"1213","DOI":"10.1177\/00187267035610003","article-title":"Ways of explaining workplace bullying: a review of enabling, motivating and precipitating structures and processes in the work environment","volume":"56","author":"Salin","year":"2003","journal-title":"Human Relat"},{"key":"10.1016\/j.jsurg.2025.103601_bib0033","doi-asserted-by":"crossref","first-page":"173","DOI":"10.1002\/1098-2337(1994)20:3<173::AID-AB2480200304>3.0.CO;2-D","article-title":"Aggression among university employees","volume":"20","author":"Bj\u00f6rkqvist","year":"1994","journal-title":"Aggr Behav"},{"key":"10.1016\/j.jsurg.2025.103601_bib0034","doi-asserted-by":"crossref","first-page":"5","DOI":"10.5505\/kpd.2022.92668","article-title":"Stress levels of healthcare workers in the COVID-19 pandemic in relation to gender roles: is the problem limited to the work?","volume":"25","author":"Ertek","year":"2022","journal-title":"Turkish J Clin Psychiatry"},{"issue":"1","key":"10.1016\/j.jsurg.2025.103601_bib0035","doi-asserted-by":"crossref","first-page":"65","DOI":"10.5152\/FNJN.2021.19033","article-title":"The evaluation of gender courses in health sciences faculties in Turkish universities","volume":"29","author":"Avc\u0131","year":"2021","journal-title":"Flor Nightingale J Nurs"},{"key":"10.1016\/j.jsurg.2025.103601_bib0036","unstructured":"Presidency of T\u00fcrkiye\u2014Strategy and Budget Office. (2022). Contribution by Turkey for the implementation of UN Resolution 74\/235: Women in Development. https:\/\/www.sbb.gov.tr\/wp-content\/uploads\/2022\/07\/On_Birinci_Kalkinma_Plani-2019-2023.pdf. Accessed March 1, 2025."},{"issue":"1","key":"10.1016\/j.jsurg.2025.103601_bib0037","first-page":"65","article-title":"Toplumsal cinsiyet\u00e7ilikle m\u00fccadeleye y\u00f6nelik m\u00fcdahale \u00e7al\u0131\u015fmalar\u0131 \u00fczerine sistematik bir derleme","volume":"41","author":"Soylu-Konak","year":"2021","journal-title":"\u0130stanbul \u00dcniversitesi Sosyoloji Dergisi"},{"issue":"1","key":"10.1016\/j.jsurg.2025.103601_bib0038","doi-asserted-by":"crossref","first-page":"95","DOI":"10.1007\/s13304-022-01370-x","article-title":"The state of general surgery residents in Italy after COVID-19 outbreak: a nationwide cross-sectional study","volume":"75","author":"Serenari","year":"2023","journal-title":"Updates Surg"},{"issue":"2","key":"10.1016\/j.jsurg.2025.103601_bib0039","doi-asserted-by":"crossref","first-page":"621","DOI":"10.21873\/invivo.13867","article-title":"Impact of the COVID-19 Pandemic on ophthalmologists residents well-being and training programs: a systematic review","volume":"39","author":"Dimaki","year":"2025","journal-title":"In Vivo"},{"issue":"9","key":"10.1016\/j.jsurg.2025.103601_bib0040","doi-asserted-by":"crossref","DOI":"10.1111\/ijcp.13559","article-title":"Well-being and education of urology residents during the COVID-19 pandemic: results of an American National Survey","volume":"74","author":"Khusid","year":"2020","journal-title":"Int J Clin Pract"},{"issue":"2","key":"10.1016\/j.jsurg.2025.103601_bib0041","doi-asserted-by":"crossref","first-page":"239","DOI":"10.1177\/15533506221120145","article-title":"Profiles of burnout and response to the COVID-19 pandemic among general surgery residents at a large academic training program","volume":"30","author":"Nguyen","year":"2023","journal-title":"Surg Innov"},{"issue":"3","key":"10.1016\/j.jsurg.2025.103601_bib0042","doi-asserted-by":"crossref","DOI":"10.1515\/ijamh-2015-0077","article-title":"Burnout, depression and anxiety in preclinical medical students: a cross-sectional survey","volume":"29","author":"van Venrooij","year":"2015","journal-title":"Int J Adolesc Med Health"},{"issue":"3","key":"10.1016\/j.jsurg.2025.103601_bib0043","doi-asserted-by":"crossref","first-page":"e120","DOI":"10.3109\/01421590903449894","article-title":"Psychological well-being of interns in Hong Kong: what causes them stress and what helps them","volume":"32","author":"Lam","year":"2010","journal-title":"Med Teach"},{"issue":"4","key":"10.1016\/j.jsurg.2025.103601_bib0044","doi-asserted-by":"crossref","first-page":"296","DOI":"10.1176\/appi.ap.33.4.296","article-title":"Burnout, perceived stress, and depression among cardiology residents in Argentina","volume":"33","author":"Waldman","year":"2009","journal-title":"Acad Psychiatry"},{"issue":"3","key":"10.1016\/j.jsurg.2025.103601_bib0045","doi-asserted-by":"crossref","first-page":"354","DOI":"10.4103\/0971-5916.156571","article-title":"Stress, anxiety and depression among medical undergraduate students and their socio-demographic correlates","volume":"141","author":"Iqbal","year":"2015","journal-title":"Indian J Med Res"},{"issue":"1","key":"10.1016\/j.jsurg.2025.103601_bib0046","doi-asserted-by":"crossref","first-page":"21","DOI":"10.1590\/1806-9282.63.01.21","article-title":"Depression, stress and anxiety in medical students: a cross-sectional comparison between students from different semesters","volume":"63","author":"Moutinho","year":"2017","journal-title":"Rev Assoc Med Bras (1992)"},{"key":"10.1016\/j.jsurg.2025.103601_bib0047","doi-asserted-by":"crossref","first-page":"186","DOI":"10.1016\/j.psychres.2017.05.027","article-title":"Prevalence of psychological stress, depression and anxiety among medical students in Egypt","volume":"255","author":"Fawzy","year":"2017","journal-title":"Psychiatry Res"},{"issue":"10","key":"10.1016\/j.jsurg.2025.103601_bib0048","first-page":"968","article-title":"Depression and its associated risk factors in medical and surgical post graduate trainees at a teaching hospital: a cross sectional survey from a developing country","volume":"61","author":"Yousuf","year":"2011","journal-title":"J Pak Med Assoc"}],"container-title":["Journal of Surgical Education"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1931720425001825?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1931720425001825?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,4,23]],"date-time":"2026-04-23T07:28:49Z","timestamp":1776929329000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1931720425001825"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,9]]},"references-count":48,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2025,9]]}},"alternative-id":["S1931720425001825"],"URL":"https:\/\/doi.org\/10.1016\/j.jsurg.2025.103601","relation":{},"ISSN":["1931-7204"],"issn-type":[{"value":"1931-7204","type":"print"}],"subject":[],"published":{"date-parts":[[2025,9]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"A Nationwide Study in T\u00fcrkiye on General Surgery Residents\u2019 Satisfaction: Challenges and Realities","name":"articletitle","label":"Article Title"},{"value":"Journal of Surgical Education","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jsurg.2025.103601","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2025 Association of Program Directors in Surgery. Published by Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}],"article-number":"103601"}}