SRS15 - Work/life balance amongst orthopaedic staff in wales: is burnout a growing problem?

Abstract Background Work within surgical specialties is both personally and professionally demanding. Burnout, a syndrome arising from sustained occupational stress, leads to profound physical and psychological exhaustion. Manifestations include emotional dysregulation, somatic complaints, and impaired mental health, with consequent adverse effects on professional performance, interpersonal relationships, and overall quality of life. While burnout has been extensively reported among senior orthopaedic surgeons, this study aimed to evaluate burnout prevalence and relationship stability across all members of a Welsh orthopaedic department. Methods A 63-item questionnaire was constructed incorporating the Maslach Burnout Inventory, General Health Questionnaire-12, and the Revised Dyadic Adjustment Scale, in addition to demographic variables. The instrument was distributed at the Welsh Orthopaedic Society Annual Meeting 2023. Results Thirty participants completed the survey, comprising foundation doctors (23.3%), nurse practitioners (6.6%), associate specialists (10%), and consultants (6.6%). High levels of burnout were reported by 37% of respondents, with 80% demonstrating depersonalisation and 60% indicating reduced personal accomplishment. Psychological distress attributable to occupational factors was identified in 90% of respondents. Relationship instability, both professional and personal, was reported across all groups. Conclusions Burnout and relational difficulties are present at moderate to high levels across orthopaedic teams. Nurse practitioners reported comparatively lower burnout and relationship strain relative to SHOs and ST3–ST5 registrars. Targeted interventions, including adequate staffing, psychological support services, and collaborative work environment initiatives, are recommended to mitigate burnout and enhance workforce well-being, thereby improving departmental performance and satisfaction.