Person: Guiloff, Rodrigo
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Guiloff
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Rodrigo
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Rodrigo Guiloff Krauss
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Publication Over 50% of self-reported burnout among Latin American orthopaedic surgeons: A cross-sectional survey on prevalence and risk factors(2023) Vaisman, Alex; Guiloff, Rodrigo; Contreras, MartĆn; Casas, Juan; Calvo, Rafael; Figueroa, DavidObjective: Assess the prevalence of self-reported burnout and identify risk and protective factors based on demographic and life quality aspects, among Latin American orthopaedic surgeons. Methods: This study employed a cross-sectional analytical design. An original design survey was developed using multiple-choice and Likert-scale questions to gather self-reported burnout, demographic, work-related, social, personal, and mood-related data. The survey was electronically distributed to the Chilean Orthopaedic Surgery Society and the Latin American Society of Arthroscopy, Knee Surgery, and Sports Medicine members. Statistical analysis included Chi-square and Fisher's exact tests to determine associations between self-reported burnout and other variables. Subsequently, a multivariate logistic regression was carried out to identify key risk and protective factors (p ā< ā0.05). Results: The survey's response rate was 20 ā% (n ā= ā358) out of the 1779 invitations that were sent. The most representative age range was 41-60 years (50 ā%) and 94 ā% were men. Of those surveyed, 50 ā% reported a burnout episode more than once per year, 60 ā% depersonalization when treating patients at least yearly, 13 ā% anhedonia, 11 ā% a depressive mood more than half of the month or almost every day, and 61 ā% weariness at the end of a working day. Burnout was statistically associated with age under 40 years old (p ā= ā0.012), fewer years as a specialist (p ā= ā0.037), fear of lawsuits (p ā< ā0.001), a non-healthy diet (p ā= ā0.003), non-doing recreational activities (p ā= ā0.004), depersonalization when treating their patients (p ā< ā0.001), weariness (p ā< ā0.001), anhedonia (p ā< ā0.001), depressive mood (p ā< ā0.001), and career dissatisfaction (p ā< ā0.001). The logistic regression demonstrated that fear of lawsuits (p ā< ā0.001), weariness at the end of a workday (p ā= ā0.016), and anhedonia (p ā= ā0.019) were those variables with stronger direct associations with self-reported burnout. A healthy diet was the strongest protective variable (p ā< ā0.001). Conclusion: Over 50 ā% of the Latin American orthopaedic surgeons who participated in the survey reported experiencing burnout episodes more than once a year, along with depersonalization when treating their patients at least once a year. Additionally, nearly 10 ā% of respondents experienced weekly depressive symptoms. Among the noteworthy risk factors for self-reported burnout were fear of lawsuits, weariness at the end of the workday, and anhedonia. Conversely, maintaining a healthy diet emerged as the most potent protective factorPublication Orthopedic Residency Programs: What are Our Current Goals? An International Society of Orthopedic Centers (ISOC) Delphi Consensus(2025) Figueroa, David; Moya, Luis; Arteaga, JosĆ©; Alex Vaisman; Bostrom, Mathias; AcuƱa, Carolina; Alesi, Domenico; Radice, Fernando; Figueroa, Francisco; Toro, Felipe; Liebergall , Meir; Stegeman, Mark; Tagil, Magnus; Lenza, Mario; Sancheti, Parag; Ranawat, Amar; Calvo, Rafael; Guiloff, Rodrigo; Robbins, Laura; Irarrazaval, Sebastian; Zaffagnini, Stefano; Jung, Tobias; Winkler, TobiasThis article presents an international consensus reached by the International Society of Orthopaedic Centers (ISOC) to establish recommendations on postgraduate orthopedic education. Using the Delphi technique, expert opinions from different regions of the world were collected and analyzed. Twenty statements were evaluated, of which 16 achieved strong consensus, 2 moderate consensus, and 2 did not reach consensus. Key recommendations include the implementation of objective metrics to assess competencies, the integration of ethical and professional standards into the curriculum, the use of high-fidelity simulations and advanced technologies such as virtual reality and telemedicine, the promotion of inclusive and non-discriminatory environments, and the establishment of quotas to ensure sufficient hands-on surgical training. The importance of balancing clinical demands with the mental health needs of residents and fostering interdisciplinary collaboration was also emphasized. The consensus aims to provide a framework for improving orthopedic residency programs, adapting them to current challenges and promoting innovation and better patient outcomes. Limitations such as variability in resources and needs between institutions are acknowledged, and it is proposed to continue with future research and adaptations to maintain the relevance of the recommendations.