Accounts of work-related pressure by surgeons suggest a link between burnout – an unhealthy occupational phenomenon – and perfectionism – the perceived or actual need to be perfect. Adopting a stress-based theoretical framework, the present study assesses the degree to which different dimensions of perfectionism are related to surgeon burnout. Using a cross-sectional design, 298 registered surgeons in the UK completed an online survey that included the brief Multidimensional Perfectionism Scale and the Maslach Burnout Inventory. Analyses showed that, when surgeons expected themselves to be perfect, they reported higher exhaustion and, when they reported that others expected them to be perfect, they reported higher levels of all three elements of burnout. Perceptions that others expected them to be perfect was the most important predictor of each element of burnout. Reducing these perceptions via targeted intervention, improved training, and workplace changes may help prevent surgeon burnout.
Al-GhunaimTJohnsonJBiyaniCS, et al. (2022a) Burnout in surgeons: A qualitative investigation into contributors and potential solutions. International Journal of Surgery101: 106613.
3.
Al-GhunaimTAJohnsonJBiyaniCS, et al. (2022b) Surgeon burnout, impact on patient safety and professionalism: A systematic review and meta-analysis. American Journal of Surgery224: 228–238.
4.
BakkerABDemeroutiE (2007) The job demands-resources model: State of the art. Journal of Managerial Psychology22(3): 309–328.
5.
BartholomewAJHoukAKPulcranoM, et al. (2018) Meta-analysis of surgeon burnout syndrome and specialty differences. Journal of Surgical Education75(5): 1256–1263.
6.
BesserAFlettGLHewittPL, et al. (2008) Perfectionism, and cognitions, affect, self-esteem, and physiological reactions in a performance situation. Journal of Rational-Emotive and Cognitive-Behavior Therapy26(3): 206–228.
7.
BradleyVLiddleSShawR, et al. (2015) Sticks and stones: Investigating rude, dismissive and aggressive communication between doctors. Clinical Medicine15(6): 541–545.
8.
ChildsJHStoeberJ (2010) Self-oriented, other-oriented, and socially prescribed perfectionism in employees: Relationships with burnout and engagement. Journal of Workplace Behavioral Health25(4): 269–281.
9.
CohenCPignataSBezakE, et al. (2023) Workplace interventions to improve well-being and reduce burnout for nurses, physicians and allied healthcare professionals: A systematic review. BMJ Open13(6): e071203.
10.
CohenJ (1992) A power primer. Psychological Bulletin112(1): 155–159.
11.
CopeABezemerJMavroveliS, et al. (2017) What attitudes and values are incorporated into self as part of professional identity construction when becoming a surgeon?Academic Medicine92(4): 544–549.
12.
CoxBJEnnsMWClaraIP (2002) The multidimensional structure of perfectionism in clinically distressed and college student samples. Psychological Assessment14(3): 365–373.
13.
CurranTHillAP (2019) Perfectionism is increasing over time: A meta-analysis of birth cohort differences from 1989 to 2016. Psychological Bulletin145(4): 410–429.
14.
DyrbyeLNWestCPSateleD, et al. (2011) Work/home conflict and burnout among academic internal medicine physicians. Archive of Internal Medicine171(13): 1207–1209.
15.
EthersonMEHillAPGruganMC, et al. (2025) Development and validation of the perfectionism literacy questionnaire. Journal of Psychoeducational Assessment43(3): 273–295.
16.
FaivreGMarillierGNalletJ, et al. (2019) Are French orthopedic and trauma surgeons affected by burnout? Results of a nationwide survey. Orthopaedics & Traumatology Surgery & Research105(2): 395–399.
17.
GalaiyaRKinrossJArulampalamT (2020) Factors associated with burnout syndrome in surgeons: A systematic review. Annals of the Royal College of Surgeons of England102(6): 401–407.
18.
GallowayRWatsonHGreeneD, et al. (2022) The efficacy of randomised controlled trials of cognitive behaviour therapy for perfectionism: A systematic review and meta-analysis. Cognitive Behaviour Therapy51(2): 170–184.
19.
GrahamJW (2003) Methods for handling missing data. In:SchinkaJAVelicerWF (eds) Research Methods in Psychology. Wiley, pp.87–112.
20.
HarrisonWD (1983) A social competence model of burnout. In: FarberBA (ed.) Stress and Burnout in the Human Services Professions. Pergamon Press, pp.29–39.
21.
HewittPLFlettGL (1991) Perfectionism in the self and social contexts: Conceptualization, assessment, and association with psychopathology. Journal of Personality and Social Psychology60(3): 456–470.
22.
HewittPLFlettGL (2004) The Multidimensional Perfectionism Scale: Technical Manual. Multi-Health Systems.
23.
HewittPLFlettGLMikailSF (2017) Perfectionism: A Relational Approach to Conceptualization, Assessment, and Treatment. Guilford Publications.
24.
HillAP (2014) Perfectionistic strivings and the perils of partialling. International Journal of Sport and Exercise Psychology12(4): 302–315.
HillAPCurranT (2016) Multidimensional perfectionism and burnout: A meta-analysis. Personality and Social Psychology Review20(3): 269–288.
27.
HillAPKimHAshdown-FranksG (2025) An umbrella review of a decade of meta-analyses examining the correlates of multidimensional perfectionism. Canadian Psychology. Epub ahead of print. https://doi.org/10.1037/cap0000450
28.
HillAPMadiganDJChintapatlaS, et al. (2026) Multidimensional Perfectionism is Related to Burnout in Surgeons - Data and Code. York St John University. Dataset. https://doi.org/10.25421/yorksj.29533175
29.
HirayamaMFernandoS (2016) Burnout in surgeons and organisational interventions. Journal of the Royal Society of Medicine109(11): 400–403.
30.
IBM Corp (2021) IBM SPSS Statistics for Windows (Version 28.0). IBM Corp.
31.
KellowayEKDimoffJKGilbertS (2023) Mental health in the workplace. Annual Review of Organizational Psychology and Organizational Behavior10(1): 363–387.
32.
MacKenzieSBPodsakoffPM (2012) Common method bias in marketing: Causes, mechanisms, and procedural remedies. Journal of Retailing88(4): 542–555.
33.
MalempatiMChienBYGreisbergJK, et al. (2025) Perfectionism leads to burnout and depression among orthopaedic surgeons and residents. Archives of Orthopaedic and Traumatic Surgery145(1): 390.
34.
MarshHWHauKTWenZ (2004) In search of golden rules: Comment on hypothesis-testing approaches to setting cutoff values for fit indexes and dangers in overgeneralizing Hu and Bentler’s (1999) findings. Structural Equation Modeling A Multidisciplinary Journal11(3): 320–341.
35.
MarshHWMuthénBAsparouhovT, et al. (2009) Exploratory structural equation modeling, integrating CFA and EFA: Application to students’ evaluations of university teaching. Structural Equation Modeling A Multidisciplinary Journal16(3): 439–476.
36.
MartinSRFortierMAHeymingTW, et al. (2022) Perfectionism as a predictor of physician burnout. BMC Health Services Research22(1): 1425.
MaslachCJacksonSE (1981) The measurement of experienced burnout. Journal of Organizational Behavior2(2): 99–113.
39.
MaslachCSchaufeliWBLeiterMP (2001) Job burnout. Annual Review of Psychology52: 397–422.
40.
MuthénLKMuthénBO (2020) Mplus (Version 8.5) [Computer Software]. Muthén and Muthén.
41.
PatelP (2018) ‘Fake it ‘til you make it’’: Pressures to measure up in surgical training. Academic Medicine93(5): 769–774.
42.
PfifferlingJH (2008) Healing the perfectionist surgeon. Facial Plastic Surgery Clinics of North America16(2): 239–NaN44, viii.
43.
RobinsonDBTLutonOMellorK, et al. (2021) Trainee perspective of the causes of stress and burnout in surgical training: A qualitative study from Wales. Bmj Open11(8): e045150.
44.
Royal College of Surgeons of England (2025) Advancing the Surgical Workforce: 2025 UK Surgical Workforce Census Report. Royal College of Surgeons of England.
45.
SchaufeliWBDierendonckDVGorpKV (1996) Burnout and reciprocity: Towards a dual-level social exchange model. Work and Stress10(3): 225–237.
46.
ShanafeltTDBalchCMDyrbyeL, et al. (2011) Special report: Suicidal ideation among American surgeons. Archives of Surgery146(1): 54–62.
47.
SmithMMSherrySBChenS, et al. (2018) The perniciousness of perfectionism: A meta-analytic review of the perfectionism-suicide relationship. Journal of Personality86(3): 522–542.
48.
SmithMMSpethTASherrySB, et al. (2017) Is socially prescribed perfectionism veridical? A new take on the stressfulness of perfectionism. Personality and Individual Differences110: 115–118.
49.
StoeberJ (2014) How other-oriented perfectionism differs from self-oriented and socially prescribed perfectionism. Journal of Psychopathology and Behavioral Assessment36: 329–338.
50.
StoeberJ (2015) How other-oriented perfectionism differs from self-oriented and socially prescribed perfectionism: Further findings. Journal of Psychopathology and Behavioral Assessment37: 611–623.
51.
StoeberJGaudreauP (2017) The advantages of partialling perfectionistic strivings and perfectionistic concerns: Critical issues and recommendations. Personality and Individual Differences104: 379–386.
52.
TabachnickBGFidellLS (eds) (2013) Using Multivariate Statistics, 6th edn. Pearson Education.
53.
World Health Organization (2025) International Classification of Diseases for Mortality and Morbidity Statistics, 11th edn. World Health Organization. Available at: https://icd.who.int/
54.
WorthingtonRLWhittakerTA (2006) Scale development research: a content analysis and recommendations for best practices. Counseling Psychologist34(6): 806–838.
55.
YanesAF (2017) The culture of perfection: A barrier to medical student wellness and development. Academic Medicine92(7): 900–901.
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