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Title: Burnout Evaluation of Radiation Residents Nationwide: Results of a Survey of United States Residents

Abstract

Purpose: To assess rates of burnout among US radiation oncology residents and evaluate program/resident factors associated with burnout. Methods and Materials: A nationwide survey was distributed to residents in all US radiation oncology programs. The survey included the Maslach Burnout Index–Human Services Survey (MBI-HSS) as well as demographic and program-specific questions tailored to radiation oncology residents. Primary endpoints included rates of emotional exhaustion, depersonalization, and personal accomplishment from MBI-HSS subscale scores. Binomial logistic models determined associations between various residency/resident characteristics and high burnout levels. Results: Overall, 232 of 733 residents (31.2%) responded, with 205 of 733 (27.9%) completing the MBI-HSS. High levels of emotional exhaustion and depersonalization were reported in 28.3% and 17.1%, respectively; 33.1% experienced a high burnout level on at least 1 of these 2 MBI-HSS subscales. Low rates of personal accomplishment occurred in 12% of residents. Twelve residents (5.9%) reported feeling “at the end of my rope” on a weekly basis or more. On multivariable analysis there was a statistically significant inverse association between perceived adequacy of work-life balance (odds ratio 0.37; 95% confidence interval 0.17-0.83) and burnout. Conclusions: Approximately one-third of radiation oncology residents have high levels of burnout symptoms, consistent with previous oncology literature, but lower levelsmore » than those among physicians and residents of other specialties. Particularly concerning was that more than 1 in 20 felt “at the end of my rope” on a weekly basis or more. Targeted interventions to identify symptoms of burnout among radiation oncology residents may help to prevent the negative downstream consequences of this syndrome.« less

Authors:
; ;  [1];  [2];  [3];  [1]
  1. Department of Radiation Oncology, University of Miami Miller School of Medicine/Sylvester Comprehensive Cancer Center and Jackson Memorial Hospital, Miami, Florida (United States)
  2. Department of Dermatology and Therapeutic Radiology, Yale Cancer Center, New Haven, Connecticut (United States)
  3. Department of Radiation Medicine, Oregon Health & Science University, Portland, Oregon (United States)
Publication Date:
OSTI Identifier:
22723027
Resource Type:
Journal Article
Journal Name:
International Journal of Radiation Oncology, Biology and Physics
Additional Journal Information:
Journal Volume: 99; Journal Issue: 3; Other Information: Copyright (c) 2017 Elsevier Science B.V., Amsterdam, The Netherlands, All rights reserved.; Country of input: International Atomic Energy Agency (IAEA); Journal ID: ISSN 0360-3016
Country of Publication:
United States
Language:
English
Subject:
62 RADIOLOGY AND NUCLEAR MEDICINE; BURNOUT; EVALUATION; RADIOTHERAPY

Citation Formats

Ramey, Stephen J., Ahmed, Awad A., Takita, Cristiane, Wilson, Lynn D., Thomas, Charles R., and Yechieli, Raphael. Burnout Evaluation of Radiation Residents Nationwide: Results of a Survey of United States Residents. United States: N. p., 2017. Web. doi:10.1016/J.IJROBP.2017.06.014.
Ramey, Stephen J., Ahmed, Awad A., Takita, Cristiane, Wilson, Lynn D., Thomas, Charles R., & Yechieli, Raphael. Burnout Evaluation of Radiation Residents Nationwide: Results of a Survey of United States Residents. United States. doi:10.1016/J.IJROBP.2017.06.014.
Ramey, Stephen J., Ahmed, Awad A., Takita, Cristiane, Wilson, Lynn D., Thomas, Charles R., and Yechieli, Raphael. Wed . "Burnout Evaluation of Radiation Residents Nationwide: Results of a Survey of United States Residents". United States. doi:10.1016/J.IJROBP.2017.06.014.
@article{osti_22723027,
title = {Burnout Evaluation of Radiation Residents Nationwide: Results of a Survey of United States Residents},
author = {Ramey, Stephen J. and Ahmed, Awad A. and Takita, Cristiane and Wilson, Lynn D. and Thomas, Charles R. and Yechieli, Raphael},
abstractNote = {Purpose: To assess rates of burnout among US radiation oncology residents and evaluate program/resident factors associated with burnout. Methods and Materials: A nationwide survey was distributed to residents in all US radiation oncology programs. The survey included the Maslach Burnout Index–Human Services Survey (MBI-HSS) as well as demographic and program-specific questions tailored to radiation oncology residents. Primary endpoints included rates of emotional exhaustion, depersonalization, and personal accomplishment from MBI-HSS subscale scores. Binomial logistic models determined associations between various residency/resident characteristics and high burnout levels. Results: Overall, 232 of 733 residents (31.2%) responded, with 205 of 733 (27.9%) completing the MBI-HSS. High levels of emotional exhaustion and depersonalization were reported in 28.3% and 17.1%, respectively; 33.1% experienced a high burnout level on at least 1 of these 2 MBI-HSS subscales. Low rates of personal accomplishment occurred in 12% of residents. Twelve residents (5.9%) reported feeling “at the end of my rope” on a weekly basis or more. On multivariable analysis there was a statistically significant inverse association between perceived adequacy of work-life balance (odds ratio 0.37; 95% confidence interval 0.17-0.83) and burnout. Conclusions: Approximately one-third of radiation oncology residents have high levels of burnout symptoms, consistent with previous oncology literature, but lower levels than those among physicians and residents of other specialties. Particularly concerning was that more than 1 in 20 felt “at the end of my rope” on a weekly basis or more. Targeted interventions to identify symptoms of burnout among radiation oncology residents may help to prevent the negative downstream consequences of this syndrome.},
doi = {10.1016/J.IJROBP.2017.06.014},
journal = {International Journal of Radiation Oncology, Biology and Physics},
issn = {0360-3016},
number = 3,
volume = 99,
place = {United States},
year = {2017},
month = {11}
}