Kuerer Henry M, Eberlein Timothy J, Pollock Raphael E, Huschka Mashele, Baile Walter F, Morrow Monica, Michelassi Fabrizio, Singletary S Eva, Novotny Paul, Sloan Jeff, Shanafelt Tait D
Department of Surgical Oncology, The University of Texas M.D. Anderson Cancer Center, Houston, Texas, USA.
Ann Surg Oncol. 2007 Nov;14(11):3043-53. doi: 10.1245/s10434-007-9579-1. Epub 2007 Sep 9.
Studies show that 30-50% of medical oncologists experience burnout, but little is known about burnout among surgical oncologists. We hypothesized that wide variation in burnout and career satisfaction exist among surgical oncologists.
In April 2006, members of the Society of Surgical Oncology (SSO) were sent an anonymous, cross-sectional survey evaluating demographic variables, practice characteristics, career satisfaction, burnout, and quality of life (QOL). Burnout and QOL were measured using validated instruments.
Of the 1519 surgical oncologists surveyed, 549 (36%) responded. More than 50% of respondents worked more than 60 hours per week while 24% performed more than 10 surgical cases per week. Among the respondents, 72% were academic surgical oncologists and 26% spent at least 25% of their time to research. Seventy-nine percent stated that they would become a surgical oncologist again given the choice. Overall, 28% of respondents had burnout. Burnout was more common among respondents age 50 years or younger (31% vs 22%; P = .029) and women (37% vs 26%; P = .031). Factors associated with a higher risk of burnout on multivariate analysis were devoting less than 25% of time to research, had lower physical QOL, and were age 50 years or younger. Burnout was associated with lower satisfaction with career choice.
Although surgical oncologists indicated a high level of career satisfaction, nearly a third experienced burnout. Factors associated with burnout in this study may inform efforts by program directors and SSO members to promote personal health and retain the best surgeons in the field of surgical oncology. Additional research is needed to inform evidenced-based interventions at both the individual and organizational level to reduce burnout.
研究表明，30%至50%的医学肿瘤学家存在职业倦怠，但对于外科肿瘤学家的职业倦怠情况了解甚少。我们推测外科肿瘤学家在职业倦怠和职业满意度方面存在很大差异。
2006年4月，对外科肿瘤学协会（SSO）的成员进行了一项匿名横断面调查，评估人口统计学变量、执业特征、职业满意度、职业倦怠和生活质量（QOL）。使用经过验证的工具测量职业倦怠和生活质量。
在1519名接受调查的外科肿瘤学家中，549名（36%）做出了回应。超过50%的受访者每周工作超过60小时，而24%的受访者每周进行超过10台手术。在受访者中，72%是学术型外科肿瘤学家，26%将至少25%的时间用于研究。79%的人表示如果可以再次选择，他们仍会成为一名外科肿瘤学家。总体而言，28%的受访者存在职业倦怠。职业倦怠在50岁及以下的受访者中更为常见（31%对22%；P = 0.029），在女性中也更为常见（37%对26%；P = 0.031）。多因素分析显示，与职业倦怠风险较高相关的因素包括用于研究的时间少于25%、身体生活质量较低以及年龄在50岁及以下。职业倦怠与对职业选择的较低满意度相关。
尽管外科肿瘤学家表示职业满意度较高，但近三分之一的人经历了职业倦怠。本研究中与职业倦怠相关的因素可能为项目主任和SSO成员促进个人健康以及留住外科肿瘤学领域最佳外科医生的努力提供参考。需要进一步研究以提供基于证据的个体和组织层面的干预措施，以减少职业倦怠。
