Howard Michelle
University of Wisconsin-La Crosse, WI 54601, USA.
Med Dosim. 2013 Spring;38(1):88-94. doi: 10.1016/j.meddos.2012.07.006. Epub 2012 Dec 13.
Burnout and compassion fatigue (CF) adversely affect medical professionals, including those employed in radiation oncology. Previously conducted research acknowledged the presence of burnout in populations of radiation therapists, radiation oncologists, and oncology nursing staff. The aim of the following research was to measure the incidence of burnout or CF in the specific population of medical dosimetrists surveyed. As professional members of the radiation oncology team, this group had not been included in published research data to date. The hypothesis of the subsequent study stated that a comparable incidence of burnout would be observed among medical dosimetrists as had been reported by earlier researchers for a population of radiation therapists. A survey tool based on the Maslach Burnout Inventory (MBI) and distributed to full members of the American Association of Medical Dosimetrists (AAMD) was utilized as the research measurement method. Results obtained indicated an incidence rates of burnout or CF for medical dosimetrists were less than the rates previously measured for radiation therapists (53% vs 11% for emotional exhaustion [EE] and 45% vs 27% for depersonalization [DP]). The incidence of burnout was based on the Burnout Inventory (BI) developed for the research project. Each of the subscales, EE, DP, and decreased personal accomplishment (PA), was considered and analyzed independently. Although not as prevalent among medical dosimetrists as a variety of additional radiation oncology professionals, a significant portion of the population demonstrated signs of burnout or CF. Future concerns abound for the population of medical dosimetrists as a large number of members scored positive for intermediate risk of burnout and CF. Additionally, a large portion of the population was found to be rapidly approaching retirement.
职业倦怠和同情疲劳（CF）会对医疗专业人员产生不利影响，包括放射肿瘤学领域的从业人员。此前开展的研究已确认放射治疗师、放射肿瘤学家和肿瘤护理人员群体中存在职业倦怠现象。以下研究的目的是测量接受调查的医学剂量师这一特定群体中职业倦怠或同情疲劳的发生率。作为放射肿瘤学团队的专业成员，该群体迄今尚未被纳入已发表的研究数据中。后续研究的假设称，医学剂量师中职业倦怠的发生率将与早期研究人员报告的放射治疗师群体的发生率相当。一种基于马氏职业倦怠量表（MBI）并分发给美国医学剂量师协会（AAMD）正式会员的调查工具被用作研究测量方法。获得的结果表明，医学剂量师的职业倦怠或同情疲劳发生率低于先前测量的放射治疗师的发生率（情绪耗竭[EE]方面为53%对11%，去个性化[DP]方面为45%对27%）。职业倦怠的发生率是基于为该研究项目编制的职业倦怠量表（BI）。EE、DP和个人成就感降低（PA）这几个分量表均被单独考虑和分析。尽管在医学剂量师中不像其他各类放射肿瘤学专业人员那样普遍，但相当一部分人表现出职业倦怠或同情疲劳的迹象。由于大量成员在职业倦怠和同情疲劳的中度风险方面得分呈阳性，医学剂量师群体未来令人担忧的问题很多。此外，还发现很大一部分人很快就要退休了。
