Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, University of Alabama at Birmingham, Birmingham, AL, United States.
Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, University of Alabama at Birmingham, Birmingham, AL, United States.
Gynecol Oncol. 2017 Sep;146(3):642-646. doi: 10.1016/j.ygyno.2017.06.026. Epub 2017 Jun 24.
Physician burnout is associated with mental illness, alcohol abuse, and job dissatisfaction. Our objective was to estimate the impact of burnout on productivity of gynecologic oncologists during the first half of their career.
A decision model evaluated the impact of burnout on total relative value (RVU) production during the first 15years of practice for gynecologic oncologists entering the workforce from 2011 to 2015. The SGO practice survey provided physician demographics and mean annual RVUs. Published data were used to estimate probability of burnout for male and female gynecologic oncologists, and the impact of depression, alcohol abuse, and early retirement. Academic productivity was defined as annual PubMed publications since finishing fellowship.
Without burnout, RVU production for the cohort of 250 gynecologic oncologists was 26.2 million (M) RVUs over 15years. With burnout, RVU production decreased by 1.6 M (5.9% decrease). Disproportionate rates of burnout among females resulted in 1.1 M lost RVUs for females vs. 488 K for males. Academic production without burnout was estimated at 9277 publications for the cohort. Burnout resulted in 1383 estimated fewer publications over 15years (14.9%).
The impact of burnout on clinical and academic productivity is substantial across all specialties. As health care systems struggle with human resource shortages, this study highlights the need for effective burnout prevention and wellness programs for gynecologic oncologists. Unless significant resources are designated to wellness programs, burnout will increasingly affect the care of our patients and the advancement of our field.
医生倦怠与精神疾病、酗酒和工作不满有关。我们的目的是评估倦怠对妇科肿瘤学家职业生涯前半段生产力的影响。
决策模型评估了 2011 年至 2015 年期间进入劳动力市场的妇科肿瘤学家在职业生涯的前 15 年中因倦怠对总相对价值单位（RVU）生产的影响。SGO 实践调查提供了医生的人口统计学和平均年度 RVU。使用已发表的数据来估计男性和女性妇科肿瘤学家倦怠的概率，以及抑郁、酗酒和提前退休的影响。学术生产力的定义是自完成奖学金以来每年的 PubMed 出版物。
在没有倦怠的情况下，250 名妇科肿瘤学家队列的 RVU 产量为 15 年内 2620 万 RVU。倦怠导致 RVU 产量减少 160 万（减少 5.9%）。女性中不成比例的倦怠率导致女性失去 110 万 RVU，而男性失去 48.8 万 RVU。在没有倦怠的情况下，该队列的学术产量估计为 9277 篇出版物。倦怠导致 15 年内估计减少了 1383 篇出版物（减少 14.9%）。
倦怠对所有专业的临床和学术生产力都有重大影响。随着医疗保健系统努力应对人力资源短缺，这项研究强调了为妇科肿瘤学家制定有效的倦怠预防和健康计划的必要性。除非将大量资源专门用于健康计划，否则倦怠将越来越影响我们患者的护理和我们领域的发展。
