Department of Diagnostic Imaging, Rhode Island Hospital - Hasbro Children's Hospital, Warren Alpert Medical School of Brown University, 593 Eddy St., Providence, RI, 02903, USA.
Department of Radiology, Columbia University Medical Center, New York, NY, USA.
Pediatr Radiol. 2019 May;49(6):714-722. doi: 10.1007/s00247-019-04370-z. Epub 2019 May 8.
A recent study showed a high prevalence of burnout in pediatric radiology.
The purpose of this study is to evaluate potential stressors contributing to burnout in pediatric radiology.
Society for Pediatric Radiology members received an invitation for an anonymous survey evaluating stressors contributing to burnout. Stressors evaluated included call burden, financial stress, work-life balance, health care evolution and job market changes, and radiology as a career choice. Additional questions regarding demographics were obtained.
The response rate was 460/1,453 (32%). The prevalence of emotional exhaustion was 66% (286/435), depersonalization was 61% (265/433) and perceived lack of personal accomplishment was 15% (67/436). In a backward selective logistic regression model, work-life imbalance and call burden were the only significant factors predicting higher emotional exhaustion (P<0.001). Using a similar model, work-life imbalance, call burden and decreased rate of reimbursement were significantly associated with higher probability of depersonalization (P=0.033, 0.0002 and 0.015, respectively). Emotional exhaustion and depersonalization were significantly associated with higher odds of a radiologist's wish to work in another medical specialty (P=0.011 and 0.002, respectively).
Key stressors contributing to burnout in pediatric radiology include work-life imbalance, pediatric call burden and a decreased rate of reimbursement. Burnout in pediatric radiology is a serious issue that needs to be addressed and prioritized on the individual and departmental/institutional levels and further investigated to develop effective interventions to mitigate it.
最近的一项研究表明，儿科放射科医生中 burnout 的发病率很高。
本研究旨在评估导致儿科放射科 burnout 的潜在压力源。
儿科放射学会成员收到了一项匿名调查的邀请，评估导致 burnout 的压力源。评估的压力源包括轮班负担、财务压力、工作与生活平衡、医疗保健的发展和就业市场的变化，以及放射科作为职业选择。还获得了有关人口统计学的其他问题。
应答率为 460/1453（32%）。情绪疲惫的患病率为 66%（286/435），去人性化的患病率为 61%（265/433），个人成就感不足的患病率为 15%（67/436）。在后向选择性逻辑回归模型中，工作与生活失衡和轮班负担是预测情绪疲惫更高的唯一显著因素（P<0.001）。使用类似的模型，工作与生活失衡、轮班负担和报销率下降与去人性化的可能性增加显著相关（P=0.033、0.0002 和 0.015）。情绪疲惫和去人性化与放射科医生希望在另一个医学专业工作的几率增加显著相关（P=0.011 和 0.002）。
导致儿科放射科 burnout 的主要压力源包括工作与生活失衡、儿科轮班负担和报销率下降。儿科放射科 burnout 是一个严重的问题，需要在个人、部门/机构层面上加以解决和优先考虑，并进一步调查，以制定有效的干预措施来减轻它。
