Oncology (Williston Park). 2019 Nov 14;33(11):687522.
Burnout is defined as an occupational-related syndrome characterized by physical and emotional exhaustion, cynicism/depersonalization, and low sense of professional accomplishment. Multiple oncology-specific risk factors are associated with an increased susceptibility for the development of burnout. On a daily basis, oncologists are faced with life and death decisions and grieving much more frequently than are physicians in other specialties. Continuous exposure to fatal illnesses with limited success in curing them, exceedingly long work hours with more administrative time demands, limited autonomy over daily responsibilities, endless electronic documentation requirements, and a shifting medical landscape seem to be making oncologists more vulnerable to suffering from burnout. Evidence suggests that burnout can impact quality of care in a variety of ways and have potentially profound personal implications. In this review, the definition, prevalence, causes, and management of oncologist burnout are analyzed. Steps oncologists can take to promote personal well-being and professional satisfaction are also explored.
burnout 定义为一种与职业相关的综合征，其特征为身体和情绪疲惫、玩世不恭/去人性化以及职业成就感低。多种肿瘤学特有的危险因素与 burnout 的易感性增加相关。肿瘤医生每天都要面对生死决策，比其他专科医生更频繁地经历悲伤。他们持续接触绝症，治愈的成功率有限，工作时间极长，行政时间要求更多，日常责任的自主性有限，电子文档要求无穷无尽，医疗环境不断变化，这些似乎使肿瘤医生更容易遭受 burnout 之苦。有证据表明，burnout 会以多种方式影响护理质量，并可能产生深远的个人影响。在这篇综述中，分析了 oncologist burnout 的定义、流行程度、原因和管理。还探讨了肿瘤医生可以采取哪些措施来促进个人幸福和职业满意度。
