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, The Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Pediatr Radiol. 2020 Jul;50(8):1071-1077. doi: 10.1007/s00247-020-04693-2. Epub 2020 May 30.
Burnout in medicine, and specifically radiology, has been receiving more attention. Little data-driven literature is available regarding risk factors/causes to ultimately help guide the development of potential solutions.
To survey pediatric radiologists, a cohort with a documented high prevalence of burnout, and to understand the impact of clinical demands on nonclinical tasks and the implications of burnout on mental health.
A survey of Society for Pediatric Radiology (SPR) North America attendings was performed regarding institutional factors contributing to burnout, including call burden, clinical demands, departmental support and administrative/academic tasks. Questions regarding mental health and wellness resources were also included. Generalized linear modeling assuming binomial distribution was used for analyses with SAS 9.4.
The response rate was 305/1,282 (24%) with 53% of respondents female. Respondents reported that both the number and complexity of clinical cases have increased since they first started practice as an attending, while the time for interpretation has not changed, P<0.0001. Using a scale of 0 (never), 1 (rarely), 2 (sometimes), 3 (frequently) and 4 (always), covering multiple hospitals (2.2) and administrative tasks (2.4) were the most stressful job factors. For those in administrative roles, the most stressful job factors were job-related tasks affected teaching duties (2.0) and decreased overall job satisfaction (2.0). Of the respondents, 52% said they know a physician affected by work stress-related mental illness and 25% know a physician who has contemplated or committed suicide. While 39% of the respondents have resources available to address burnout, only 33% utilize these resources.
Increasing clinical demands and additional institutional/departmental factors play a potential role in burnout, which has serious implications for the mental health of pediatric radiologists.
医学领域，尤其是放射科的职业倦怠问题越来越受到关注。虽然有一些关于风险因素/原因的文献，但缺乏数据支持，无法为潜在解决方案的制定提供指导。
对儿科放射科医生进行调查，该人群的职业倦怠发生率较高，旨在了解临床需求对非临床任务的影响，以及职业倦怠对精神健康的影响。
对北美儿科放射学会（SPR）的与会者进行了一项调查，内容涉及导致职业倦怠的机构因素，包括值班负担、临床需求、科室支持和行政/学术任务。还包括有关心理健康和健康资源的问题。使用 SAS 9.4 进行假设二项分布的广义线性建模分析。
回复率为 1282 名与会者中的 305 名（24%），其中 53%为女性。受访者报告称，自他们首次担任主治医生以来，临床病例的数量和复杂性都有所增加，而解释的时间并没有改变，P<0.0001。使用 0（从不）、1（很少）、2（有时）、3（经常）和 4（总是）的量表，涵盖多家医院（2.2）和行政任务（2.4）是压力最大的工作因素。对于担任行政职务的人来说，压力最大的工作因素是与工作相关的任务影响教学职责（2.0）和降低整体工作满意度（2.0）。在受访者中，52%的人表示他们认识一位因工作压力相关的精神疾病而受到影响的医生，25%的人认识一位考虑过或自杀的医生。虽然 39%的受访者有资源可以解决职业倦怠问题，但只有 33%的人利用了这些资源。
不断增加的临床需求和其他机构/科室因素可能导致职业倦怠，这对儿科放射科医生的精神健康产生严重影响。
