Department of Radiology, Harvard University School of Medicine, Boston, MA.
Department of Radiology, Dartmouth Geisel School of Medicine, Hanover, NH.
J Thorac Imaging. 2021 Jan;36(1):57-64. doi: 10.1097/RTI.0000000000000540.
Burnout is a psychological syndrome in response to chronic occupational stressors. The prevalence of burnout among medical professionals has been increasing, and recent studies have shown that radiologists are among those affected. We investigated the prevalence of burnout and assessed associated factors among cardiothoracic radiologists.
Society of Thoracic Radiology members were invited to complete an anonymous cross-sectional survey that included an adapted Maslach Burnout Inventory and questions about demographics, work place characteristics, and stressors.
The survey response rate was 33.1% (290/874). Per-item response rate ranged from 94% to 100% with a median of 99%. The prevalence of emotional exhaustion was 66.8% (186/283), depersonalization was 79% (223/283), and low personal accomplishment was 23% (65/280). There were no statistically significant differences between academic and private practice. There was a trend toward worse burnout in women, but this was not statistically significant. Being in early career (0 to 10 y since fellowship) was associated with low personal accomplishment [odds ratio (OR): 2.07, 95% confidence interval (CI): 1.08-3.99]. Those working fewer than 51 hours per week were significantly less likely to report emotional exhaustion (OR: 0.55, 95% CI: 0.33-0.90). The odds of emotional exhaustion for those producing fewer than 7500 work relative value units per year were approximately half of those exceeding that number (OR: 0.46, 95% CI: 0.22-0.95).
The prevalence of burnout among cardiothoracic radiologists is comparable to that reported for radiologists in other subspecialties such as musculoskeletal and interventional radiology. High work relative value unit productivity and longer work hours are associated with higher prevalence of burnout.
burnout 是一种对慢性职业压力源的心理综合征。医疗专业人员 burnout 的患病率一直在上升，最近的研究表明，放射科医生也受到了影响。我们调查了心胸放射科医生 burnout 的患病率，并评估了相关因素。
邀请胸放射学会会员完成一项匿名横断面调查，该调查包括一项改编的 Maslach 倦怠量表以及有关人口统计学、工作场所特征和压力源的问题。
调查回复率为 33.1%（290/874）。每项问题的回复率在 94%到 100%之间，中位数为 99%。情绪衰竭的患病率为 66.8%（186/283），去人格化率为 79%（223/283），个人成就感低的患病率为 23%（65/280）。学术和私人执业之间没有统计学上的显著差异。女性 burnout 程度较差，但无统计学意义。处于职业生涯早期（ fellowship 后 0 到 10 年）与个人成就感低有关[优势比（OR）：2.07，95%置信区间（CI）：1.08-3.99]。每周工作少于 51 小时的人报告情绪衰竭的可能性显著降低（OR：0.55，95% CI：0.33-0.90）。每年完成工作量少于 7500 个相对工作单位的人发生情绪衰竭的几率大约是完成工作量超过这个数的人的一半（OR：0.46，95% CI：0.22-0.95）。
心胸放射科医生 burnout 的患病率与肌肉骨骼和介入放射学等其他放射科亚专业报告的患病率相当。高工作相对价值单位生产力和更长的工作时间与更高的 burnout 患病率相关。
