Division of Gynecologic Oncology, Duke University, Durham, NC, United States of America.
St. Luke's Cancer Institute, Boise, ID, United States of America.
Gynecol Oncol. 2022 Nov;167(2):354-359. doi: 10.1016/j.ygyno.2022.08.018. Epub 2022 Sep 5.
To measure wellness and burnout among gynecologic oncology clinicians and identify trends and at-risk populations to inform future interventions.
Gynecologic oncologist (GO) and advanced practice provider (APP) responses to the 2020 Society of Gynecologic Oncology State of the Society survey were analyzed. The Maslach Burnout Inventory criteria for burnout was used. Work-life balance was scored on a 5-point Likert scale. Chi-square tests were used to compare mental health factors and the prevalence of burnout. Odds ratios (ORs) and 95% confidence intervals (CIs) were calculated for associations between burnout and gender.
543 survey responses were included for analysis. Most GO (54%) and all APP respondents were female. Female GOs were disproportionately affected by burnout particularly in the Northeast (female(F): 40.9% vs male(M): 19.1%, p = 0.007) and South (F: 42.5% vs M:22.9%, p = 0.01). Burnout in female GOs over 40 was 1.79 (CI: 1.13-2.83; p-value 0.01) times higher than similarly aged males. Females in non-private practice experienced burnout 1.66 times that of males in similar positions (CI: 1.18-2.94; p < 0.0001). Female GOs reported the worst work-life balance across all 5 domains. APPs and female GOs experienced more stress and feeling overwhelmed compared to men. GOs were more reluctant to see a mental health professional (p = 0.0003) or take medication (p = 0.009) than APPs.
Burnout in gynecologic oncology persists in both genders and is felt most acutely by female GOs. APPs are not immune and would benefit from inclusion in future research to mitigate burnout in healthcare clinicians.
测量妇科肿瘤临床医生的健康和倦怠状况，并确定趋势和高危人群，为未来的干预措施提供信息。
对 2020 年妇科肿瘤学会社会状况调查中妇科肿瘤医生（GO）和高级实践提供者（APP）的回复进行了分析。使用 Maslach 倦怠量表标准来评估倦怠。工作-生活平衡采用 5 分李克特量表评分。采用卡方检验比较心理健康因素和倦怠的发生率。计算了倦怠与性别之间关联的比值比（OR）和 95%置信区间（CI）。
共纳入 543 份调查回复进行分析。大多数 GO（54%）和所有 APP 受访者均为女性。女性 GO 受到倦怠的影响不成比例，特别是在东北地区（女性（F）：40.9% vs 男性（M）：19.1%，p=0.007）和南部（F：42.5% vs M：22.9%，p=0.01）。40 岁以上女性 GO 的倦怠发生率是同龄男性的 1.79 倍（CI：1.13-2.83；p 值 0.01）。非私人执业女性的倦怠发生率是同岗位男性的 1.66 倍（CI：1.18-2.94；p<0.0001）。女性 GO 在所有 5 个领域的工作-生活平衡都最差。与男性相比，APP 和女性 GO 经历了更多的压力和不知所措的感觉。与 APP 相比，GO 更不愿意看心理健康专家（p=0.0003）或服用药物（p=0.009）。
妇科肿瘤学中的倦怠在两性中仍然存在，并且女性 GO 感觉最为强烈。APP 也不能幸免，未来的研究应将其纳入，以减轻医疗保健临床医生的倦怠。
