Cankurtaran Ceylan Z, Reddy Sravanthi, Cen Steven Yong, Lei Xiaomeng, Walker Daphne K
Department of Radiology, Division of Neuroradiology, Keck School of Medicine of USC, 1500 San Pablo Street, LL Radiology HCC2, Los Angeles, CA, 90033.
Emergency Radiology, Keck School of Medicine of USC.
Acad Radiol. 2023 Apr;30(4):579-584. doi: 10.1016/j.acra.2023.01.011. Epub 2023 Feb 11.
Work-life experience of physicians is a driver of work engagement vs. burnout. We aimed to determine individual and institutional factors affecting work-life experience of the clinical faculty at a large tertiary care academic medical center.
The Department of Radiology clinical faculty (n = 62) were surveyed electronically in October 2022. Twenty-three questions, consisting of multiple choice, Yes/No, and Likert scale ratings were administered to obtain demographic information and data for life outside of work, life at work, and work-life integration for the prior 12 months. Work engagements in terms of clinical, research, administrative, and education; work practices including engagement in extra work and remote work; life responsibilities; and utilization of work-life balance strategies were analyzed for percentages and differences in seniority levels and genders. Ratings of faculty work engagement and life integration strategies were assessed utilizing a 1-5 Likert scale. Descriptive statistics were utilized to report mean, standard deviation, median, Q1 and Q3 for continuous measurements, while count and percentage for categories measurements. Comparisons between seniority and gender categories were conducted using independent t-test or Wilcoxon rank sum test depending on data normality assessed through histogram analysis. Chi-square test was used to make comparisons for categorical data. When encountered with small cell (category with <5 count), Fisher's exact test was used for 2 × 2 table analysis and Freeman-Halton test was used for comparisons with more than two categories. SAS 9.4 was used for the data analysis.
Twenty-eight faculty (M:F = 17:11) responded to the survey (survey response rate 45%). The vast majority of faculty reported working extra hours, with 40% working at least 10 hours extra per week. Total of 42.9% reported performing clinical work in the extra hours worked. Total 70.4% of faculty had caregiver responsibilities and 64.3% reported other individual stresses (e.g., financial, family/social, health-related), which required consistent demand of time and effort. A total of 35.7% of faculty reported not being able to balance competing life and work demands. A total of 21.4% respondents reported not utilizing any individual healthy lifestyle choices on a consistent basis over the prior 12 months. Protected time off work and remote work were perceived as effective strategies to provide adequate work-life balance; however, remote work engagement was relatively minor and 35.7% bought back vacation. Total 53.6% respondents reported a level 4 (out of 5) rating for work being meaningful and being positively engaged in their work.
Institutions should invest in providing the infrastructure for physician work-life balance and in facilitating healthy lifestyle choices for physicians.
医师的工作生活体验是工作投入与职业倦怠的驱动因素。我们旨在确定影响一家大型三级医疗学术医学中心临床教员工作生活体验的个人和机构因素。
2022年10月，对放射科临床教员（n = 62）进行了电子调查。共发放了23个问题，包括多项选择、是/否以及李克特量表评分，以获取人口统计学信息以及过去12个月工作之外的生活、工作中的生活以及工作与生活融合方面的数据。分析了临床、研究、行政和教育方面的工作投入；包括额外工作和远程工作在内的工作实践；生活责任；以及工作与生活平衡策略的使用情况在资历水平和性别方面的百分比及差异。使用1 - 5李克特量表评估教员的工作投入和生活融合策略评分。描述性统计用于报告连续测量的均值、标准差、中位数、第一四分位数和第三四分位数，类别测量则报告计数和百分比。根据通过直方图分析评估的数据正态性，使用独立t检验或威尔科克森秩和检验对资历和性别类别进行比较。卡方检验用于分类数据的比较。当遇到小单元格（计数<5的类别）时，使用费舍尔精确检验进行2×2表格分析，使用弗里曼 - 哈尔顿检验进行多于两个类别的比较。使用SAS 9.4进行数据分析。
28名教员（男:女 = 17:11）回复了调查（调查回复率45%）。绝大多数教员报告有加班情况，40%的教员每周至少加班10小时。在加班时间里，共有42.9%的教员报告从事临床工作。共有70.4%的教员有照顾他人的责任，64.3%的教员报告有其他个人压力（如经济、家庭/社会、健康相关），这需要持续投入时间和精力。共有35.7%的教员报告无法平衡生活和工作的相互竞争需求。共有21.4%的受访者报告在过去12个月里没有持续采用任何个人健康的生活方式选择。带薪休假和远程工作被视为实现充分工作与生活平衡的有效策略；然而，远程工作参与度相对较低，35.7%的人用回休假时间。共有53.6%的受访者对工作的意义和积极投入工作给出了4分（满分5分）的评分。
机构应投资提供基础设施以实现医师的工作与生活平衡，并促进医师选择健康的生活方式。
