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私人执业放射科医生的倦怠发生率。

Prevalence of Burnout of Radiologists in Private Practice.

机构信息

Professor, Division of Diagnostic Imaging, The University of Texas MD Anderson Cancer Center, Houston, Texas.

Chairman and CEO Emeritus, Strategic Radiology, Palmetto, Florida.

出版信息

J Am Coll Radiol. 2023 Jul;20(7):712-718. doi: 10.1016/j.jacr.2023.01.007. Epub 2023 Mar 9.

Abstract

PURPOSE

The aim of this study was to evaluate the prevalence and demographic factors associated with both burnout and fulfillment of private practice radiologists within the largest coalition of independent wholly physician-owned diagnostic radiology practices within the United States.

METHODS

The study cohort included practicing radiologists within the largest coalition of wholly radiologist-owned, independently practicing diagnostic radiology groups within the United States. Practicing radiologists within all 31 radiology private practices within the organization were electronically mailed a web link to a confidential institutional review board-approved survey in August and September 2021. The survey included validated questions from the Stanford Professional Fulfillment Index, individual and practice demographics, and self-care. Radiologists were classified as being burned out and professionally fulfilled on the basis of established cutoffs from the Professional Fulfillment Index.

RESULTS

The overall response rate was 20.6% (254 of 1,235). The overall rate of radiologist burnout was 46% (Cronbach's α = 0.92), and professional fulfillment was 26.7% (Cronbach's α = 0.91). The inverse association between professional fulfillment and burnout was highly significant (r = -0.66, P < .0001) on the basis of average scores. Radiologists who took call (evenings, overnight, and weekends) were statistically most likely to be burned out. Older radiologists were less likely to experience burnout. Factors statistically significantly associated with professional fulfillment were eating nutritious meals and exercising at least four times per week. No statistically significant association was seen between either burnout or fulfillment with gender, ethnicity, practice geography, or practice size.

CONCLUSIONS

In the largest coalition of independent wholly physician-owned diagnostic radiology practices across the United States, about one-half of radiologists were burned out, and just over one-quarter were professionally fulfilled. Taking call was significantly associated with radiologist burnout. Self-care habits were associated with professional fulfillment.

摘要

目的

本研究旨在评估在美国最大的独立全资医师所有的诊断放射学实践联盟内,私人执业放射科医生的 burnout 和成就感的流行情况及其与人口统计学因素的相关性。

方法

研究队列包括美国最大的独立全资医师所有的诊断放射学实践联盟内的执业放射科医生。该组织内的 31 个放射科私人执业中的所有执业放射科医生均通过电子邮件收到了 2021 年 8 月和 9 月机构审查委员会批准的机密调查的网络链接。该调查包括斯坦福专业满意度指数的验证性问题、个人和实践人口统计学以及自我保健。根据斯坦福专业满意度指数的既定标准,放射科医生被分为倦怠和专业满足感。

结果

总体回复率为 20.6%(254/1,235)。放射科医生倦怠的总体发生率为 46%(Cronbach's α=0.92),专业满足感为 26.7%(Cronbach's α=0.91)。基于平均得分,专业满足感和倦怠之间的负相关关系具有统计学意义(r=-0.66,P<0.0001)。即使只在晚上、通宵和周末接听电话的放射科医生,倦怠的可能性也最大。年龄较大的放射科医生不太可能经历倦怠。与专业满足感显著相关的因素是食用营养丰富的膳食和每周至少锻炼 4 次。性别、种族、实践地理位置或实践规模与倦怠或满足感之间未观察到统计学显著相关性。

结论

在美国最大的独立全资医师所有的诊断放射学实践联盟内,大约一半的放射科医生倦怠,只有超过四分之一的放射科医生专业满足感。接听电话与放射科医生倦怠显著相关。自我保健习惯与专业满足感相关。

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