Department of Internal Medicine and Psychology, James Cancer Hospital, The Ohio State University Wexner Medical Center, Columbus, Ohio, USA.
Psychology Service, Veterans Administration Northeast Ohio Healthcare System, Louis Stokes Cleveland Veterans Administration Medical Center, Cleveland, Ohio, USA.
Psychooncology. 2024 Nov;33(11):e70024. doi: 10.1002/pon.70024.
Psychosocial oncology specialists in academic medical centers are at risk for burnout as they deliver a wide range of clinical, research, educational, and administrative services in high demand work environments. No national productivity benchmarks exist for this specialty. This study examines factors contributing to burnout among academic psychosocial oncology psychologists (PSOP), presents viable productivity standards, and a sustainable care model to mitigate burnout.
Psychosocial oncology specialists recruited from the American Psychosocial Oncology Society membership were surveyed to determine frequency of burnout as measured by the Mini Z, professional fulfillment via the Stanford Professional Fulfillment Index, as well as demographic, clinical practice, and systems predictors of burnout. We examine salary discrepancies by gender and race. We focus on psychologists providing services in academic medical centers.
Burnout was reported by 37%-44% of psychologists and was associated with high clinical volumes, mid-career status, and less than 10% administrative time. There were no differences in burnout by gender or race. However, females earned significantly less than men at each academic rank.
PSOP report high levels of burnout consistent with other oncology professionals. Critical predictors include patient volume and lack of administrative time. Mid-career providers are more vulnerable to burnout, suggesting an inflection point at which individuals may be more likely to leave the field. We recommend a benchmark for clinical volume and sufficient administrative time to support the tripartite mission (education, research, patient care) and quadruple aim (patient experience, population health, cost, worker well-being) of academic medical centers.
学术医疗中心的心理肿瘤学专家在提供广泛的临床、研究、教育和行政服务时，面临着高需求工作环境下的倦怠风险。该专业目前没有全国性的生产力基准。本研究旨在探讨导致学术心理肿瘤学心理学家（PSOP）倦怠的因素，提出可行的生产力标准和可持续的护理模式来减轻倦怠。
从美国心理肿瘤学会会员中招募心理肿瘤学专家进行调查，以确定倦怠的频率，用 Mini Z 量表衡量，职业满足感用斯坦福职业满足感指数衡量，以及人口统计学、临床实践和系统预测因素与倦怠的关系。我们检查了性别和种族的薪酬差异。我们专注于在学术医疗中心提供服务的心理学家。
37%-44%的心理学家报告出现倦怠，与高临床工作量、职业生涯中期和低于 10%的行政时间有关。性别或种族与倦怠无关。然而，女性在每个学术级别上的收入都明显低于男性。
PSOP 报告的倦怠水平与其他肿瘤学专业人员一致。关键预测因素包括患者量和缺乏行政时间。职业生涯中期的从业者更容易倦怠，这表明可能存在一个拐点，个人更有可能离开该领域。我们建议设定一个临床工作量和足够行政时间的基准，以支持学术医疗中心的三重使命（教育、研究、患者护理）和四重目标（患者体验、人群健康、成本、员工福祉）。
