Schenkel Caroline, Levit Laura A, Kirkwood Kelsey, Spence Rebecca, Burke John M, Gallagher Colleen M, Garrett-Mayer Elizabeth, McGinnis Molly, Morgante James D, Page Ray D, Paice Judith, Tetzlaff Eric, Winer Eric, Hlubocky Fay J, Shanafelt Tait
Childrens National Hospital, Washington, DC (employed at the American Society of Clinical Oncology when the study was conducted).
American Society of Clinical Oncology, Alexandria, VA.
JCO Oncol Adv. 2025 Jan 29;2(1):e2400010. doi: 10.1200/OA.24.00010. eCollection 2025.
Recent data suggest that the rate of burnout among oncologists has risen over time. In addition to the negative effect of burnout on individuals, widespread burnout may prevent the oncology workforce from meeting patient care needs.
ASCO surveyed US-based oncologists in patient care roles about their professional well-being and satisfaction and the effect of both on their career plans. Burnout was assessed using measures of emotional exhaustion and depersonalization from the Maslach Burnout Inventory Human Services Survey. Data from the 2023 survey were compared with data from Shanafelt et al (JCO, 2014) collected about oncologist burnout/well-being in 2013.
In all, 328 responses to the 2023 survey were analyzed. Burnout was significantly higher compared with 2013, 45% in 2013 versus 59% in 2023 ( < .01). In 2023, <25% of oncologists reported feeling satisfied with their work-life integration, compared with nearly 35% in 2013 ( < .01). Burnout was significantly associated with being a caregiver in one's personal life, being under age 50 years, and working more than 60 hours per week (all < .05). Over 20% of respondents reported that it was likely or definite that they would reduce their clinical hours in the next 12 months. Additional practice/administrative support and reducing work hours were identified as potential solutions to improve job satisfaction.
Oncologists in 2023 are experiencing higher rates of burnout compared with a decade ago. System-based interventions to reduce burnout are necessary to maintaining an adequate workforce to provide care for current and future patients with cancer.
近期数据表明，肿瘤学家的职业倦怠率随时间推移有所上升。职业倦怠不仅对个人有负面影响，广泛存在的职业倦怠可能会使肿瘤学专业人员无法满足患者护理需求。
美国临床肿瘤学会（ASCO）对美国从事患者护理工作的肿瘤学家进行了调查，了解他们的职业幸福感和满意度以及两者对其职业规划的影响。使用马氏职业倦怠量表（人类服务调查版）中的情感耗竭和去个性化量表评估职业倦怠。将2023年调查的数据与沙纳费尔特等人（《临床肿瘤学杂志》，2014年）2013年收集的关于肿瘤学家职业倦怠/幸福感的数据进行比较。
总共分析了对2023年调查的328份回复。与2013年相比，职业倦怠率显著更高，2013年为45%，2023年为59%（P<0.01）。2023年，不到25%的肿瘤学家表示对工作与生活的融合感到满意，而2013年这一比例接近35%（P<0.01）。职业倦怠与在个人生活中承担照顾责任、年龄在50岁以下以及每周工作超过60小时显著相关（均P<0.05）。超过20%的受访者表示，他们很可能或肯定会在未来12个月内减少临床工作时间。额外的实践/行政支持和减少工作时间被确定为提高工作满意度的潜在解决方案。
与十年前相比，2023年的肿瘤学家职业倦怠率更高。为了维持足够的专业人员队伍以照顾当前和未来的癌症患者，有必要采取基于系统的干预措施来减少职业倦怠。
