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Erschienen in: Annals of Surgical Oncology 1/2011

01.01.2011 | Healthcare Policy and Outcomes

Burnout and Career Satisfaction Among Surgical Oncologists Compared with Other Surgical Specialties

verfasst von: C. M. Balch, MD, FACS, T. D. Shanafelt, MD, J. Sloan, PhD, D. V. Satele, BA, H. M. Kuerer, MD, FACS

Erschienen in: Annals of Surgical Oncology | Ausgabe 1/2011

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Abstract

Introduction

Little is known regarding the rate of burnout, career satisfaction, and quality of life (QOL) among surgical oncologists compared with other surgical subspecialties.

Methods

The American College of Surgeons conducted a survey in 2008 involving 7,905 respondents, of whom 407 were surgical oncologists. Demographic variables, practice characteristics, career satisfaction, burnout, and quality of life (QOL) of surgical oncologists were compared with other surgical subspecialties using validated instruments.

Results

Surgical oncologists were younger (mean age 49.9 years), more likely to be female (26%), and had younger children than other surgical subspecialties. With respect to practice characteristics, surgical oncologists had been in practice fewer years and had fewer nights on call per week than other surgical disciplines but worked more hours (mean 62.6/week), were more likely to be in an academic practice (59.5%), were more likely to be paid on a salaried basis (68%), and had more time devoted to non-patient activities (e.g., research). Compared with surgeons from all other specialties, surgical oncologists had similar incidence of burnout (36%), suicide ideation (4.9%), and QOL, but lower incidence of depression (24%), and better indices of career satisfaction.

Conclusions

These data provide a frame of reference for valid comparisons of burnout, QOL, and career satisfaction indices for the surgical oncology community relative to all other surgical specialties. Surgical oncologists have higher career satisfaction and lower risk of depression than surgeons in other surgical disciplines but still experience high rates of burnout.
Literatur
1.
Zurück zum Zitat Kuerer HM, Eberlein TJ, Pollock RE, et al. Career satisfaction, practice patterns and burnout among surgical oncologists: report on the quality of life of members of the society of surgical oncology. Ann Surg Oncol. 2007;14:3043–53.CrossRefPubMed Kuerer HM, Eberlein TJ, Pollock RE, et al. Career satisfaction, practice patterns and burnout among surgical oncologists: report on the quality of life of members of the society of surgical oncology. Ann Surg Oncol. 2007;14:3043–53.CrossRefPubMed
2.
Zurück zum Zitat Balch CM, Copeland E. Stress and burnout among surgical oncologists: a call for personal wellness and a supportive workplace environment. Ann Surg Oncol. 2007;14:3029–32.CrossRefPubMed Balch CM, Copeland E. Stress and burnout among surgical oncologists: a call for personal wellness and a supportive workplace environment. Ann Surg Oncol. 2007;14:3029–32.CrossRefPubMed
3.
Zurück zum Zitat Shanafelt TD, Balch CM, Bechamps GJ, et al. Burnout and career satisfaction among american surgeons. Ann Surg. 2009;250:463–71.PubMed Shanafelt TD, Balch CM, Bechamps GJ, et al. Burnout and career satisfaction among american surgeons. Ann Surg. 2009;250:463–71.PubMed
4.
Zurück zum Zitat Dyrbye LN, Shanafelt T, Balch CM, et al. Relationship between work-home conflicts and burnout among American surgeons: a comparison by gender. Arch Surg. 2011 (in press). Dyrbye LN, Shanafelt T, Balch CM, et al. Relationship between work-home conflicts and burnout among American surgeons: a comparison by gender. Arch Surg. 2011 (in press).
5.
Zurück zum Zitat Maslach C, Jackson S, Leiter M. Maslach burnout inventory manual. 3rd ed. Palo Alto, CA: Consulting Psychologists; 1996. Maslach C, Jackson S, Leiter M. Maslach burnout inventory manual. 3rd ed. Palo Alto, CA: Consulting Psychologists; 1996.
6.
Zurück zum Zitat Spitzer RL, Williams JB, Kroenke K, et al. Utility of a new procedure for diagnosing mental disorders in primary care. The PRIME-MD 1000 study. JAMA. 1994;272:1749–56.CrossRefPubMed Spitzer RL, Williams JB, Kroenke K, et al. Utility of a new procedure for diagnosing mental disorders in primary care. The PRIME-MD 1000 study. JAMA. 1994;272:1749–56.CrossRefPubMed
7.
Zurück zum Zitat Whooley MA, Avins AL, Miranda J, et al. Case-finding instruments for depression. two questions are as good as many. J Gen Intern Med. 1997;12:439–45.CrossRefPubMed Whooley MA, Avins AL, Miranda J, et al. Case-finding instruments for depression. two questions are as good as many. J Gen Intern Med. 1997;12:439–45.CrossRefPubMed
8.
Zurück zum Zitat Ware J, Jr, Kosinski M, Keller SD. A 12-item short-form health survey: construction of scales and preliminary tests of reliability and validity. Med Care. 1996;34:220–33.CrossRefPubMed Ware J, Jr, Kosinski M, Keller SD. A 12-item short-form health survey: construction of scales and preliminary tests of reliability and validity. Med Care. 1996;34:220–33.CrossRefPubMed
9.
Zurück zum Zitat Ware J, Jr, Kosinski M, Turner-Bowler D, et al. How to score version 2 of the SF-12 health survey. Lincoln, RI: Quality Metric Incorporated; 2002. Ware J, Jr, Kosinski M, Turner-Bowler D, et al. How to score version 2 of the SF-12 health survey. Lincoln, RI: Quality Metric Incorporated; 2002.
10.
Zurück zum Zitat Leiter MP, Frank E, Matheson TJ. Demands, values, and burnout: relevance for physicians. Can Fam Physician. 2009;55:1224–5, 1225.e1–6.PubMed Leiter MP, Frank E, Matheson TJ. Demands, values, and burnout: relevance for physicians. Can Fam Physician. 2009;55:1224–5, 1225.e1–6.PubMed
11.
Zurück zum Zitat Shanafelt TD, West CP, Sloan JA, et al. Career fit and burnout among academic faculty. Arch Intern Med. 2009;169:990–5.CrossRefPubMed Shanafelt TD, West CP, Sloan JA, et al. Career fit and burnout among academic faculty. Arch Intern Med. 2009;169:990–5.CrossRefPubMed
12.
Zurück zum Zitat Benson S, Sammour T, Neuhaus SJ, et al. Burnout in Australasian younger fellows. ANZ J Surg. 2009;79:590–7.CrossRefPubMed Benson S, Sammour T, Neuhaus SJ, et al. Burnout in Australasian younger fellows. ANZ J Surg. 2009;79:590–7.CrossRefPubMed
13.
Zurück zum Zitat Balch CM, Freischlag JA, Shanafelt TD. Stress and burnout among surgeons: understanding and managing the syndrome and avoiding the adverse consequences. Arch Surg. 2009;144:371–6.CrossRefPubMed Balch CM, Freischlag JA, Shanafelt TD. Stress and burnout among surgeons: understanding and managing the syndrome and avoiding the adverse consequences. Arch Surg. 2009;144:371–6.CrossRefPubMed
14.
Zurück zum Zitat Shanafelt T, Balch CM, Dyrbye L, et al. Suicide ideation among American surgeons. Arch Surg. 2011 (in press). Shanafelt T, Balch CM, Dyrbye L, et al. Suicide ideation among American surgeons. Arch Surg. 2011 (in press).
15.
Zurück zum Zitat Shanafelt TD, Balch CM, Bechamps G, et al. Burnout and medical errors among American surgeons. Ann Surg. 2009;251:995–1000.CrossRef Shanafelt TD, Balch CM, Bechamps G, et al. Burnout and medical errors among American surgeons. Ann Surg. 2009;251:995–1000.CrossRef
16.
Zurück zum Zitat Fahrenkopf AM, Sectish TC, Barger LK, et al. Rates of medication errors among depressed and burnt out residents: prospective cohort study. BMJ. 2008;336:488–91.CrossRefPubMed Fahrenkopf AM, Sectish TC, Barger LK, et al. Rates of medication errors among depressed and burnt out residents: prospective cohort study. BMJ. 2008;336:488–91.CrossRefPubMed
17.
Zurück zum Zitat West CP, Huschka MM, Novotny PJ, et al. Association of perceived medical errors with resident distress and empathy: a prospective longitudinal study. JAMA. 2006;296:1071–8.CrossRefPubMed West CP, Huschka MM, Novotny PJ, et al. Association of perceived medical errors with resident distress and empathy: a prospective longitudinal study. JAMA. 2006;296:1071–8.CrossRefPubMed
18.
Zurück zum Zitat West CP, Tan AD, Habermann TM, et al. Association of resident fatigue and distress with perceived medical errors. JAMA. 2009;302:1294–300CrossRefPubMed West CP, Tan AD, Habermann TM, et al. Association of resident fatigue and distress with perceived medical errors. JAMA. 2009;302:1294–300CrossRefPubMed
20.
Zurück zum Zitat Shanafelt TD, Sloan JA, Habermann TM. The well-being of physicians. Am J Med. 2003;114:513–9.CrossRefPubMed Shanafelt TD, Sloan JA, Habermann TM. The well-being of physicians. Am J Med. 2003;114:513–9.CrossRefPubMed
21.
Zurück zum Zitat Shanafelt T, Chung H, White H, et al. Shaping your career to maximize personal satisfaction in the practice of oncology. J Clin Oncol. 2006;24:4020–6.CrossRefPubMed Shanafelt T, Chung H, White H, et al. Shaping your career to maximize personal satisfaction in the practice of oncology. J Clin Oncol. 2006;24:4020–6.CrossRefPubMed
22.
Zurück zum Zitat Kuerer HM, Breslin T, Shanafelt TD, et al. Road map for maintaining career satisfaction and balance in surgical oncology. J Am Coll Surg. 2008;207:435–42.CrossRefPubMed Kuerer HM, Breslin T, Shanafelt TD, et al. Road map for maintaining career satisfaction and balance in surgical oncology. J Am Coll Surg. 2008;207:435–42.CrossRefPubMed
23.
Zurück zum Zitat Spickard A Jr, Gabbe SG, Christensen JF. Mid-career burnout in generalist and specialist physicians. JAMA. 2002;288:1447–50.CrossRefPubMed Spickard A Jr, Gabbe SG, Christensen JF. Mid-career burnout in generalist and specialist physicians. JAMA. 2002;288:1447–50.CrossRefPubMed
24.
Zurück zum Zitat Shanafelt T. A career in surgical oncology: finding meaning, balance and personal satisfaction. Ann Surg Oncol. 2008;15:400–6.CrossRefPubMed Shanafelt T. A career in surgical oncology: finding meaning, balance and personal satisfaction. Ann Surg Oncol. 2008;15:400–6.CrossRefPubMed
25.
Zurück zum Zitat Shanafelt TD. Enhancing meaning in work: a prescription for preventing physician burnout and promoting patient-centered care. JAMA. 2009;302:1338–40.CrossRefPubMed Shanafelt TD. Enhancing meaning in work: a prescription for preventing physician burnout and promoting patient-centered care. JAMA. 2009;302:1338–40.CrossRefPubMed
Metadaten
Titel
Burnout and Career Satisfaction Among Surgical Oncologists Compared with Other Surgical Specialties
verfasst von
C. M. Balch, MD, FACS
T. D. Shanafelt, MD
J. Sloan, PhD
D. V. Satele, BA
H. M. Kuerer, MD, FACS
Publikationsdatum
01.01.2011
Verlag
Springer-Verlag
Erschienen in
Annals of Surgical Oncology / Ausgabe 1/2011
Print ISSN: 1068-9265
Elektronische ISSN: 1534-4681
DOI
https://doi.org/10.1245/s10434-010-1369-5

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