Burnout among Canadian oncologists and oncology residents.

Authors

null

Thao Phuong Nguyen

Tom Baker Cancer Centre, Calgary, AB, Canada

Thao Phuong Nguyen , Vincent Channing Tam , Renee Elizabeth Lester , Juan C Ruiz , Antoine Bouchard-Fortier , Cynthia Card , Monika K Krzyzanowska , Kelvin K. Chan , Jean E Wallace , Patricia A. Tang

Organizations

Tom Baker Cancer Centre, Calgary, AB, Canada, Tom Baker Cancer Centre, University of Calgary, Calgary, AB, Canada, University of Calgary, Calgary, AB, Canada, Princess Margaret Cancer Centre, Toronto, ON, Canada, Odette Cancer Centre, Sunnybrook Health Sciences Centre, Toronto, ON, Canada

Research Funding

No funding sources reported

Background: The objective of this study was to evaluate characteristics associated with burnout in Canadian oncologists and oncology resident physicians (ORP). Methods: Canadian medical oncologists (MO), radiation oncologists (RO) and ORP were asked to complete a self-administered survey which included: a validated single-item measure of burnout, questions regarding personal and professional characteristics, impact of work-related stress on family life and an exploration of the oncologists’ support network. A similar survey was sent to spouses to determine the spouse’s perception of oncologist burnout Results: A total of 307 oncologists and ORP completed the survey (median age 47, including 45% MO, 43% RO, 12% ORP). The response rate was 31%. The prevalence of high burnout in each group was: 20% MO, 14% RO, and 20% ORP. Overall, 61% MO and 37% RO reported a high work-overload, 25% MO and 22% RO had high work-family conflict, and 11% MO and 14% RO had family-work conflict. Regarding career satisfaction, 15% MO and 16% RO regreted their decision to become a physician, 23% MO and 29% RO considered leaving their current province, 17% MO and 20% RO considered leaving oncology as a career altogether. The concordance rate for burnout between physicians and spouses was 77.6% (kappa = 0.32). On multivariable analysis, factors associated with burnout included female gender, less exercise, less alcohol consumption and lower level of co-worker support. Factors included in the multi-variable analysis that were not associated with burnout include: age, number of cancer sites covered, spousal support, as well as time allocated to patient care and doing work tasks at home. Conclusions: Across Canada, one in five oncologists reported having high burnout. This is a lower rate than previously reported. Predictors of burnout in Canadian oncologists are different compared to a recently reported study of medical oncologists in the United States.

Multivariable analysis predictors OR P-value
Female 2.409 0.0277
Exercise (several times/ week min.)
0.324 0.0045
Alcohol (4 drinks/week versus less) 0.333 0.019
Coworker support (more versus less) 0.946 0.0305

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Abstract Details

Meeting

2014 ASCO Annual Meeting

Session Type

Poster Session

Session Title

Health Services Research

Track

Health Services Research

Sub Track

Access to Care

Citation

J Clin Oncol 32:5s, 2014 (suppl; abstr 6549)

DOI

10.1200/jco.2014.32.15_suppl.6549

Abstract #

6549

Poster Bd #

12

Abstract Disclosures

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