Burnout, Professional Fulfillment, Intention to Leave, and Sleep-Related Impairment among Radiology Trainees across the United States (US): A Multisite Epidemiologic Study.

Autor:	Higgins MCSS; Department of Radiology, Boston Medical Center, Boston, Massachusetts. Electronic address: mcssh@bu.edu., Siddiqui AA; Boston University School of Medicine, Boston, Massachusetts., Kosowsky T; Boston University School of Medicine, Boston, Massachusetts., Unan L; Boston University School of Medicine, Boston, Massachusetts., Mete M; Georgetown University School of Medicine, MedStar Health Research Institute, Hyattsville, Maryland., Rowe S; Department of Ophthalmology, Boston Medical Center, Boston, Massachusetts., Marchalik D; Department of Urology, Georgetown University School of Medicine, Washington, District of Columbia.
Jazyk:	angličtina
Zdroj:	Academic radiology [Acad Radiol] 2022 May; Vol. 29 Suppl 5, pp. S118-S125. Date of Electronic Publication: 2022 Feb 28.
DOI:	10.1016/j.acra.2022.01.022
Abstrakt:	Objective: To examine the prevalence of burnout among radiology trainees in the United States, and to study the relationships between burnout and professional fulfillment (PF), intent-to-leave (ITL), sleep-related impairment and self-compassion by gender. Methods: This cross-sectional study was conducted via an anonymous electronic survey sent to 11 large academic medical centers (Physician Wellness Academic Consortium) between January 2017 and September 2018. The survey included the Professional Fulfillment Index (PFI) and an abbreviated form of the PROMIS Sleep-related impairment (SRI) scale. Two-sample t-tests and chi-square exact tests were used for analysis (p < 0.05). Results: Two hundred forty-seven radiology residents responded to the survey. Out of these, 36.2% reported burnout, 37.4% endorsed PF, 64.8% reported sleep-related impairment, 7.6% expressed ITL. There were no significant differences between genders. Burnout was associated with reduced PF, increased sleep-impairment (p < 0.001 for both) and increased ITL (p = 0.02). Lower PF, peer support, perceived appreciation for and meaningfulness in work, alignment of organizational and personal values, self-compassion, and higher sleep impairment were associated with burnout (p < 0.001 for all). Burnout was associated with perceptions of less support from department leaders (p = 0.003), control over schedules (p = 0.001) and helpfulness of electronic health record systems (p = 0.01). ITL was associated with reduced PF, perceived work appreciation, and leadership support (p = 0.03, p = 0.04, and p = 0.007, respectively). Discussion: Burnout is prevalent among radiology residents. Many demonstrate sleep-impairment and reduced professional fulfillment, with a lesser fraction desiring to leave their institution. Key factors to burnout included peer and organizational support, electronic health record systems helpfulness, and personal factors like self-compassion and work appreciation. (Copyright © 2022 The Association of University Radiologists. Published by Elsevier Inc. All rights reserved.)
Databáze:	MEDLINE
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