Perspectives on Professional Burnout and Occupational Stress among Medical Oncologists: A Cross-sectional Survey by Korean Society for Medical Oncology (KSMO)
2
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
Purpose This study aimed to investigate the prevalence and risk factors of burnout and occupational stress among medical oncologists in Korea. Materials and Methods A survey was conducted of medical oncologists who were members of Korean Society for Medical Oncology (KSMO) using the Korean Occupational Stress Scale, the validated Maslach Burnout Inventory (MBI) and supplemental questions about work and lifestyle factors. Results Among 220 active KSMO members, 111 responses were collected. The median age was 42 years (range, 32 to 63 years). Two-thirds of responders worked 6 days per week and half of them worked a total of 60-80 hours per week. Each medical oncologist treated a median of 90-120 patients per week in outpatient clinics and 20-30 patients per week in patient practices. MBI subscales indicated a high level of emotional exhaustion in 74%, a high level of depersonalization in 86%, and a low level of personal accomplishment in 65%: 68% had professional burnout according to high emotional exhaustion and high depersonalization scores. The risk of burnout was higher for medical oncologists aged from 30-39 than 40-49 years, and unmarried than married. Considering personal accomplishment, females had a higher risk of burnout. The median score of occupational stress was 63 (range, 43 to 88). Having night-duty call was the strongest risk factor on more stress. A higher stress score was associated with a higher prevalence of burnout. Conclusion Burnout and occupational stress are quite common amongst Korean medical oncologists. Achieving a healthy work-life balance, ensuring balanced workload distribution, and engaging in proper stress relief solutions are necessary.
Abstract
Purpose This study aimed to investigate the prevalence and risk factors of burnout and occupational stress among medical oncologists in Korea. Materials and Methods A survey was conducted of medical oncologists who were members of Korean Society for Medical Oncology (KSMO) using the Korean Occupational Stress Scale, the validated Maslach Burnout Inventory (MBI) and supplemental questions about work and lifestyle factors. Results Among 220 active KSMO members, 111 responses were collected. The median age was 42 years (range, 32 to 63 years). Two-thirds of responders worked 6 days per week and half of them worked a total of 60-80 hours per week. Each medical oncologist treated a median of 90-120 patients per week in outpatient clinics and 20-30 patients per week in patient practices. MBI subscales indicated a high level of emotional exhaustion in 74%, a high level of depersonalization in 86%, and a low level of personal accomplishment in 65%: 68% had professional burnout according to high emotional exhaustion and high depersonalization scores. The risk of burnout was higher for medical oncologists aged from 30-39 than 40-49 years, and unmarried than married. Considering personal accomplishment, females had a higher risk of burnout. The median score of occupational stress was 63 (range, 43 to 88). Having night-duty call was the strongest risk factor on more stress. A higher stress score was associated with a higher prevalence of burnout. Conclusion Burnout and occupational stress are quite common amongst Korean medical oncologists. Achieving a healthy work-life balance, ensuring balanced workload distribution, and engaging in proper stress relief solutions are necessary.
참고문헌 (34)
- Shanafelt T, "Oncologist burnout : causes, consequences, and responses", J Clin Oncol, 30, pp.1235~1241 (2012)
- Maslach C, "Job burnout", Annu Rev Psychol, 52, pp.397~422 (2001)
- Medisauskaite A, "Prevalence of oncologists in distress : systematic review and meta-analysis", Psychooncology, 26, pp.1732~1740 (2017)
- 정규원, "Prediction of Cancer Incidence and Mortality in Korea, 2018", Cancer Research and Treatment, 50(2), pp.317~323 (2018), 대한암학회
- Amutio A, "Acceptability and effectiveness of a long-term educational intervention to reduce physicians’ stress-related conditions", J Contin Educ Health Prof, 35, pp.255~260 (2015)
- Shanafelt TD, "Satisfaction with work-life balance and the career and retirement plans of US oncologists", J Clin Oncol, 32, pp.1127~1135 (2014)
- Banerjee S, "Professional burnout in European young oncologists : results of the European Society for Medical Oncology(ESMO)Young Oncologists Committee Burnout Survey", Ann Oncol, 28, pp.1590~1596 (2017)
- 신호철, "설문을 이용한 스트레스 평가", 대한의사협회지, 56(6), pp.485~495 (2013), 대한의사협회
- Park SG, "Job stress and depressive symptoms among Korean employees : the effects of culture on work", Int Arch Occup Environ Health, 82, pp.397~405 (2009)
- Maslach C, "Maslach burnout inventory manual" (1996), Consulting Psychologists Press
- Shanafelt TD, "Burnout and satisfaction with work-life balance among US physicians relative to the general US population", Arch Intern Med, 172, pp.1377~1385 (2012)
- Bianchi R, "Burnout-depression overlap : a review", Clin Psychol Rev, 36, pp.28~41 (2015)
- Wallace JE, "Physician wellness : a missing quality indicator", Lancet, 374, pp.1714~1721 (2009)
- Fahrenkopf AM, "Rates of medication errors among depre-ssed and burnt out residents : prospective cohort study", BMJ, 336, pp.488~491 (2008)
- Shanafelt TD, "Burnout and medical errors among American surgeons", Ann Surg, 251, pp.995~1000 (2010)
- The 2018 Genentech oncology trend report, "Genentech", Genentech, ~ (2018)
- Murali K, "From burnout to resilience : an update for oncologists", Am Soc Clin Oncol Educ Book, 38, pp.862~872 (2018)
- Shanafelt TD, "Burnout and career satisfaction among US oncologists", J Clin Oncol, 32, pp.678~686 (2014)
- Ma S, "Prevalence of burnout and career satisfaction among oncologists in China : a national survey", Oncologist, 24, pp.e480~9 (2019)
- Yeob KE, "Burnout among oncologists in the Republic of Korea : a nationwide survey", Curr Probl Cancer, 44, pp.100535~ (2020)
- Rath KS, "Burnout and associated factors among members of the Society of Gynecologic Oncology", Am J Obstet Gynecol, 213, pp.824~ (2015)
- Dyrbye LN, "Relationship between work-home conflicts and burnout among American surgeons : a comparison by sex", Arch Surg, 146, pp.211~217 (2011)
- Stamm BH, "The concise ProQOL manual", ProQOL, ~ (2010)
- Newell JM, "A comparative analysis of burnout and professional quality of life in clinical mental health providers and health care administrators", J Workplace Behav Health, 26, pp.25~43 (2011)
- Raphael MJ, "Medical oncology job satisfaction : results of a global survey", Semin Oncol, 46, pp.73~82 (2019)
- Butow P, "Increasing oncologists’ skills in eliciting and responding to emotional cues : evaluation of a communication skills training program", Psychooncology, 17, pp.209~218 (2008)
- Bragard I, "Efficacy of a communication and stress management training on medical residents’ self-efficacy, stress to communicate and burnout : a randomized controlled study", J Health Psychol, 15, pp.1075~1081 (2010)
- Gunasingam N, "Reducing stress and burnout in junior doctors : the impact of debriefing sessions", Postgrad Med J, 91, pp.182~187 (2015)
- Bretland RJ, "Reducing workplace burnout : the relative benefits of cardiovascular and resistance exercise", PeerJ, 3, pp.e891~ (2015)
- Jang I, "Professionalism and professional quality of life for oncology nurses", J Clin Nurs, 25, pp.2835~2845 (2016)
- Panagioti M, "Controlled interventions to reduce burnout in physicians : a systematic review and meta-analysis", JAMA Intern Med, 177, pp.195~205 (2017)
- Unger JP, "Physicians’ burnout(and that of psychologists, nurses, magistrates, researchers, and professors)for a control program", Int J Health Serv, 50, pp.73~81 (2020)
- Doulougeri K, "“Diagnosing” burnout among healthcare professionals: can we find consensus?", Cogent Med, 3, pp.1~ (2016)
- Shanafelt TD, "Changes in burnout and satisfaction with work-life balance in physicians and the general US working population between 2011 and 2014", Mayo Clin Proc, 90, pp.1600~1613 (2015)