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The growing issue of burnout in radiology — a survey-based evaluation of driving factors and potential impacts in pediatric radiologists

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Abstract

Background

Burnout in medicine, and specifically radiology, has been receiving more attention. Little data-driven literature is available regarding risk factors/causes to ultimately help guide the development of potential solutions.

Objective

To survey pediatric radiologists, a cohort with a documented high prevalence of burnout, and to understand the impact of clinical demands on nonclinical tasks and the implications of burnout on mental health.

Materials and methods

A survey of Society for Pediatric Radiology (SPR) North America attendings was performed regarding institutional factors contributing to burnout, including call burden, clinical demands, departmental support and administrative/academic tasks. Questions regarding mental health and wellness resources were also included. Generalized linear modeling assuming binomial distribution was used for analyses with SAS 9.4.

Results

The response rate was 305/1,282 (24%) with 53% of respondents female. Respondents reported that both the number and complexity of clinical cases have increased since they first started practice as an attending, while the time for interpretation has not changed, P<0.0001. Using a scale of 0 (never), 1 (rarely), 2 (sometimes), 3 (frequently) and 4 (always), covering multiple hospitals (2.2) and administrative tasks (2.4) were the most stressful job factors. For those in administrative roles, the most stressful job factors were job-related tasks affected teaching duties (2.0) and decreased overall job satisfaction (2.0). Of the respondents, 52% said they know a physician affected by work stress-related mental illness and 25% know a physician who has contemplated or committed suicide. While 39% of the respondents have resources available to address burnout, only 33% utilize these resources.

Conclusion

Increasing clinical demands and additional institutional/departmental factors play a potential role in burnout, which has serious implications for the mental health of pediatric radiologists.

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References

  1. Maslach C, Jackson SE (1981) The measurement of experienced burnout. J Occup Behav 2:99–113

    Article  Google Scholar 

  2. Shanafelt TD, Hasan O, Dyrbye LN et al (2015) Changes in burnout and satisfaction with work-life balance in physicians and the general US working population between 2011 and 2014. Mayo Clin Proc 90:1600–1613

    Article  PubMed  Google Scholar 

  3. Kane L (2019) Medscape national physician burnout, depression & suicide report 2019. https://www.medscape.com/slideshow/2019-lifestyle-burnout-depression-6011056. Accessed 21 December 2019

  4. Shanafelt TD, Boone S, Tan L et al (2012) Burnout and satisfaction with work-life balance among US physicians relative to the general US population. Arch Intern Med 172:1377–1385

    Article  PubMed  Google Scholar 

  5. Ramirez AJ, Graham J, Richards MA et al (1996) Mental health of hospital consultants: the effects of stress and satisfaction at work. Lancet 347:724–728

    Article  CAS  PubMed  Google Scholar 

  6. Brown SD, Goske MJ, Johnson CM (2009) Beyond substance abuse: stress, burnout, and depression as causes of physician impairment and disruptive behavior. J Am Coll Radiol 6:479–485

    Article  PubMed  Google Scholar 

  7. Tawfik DS, Profit J, Morgenthaler TI et al (2018) Physician burnout, well-being, and work unit safety grades in relationship to reported medical errors. Mayo Clin Proc 93:1571–1580

    Article  PubMed  PubMed Central  Google Scholar 

  8. Han S, Shanafelt TD, Sinsky CA et al (2019) Estimating the attributable cost of physician burnout in the United States. Ann Intern Med 170:784–790

    Article  PubMed  Google Scholar 

  9. Chew FS, Mulcahy MJ, Porrino JA et al (2017) Prevalence of burnout among musculoskeletal radiologists. Skeletal Radiol 46:497–506

  10. Ayyala RS, Ahmed FS, Ruzal-Shapiro C, Taylor GA (2018) Prevalence of burnout among pediatric radiologists. J Am Coll Radiol 16:518–522

    Article  PubMed  Google Scholar 

  11. Parikh J, Sun J, Mainiero M (2020) Prevalence of burnout in breast imaging radiologists. J Breast Imaging 2:112–118

    Article  Google Scholar 

  12. Ayyala RS, Ahmed FS, Ruzal-Shapiro C, Taylor G (2019) Stressors contributing to burnout amongst pediatric radiologists: results from a survey of the Society for Pediatric Radiology. Pediatr Radiol 49:714–722

    Article  PubMed  Google Scholar 

  13. Harolds JA, Parikh JR, Bluth EI et al (2016) Burnout of radiologists: frequency, risk factors, and remedies: a report of the ACR Commission on human resources. J Am Coll Radiol 13:411–416

    Article  PubMed  Google Scholar 

  14. Chetlen AL, Chan TL, Ballard DH et al (2019) Addressing burnout in radiologists. Acad Radiol 26:526–533

    Article  PubMed  Google Scholar 

  15. Kruskal JB, Shanafelt T, Eby P et al (2019) A road map to foster wellness and engagement in our workplace—a report of the 2018 summer intersociety meeting. J Am Coll Radiol 16:869–877

    Article  PubMed  Google Scholar 

  16. Chen JY, Lexa FJ (2017) Baseline survey of the neuroradiology work environment in the United States with reported trends in clinical work, nonclinical work, perceptions of trainees, and burnout metrics. AJNR Am J Neuroradiol 38:1284–1291

    Article  CAS  PubMed  Google Scholar 

  17. Jha AK, Li KT, Williams MA et al (n.d.) A crisis in health care: a call to action on physician burnout. https://cdn1.sph.harvard.edu/wp-content/uploads/sites/21/2019/01/PhysicianBurnoutReport2018FINAL.pdf. Accessed 3 June 2019

  18. World Health Organization (2019) Burnout an “occupational phenomenon”: International Classification of Disease. https://www.who.int/mental_health/evidence/burn-out/en/. Accessed 6 April 2019

  19. Shanafelt TD, Dyrbye LN, Sinsky C et al (2016) Relationship between clerical burden and characteristics of the electronic environment with physician burnout and professional satisfaction. Mayo Clin Proc 91:836–848

    Article  PubMed  Google Scholar 

  20. Lim KJ, Yoon DY, Yun EJ et al (2012) Characteristics and trends of radiology research: a survey of original articles published in AJR and radiology between 2001 and 2010. Radiology 264:796–802

    Article  PubMed  Google Scholar 

  21. Merewitz L, Sunshine JH (2006) A portrait of pediatric radiologists in the United States. AJR Am J Roentgenol 186:12–22

    Article  PubMed  Google Scholar 

  22. Arnold RW, Goske MJ, Bulas DI et al (2009) Factors influencing subspecialty choice among radiology residents: a case study of pediatric radiology. J Am Coll Radiol 6:635–642

    Article  PubMed  Google Scholar 

  23. Pfeifer CM (2018) Declining interest in pediatric radiology prompts a call to sction. J Am Coll Radiol 15:490–492

    Article  PubMed  Google Scholar 

  24. Fishman MDC, Mehta TS, Siewert B et al (2018) The road to wellness: engagement strategies to help radiologists achieve joy at work. Radiographics 38:1651–1664

    Article  PubMed  Google Scholar 

  25. Duarte D, El-Hagrassy MM, Couto TCE et al (2020) Male and female physician suicidality: a systematic review and meta-analysis. JAMA Psychiatry. https://doi.org/10.1001/jamapsychiatry.2020.0011

  26. American College of Radiology (2020) Radiology well-being program. https://www.acr.org/Member-Resources/Benefits/Well-Being. Accessed 21 March 2020

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Authors and Affiliations

  1. Department of Diagnostic Imaging, Rhode Island Hospital – Hasbro Children’s Hospital, Warren Alpert Medical School of Brown University, 593 Eddy St., Providence, RI, 02903, USA

    Rama S. Ayyala & Grayson L. Baird

  2. Department of Radiology, The Children’s Hospital of Philadelphia, Philadelphia, PA, USA

    Raymond W. Sze

  3. Department of Radiology, Riley Hospital for Children at Indiana University Health, Indianapolis, IN, USA

    Brandon P. Brown

  4. Department of Radiology, Boston Children’s Hospital, Boston, MA, USA

    George A. Taylor

Authors
  1. Rama S. Ayyala
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  2. Grayson L. Baird
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  3. Raymond W. Sze
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  4. Brandon P. Brown
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  5. George A. Taylor
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Correspondence to Rama S. Ayyala.

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Ayyala, R.S., Baird, G.L., Sze, R.W. et al. The growing issue of burnout in radiology — a survey-based evaluation of driving factors and potential impacts in pediatric radiologists. Pediatr Radiol 50, 1071–1077 (2020). https://doi.org/10.1007/s00247-020-04693-2

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  • DOI: https://doi.org/10.1007/s00247-020-04693-2

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