Compassion fatigue (CF), burnout (BO), and compassion satisfaction (CS) are interrelated phenomena that impact personal and professional performance. The CF and Satisfaction Self-Test and a demographic questionnaire were distributed electronically to pediatric hematology-oncology physicians nationally. Linear regression models for CF, BO, and CS as a function of potential predictors were constructed. Survey response rate was 28%. Female sex, BO score, distress about a “clinical situation,” and “teaching” were associated with higher CF scores. “Administrative activities” were associated with lower CF scores. CF score, and distress about “administrative burden/academic stress” and “coworkers” were associated with higher BO scores. CS score and “socializing” were associated with lower BO scores. “Exercise,” “socializing,” and “talking with partner” were associated with higher CS scores. CF and BO scores, emotional depletion, and distress about the “work environment” and “administrative/academic burden” were associated with lower CS scores. Our data highlights the importance of strong social connections at work and at home to decrease BO and enhance CS. Professional development in leadership, communication, and conflict resolution, as well as “team building” events may perpetuate coworker relationships. Education about the importance of connectedness and self-care should begin early in medical education to cultivate robust coping mechanisms in trainees.
Background: Botulinum toxin has been utilized for the treatment of facial rhytids since 2002. Since development, the indications for botulinum toxin have expanded greatly. Typically utilized in older generations for the treatment of rhytids, younger generations may be pursuing botulinum toxin injections for prevention rather than solely treatment of rhytids at a younger age. Methods: A 26-question survey was designed on Qualtrics and distributed to people through Amazon Mechanical Turk (MTurk) system. The Data was extracted from the Qualtrics website and processed with Microsoft Excel. Results: Out of 516 completed surveys, 92% of respondents were familiar with botulinum toxin injections with 21% having received botulinum toxin injections and 18% have received injections for cosmetic indications. Of those who have received botulinum toxin injections, 45% utilized injections for the treatment of wrinkles, 37% for the prevention of wrinkles, and 18% for the management of a non-cosmetic indication. When all respondents were asked the purpose of botulinum toxin injections, 11% thought they were for the prevention of wrinkles, 25% believed they were for the treatment of wrinkles, while 63% believe they are for both the prevention and treatment of wrinkles. Conclusions: Younger patients are pursuing botulinum toxin injections at an earlier initial age than their older counterparts. Significantly more people believe that these injections are intended for the prevention and treatment of facial rhytids rather than treatment alone. Plastic surgeons must be aware of the shifting landscape in order to adequately access this increasing patient population.
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