Burnout and Resiliency in Canadian Oncology Residents: A Nationwide Resident and Program Director Survey

Dahn, Hannah; McGibbon, Angela; Bowes, David

doi:10.1016/j.prro.2018.08.001

Cited by 19 publications

(20 citation statements)

References 33 publications

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“…Similar to previous studies,5 13 19 27 30 we have shown that poor work–life balance and longer working hours are associated with burnout. Despite 26 hours work-hour restrictions in Alberta, a lot of residents do not follow these restrictions.…”

Section: Discussionsupporting

confidence: 90%

“…It is uncertain which residency programmes and provinces these 400 residents were from, and therefore drawing comparisons from our study to this survey is difficult. Similarly, a Canadian psychiatry resident survey using a single question to assess burnout26 only demonstrated 21% prevalence, and a Canadian oncology resident survey using a short modified Maslach questionnaire27 demonstrated 42% prevalence. Given the heterogeneity in burnout analysis methods between these studies and ours, comparability is limited.…”

Section: Discussionmentioning

confidence: 99%

“…Several studies have demonstrated that residents with improved resiliency training have reduced burnout. Resiliency can be developed through mentorship, mindfulness, self-care techniques and communication skills 5 13 27. Mentorship programmes are poorly used in Alberta, just like in the USA, where less than 50% of US residents have mentors 33.…”

Section: Discussionmentioning

confidence: 99%

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Resident physician burnout: insights from a Canadian multispecialty survey

Ferguson

Low

Shiau

2020

Postgraduate Medical Journal

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BackgroundBurnout results from chronic exposure to stress: comprising emotional exhaustion (EE), depersonalisation (DP) and a reduced sense of personal achievement (PA). Only a few studies have examined burnout in Canadian residents, and no multispecialty studies using the Maslach Burnout Inventory-Health Sciences Survey (MBI-HSS) exist. The purpose of our study is to identify burnout prevalence, contributory factors and solutions.MethodsA prospective 62-item survey, including the 22-item MBI-HSS, was sent to all Alberta residents, with a resident population of 1745. The association between burnout, EE, DP and PA with items in the survey was performed. Continuous data were evaluated using Student’s t-test or analysis of variance. Ordinal data were evaluated using Spearman’s correlation coefficient and Mann-Whitney U test. Nominal data were evaluated using χ2 test.ResultsResponse rate was 41.1% (n=718), with burnout prevalence of 69.4%. 61.6% of residents demonstrated high EE, 47.8% high DP and 29.0% low PA. More hours worked, poor work–life balance, poor service-education balance, poor mental health support, experiencing intimidation/harassment and being unhappy with programme and with career choice were associated with higher burnout (p<0.001). 53.5% of residents experienced intimidation/harassment. Solutions to burnout included improved teaching, improved call/working hours, more wellness days and a change in medicine culture.ConclusionHigh prevalence of burnout in Canadian residents with contributory factors and solutions identified. We hope programmes across the world can use this information to improve the burden of burnout among residents.

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Section: Discussionsupporting

confidence: 90%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Resident physician burnout: insights from a Canadian multispecialty survey

Ferguson

Low

Shiau

2020

Postgraduate Medical Journal

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“…Oncologists, in particular, are at an increased risk for burnout due to compassion fatigue, stressful patient interactions, and increasing workload; and residents, in general, are at a higher risk of burnout than medical students, early-career physicians, and the general population [23,24]. Although our study did not formally assess burnout, a prior survey of Canadian oncology residents in 2017 identified a burnout rate of 42%, and the most commonly reported stressor was future career planning (79%) [25].…”

Section: Discussionmentioning

confidence: 74%

Radiation Oncology Resident and Program Director Perceptions of the Job Market and Impact on Well-being

Lefresne

Giambattista

Ingledew

et al. 2020

Cureus

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Background Radiation oncology graduates occasionally experience difficulties obtaining employment. The purpose of this study was to explore the perceptions of radiation oncology residents (RORs) and program directors (PDs) about the job market and the potential impact on their well-being. Methods RORs and PDs from 13 Canadian training programs were invited to participate. Semi-structured interviews were conducted from March 2014 to January 2015. Knowledge/perception of the job market, impact on personal/professional life, as well as opinions regarding possible contributing factors/solutions to the job market were assessed. A conventional content analysis of each transcript was performed with the clustering of conceptually similar expressions into themes. Demographic information was summarized with descriptive statistics. Results Twenty RORs and four PDs participated. All the participants described delayed retirement and over-training as contributors to the job shortage. The majority of trainees interviewed were concerned about the job market (60%) and reported that it impacted their personal (60%) and professional (55%) relationships. PDs described the job market as negatively impacting their job satisfaction. Resident morale was ranked as poor by both groups. Conclusions Job market shortages can negatively impact the personal and professional well-being of trainees and PDs. Attention to manpower planning is important to maintaining a high-quality workforce. The cyclical undersupply and oversupply of residents occur in several countries, which makes our findings potentially relevant to residency training programs internationally.

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“…Oncology residents demonstrate high rates of burnout and low resiliency compared with the general population. (13) The various effects of the coronavirus pandemic increase the risk of further negative psychological effects in an already high-risk population as evidenced by several recent publications examining this issue in medical students. (14,15) Efforts are needed to ensure resident wellness remains a priority throughout this disruption.…”

Section: Wellnessmentioning

confidence: 99%

A Framework for Assuring the Safety, Training, Evaluation, and Wellness of Radiation Oncology Residents During the COVID-19 Pandemic (ASTEROiD-COVID19)

Goodman¹,

Correa²,

Arifin³

et al. 2021

Advances in Radiation Oncology

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This is a PDF file of an article that has undergone enhancements after acceptance, such as the addition of a cover page and metadata, and formatting for readability, but it is not yet the definitive version of record. This version will undergo additional copyediting, typesetting and review before it is published in its final form, but we are providing this version to give early visibility of the article. Please note that, during the production process, errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.

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Burnout and Resiliency in Canadian Oncology Residents: A Nationwide Resident and Program Director Survey

Cited by 19 publications

References 33 publications

Resident physician burnout: insights from a Canadian multispecialty survey

Resident physician burnout: insights from a Canadian multispecialty survey

Radiation Oncology Resident and Program Director Perceptions of the Job Market and Impact on Well-being

A Framework for Assuring the Safety, Training, Evaluation, and Wellness of Radiation Oncology Residents During the COVID-19 Pandemic (ASTEROiD-COVID19)

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