Assessing burnout among oncologists in Ontario, Canada.

作者：Simron Singh, Ashley Farrelly, Catherine Chan, Narges Nazeri-Rad, Brett Nicholls, Glenn Bauman, Daniela Bellicoso, Andrea Eisen, Conrad Falkson, Colleen Fox, Claire Holloway, Erin Kennedy, Robin S. McLeod, David A. Rothenberger, Maureen Trudeau, Tait D. Shanafelt · 发表于：Journal of Clinical Oncology · 年份：2020 · DOI：10.1200/jco.2020.38.29_suppl.41 · 被引用次数：2 · 研究领域：Advances in Oncology and Radiotherapy

41 Background: Provider experience and physician burnout has been recognized as a critical issue in medicine. Ontario, Canada has a single payer cancer system run by Ontario Health (Cancer Care Ontario) with a mandate covering system level planning and delivery of cancer services, funding, and quality improvement. As part of a larger provincial initiative to address clinician burnout, we examined the prevalence and drivers of burnout in practicing physician oncologists in Ontario. Methods: In November-December 2019, surgical, medical, hematological, and radiation oncologists in Ontario were invited to complete an anonymous online survey to assess burnout and its drivers. Burnout prevalence was assessed through the Maslach Burnout Inventory – Human Services Survey for Medical Personnel (MBI-HSS MP). Data on demographic, workplace, engagement, and practice profiles were collected. Logistic regression modeling was conducted to assess key variables associated with “high” burnout using a common definition of high scores on the MBI subscales of emotional exhaustion (EE) (> 27) and/or depersonalization (DP) (>10). Results: Response rate to the survey was 44% (n=418) with 72% reporting high levels of burnout. Mean scores for EE (30.7, SD 12.1) and DP (9.9, SD 6.7) were consistent with high burnout. Participants endorsed known drivers of burnout including: 1) a poor culture of wellness at work (e.g., not comfortable talking to leadership (72%), 2) inefficiencies of practice (e.g...