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Dodelzon K, Milch HS, Mullen LA, Dialani V, Jacobs S, Parikh JR, Grimm LJ. Factors Contributing to Disproportionate Burnout in Women Breast Imaging Radiologists: A Review. JOURNAL OF BREAST IMAGING 2024; 6:124-132. [PMID: 38330442 DOI: 10.1093/jbi/wbad104] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/20/2023] [Indexed: 02/10/2024]
Abstract
Physician burnout continues to increase in prevalence and disproportionately affects women physicians. Breast imaging is a woman-dominated subspeciality, and therefore, worsening burnout among women physicians may have significant repercussions on the future of the breast imaging profession. Systemic and organizational factors have been shown to be the greatest contributors to burnout beyond individual factors. Based on the Mayo Model, we review the evidence regarding the 7 major organizational contributors to physician burnout and their potential disproportionate impacts on women breast radiologists. The major organizational factors discussed are work-life integration, control and flexibility, workload and job demands, efficiency and resources, finding meaning in work, social support and community at work, and organizational culture and values. We also propose potential strategies for institutions and practices to mitigate burnout in women breast imaging radiologists. Many of these strategies could also benefit men breast imaging radiologists, who are at risk for burnout as well.
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Affiliation(s)
- Katerina Dodelzon
- Department of Radiology, Weill Cornell Medicine at NewYork-Presbyterian, New York, NY, USA
| | - Hannah S Milch
- Department of Radiology, David Geffen School of Medicine at UCLA, Los Angeles, CA, USA
| | - Lisa A Mullen
- Division of Breast Imaging, The Russell H. Morgan Department of Radiology and Radiological Sciences, Johns Hopkins Medicine, Baltimore, MD, USA
| | - Vandana Dialani
- Division of Breast Imaging, Department of Radiology, Beth Israel Lahey Hospital, Boston, MA, USA
- Harvard Medical School, Boston, MA, USA
| | - Sarah Jacobs
- New Ulm Medical Center Radiology, Allina Health, New Ulm, MN, USA
| | - Jay R Parikh
- Department of Radiology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA
| | - Lars J Grimm
- Department of Radiology, Duke University Medical Center, Durham, NC, USA
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Bass RZ, Woodard SA, Colvin SD, Zarzour JG, Porter KK, Canon CL. Childbearing in radiology training and early career: Challenges, opportunities, and finding the best time for you. Clin Imaging 2022; 86:67-70. [PMID: 35344778 DOI: 10.1016/j.clinimag.2022.03.015] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/17/2022] [Revised: 03/06/2022] [Accepted: 03/15/2022] [Indexed: 11/26/2022]
Abstract
For many women, radiology residency occurs during the childbearing years and they often question when is the best time to have children. Anxiety regarding fertility and pregnancy-related complications contribute to early career burnout in women physicians and many have fertility regrets. Supporting radiologists in training and early in their career as they navigate pregnancy and childbearing is critical to achieving a diverse workforce and leadership. Herein, we explore career-related challenges of childbearing and highlight opportunities for radiologists in residency, fellowship, and early in their career, so that they can make an informed childbearing decision.
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Affiliation(s)
- Rachel Z Bass
- Department of Radiology, University of Alabama at Birmingham, 619 19th Street South, Birmingham, AL 35249, USA.
| | - Stefanie A Woodard
- Department of Radiology, University of Alabama at Birmingham, 619 19th Street South, Birmingham, AL 35249, USA.
| | - Stephanie D Colvin
- Department of Radiology, University of Alabama at Birmingham, 619 19th Street South, Birmingham, AL 35249, USA.
| | - Jessica G Zarzour
- Department of Radiology, University of Alabama at Birmingham, 619 19th Street South, Birmingham, AL 35249, USA.
| | - Kristin K Porter
- Department of Radiology, University of Alabama at Birmingham, 619 19th Street South, Birmingham, AL 35249, USA.
| | - Cheri L Canon
- Department of Radiology, University of Alabama at Birmingham, 619 19th Street South, Birmingham, AL 35249, USA.
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Dodelzon K. Protecting a Gender Diverse Future by Supporting Breastfeeding Radiologists. Acad Radiol 2022; 29:181-182. [PMID: 34794882 DOI: 10.1016/j.acra.2021.09.026] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/28/2021] [Accepted: 09/28/2021] [Indexed: 01/29/2023]
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Harrington SG, Wood M, Porter KK, Gupta Y, Esfahani SA, Daye D, Kilcoyne A, Donelan K, Narayan AK. Promoting Lactation Support: Challenges and Solutions to Supporting Breastfeeding Radiologists. Acad Radiol 2022; 29:175-180. [PMID: 33293255 DOI: 10.1016/j.acra.2020.11.009] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/16/2020] [Revised: 11/13/2020] [Accepted: 11/14/2020] [Indexed: 01/20/2023]
Abstract
RATIONALE AND OBJECTIVES Although the evidence for the benefits of breastfeeding is strong, parents are often unable to continue breastfeeding upon returning from maternity leave for a variety of reasons. Breastfeeding parents in medicine face unique challenges upon returning to the workforce after maternity leave. Current research on breastfeeding radiologists is limited. The objective of this research is to evaluate breastfeeding barriers and identify potential solutions to help radiologists reach their breastfeeding goals. MATERIALS AND METHODS A 17-question survey was developed from validated surveys and pilot tested using focus groups. The survey was emailed to members of the American Association for Women in Radiology and promoted through social media. Bivariate analyses were performed using chi-square tests. p values <0.05 were considered statistically significant. Institutional review board deemed that this anonymous voluntary survey met criteria for exemption. RESULTS 50 respondents met criteria for study inclusion (estimated response rate 42%). Of the respondents, 60% were trainees, 80% practiced in academic institutions and 92% were full-time. 100% intended to breastfeed, of whom 56% met personal breastfeeding goals (12-month median duration). Available lactation facilities included: Dedicated lactation room (38%), private space (58%), hospital grade pump (30%), refrigerator (46%), dedicated PACS (8%). Cited workplace challenges included lack of time (82%), lack of space (34%), and unsupportive work culture (42%). Having adequate time was associated with meeting breastfeeding goals (p = 0.028). No other factors were statistically significant (p > 0.05). CONCLUSION Almost half of breastfeeding radiologists (44%) did not meet breastfeeding goals, citing a variety of facility-based and institutional barriers. Among these, having sufficient time to pump/breastfeed was associated with achieving breastfeeding goals. Given the barriers faced by breastfeeding radiologists, there is an opportunity to make structural and cultural changes to provide lactation support at work.
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Establishing a Women in Radiology Group: A Toolkit From the American Association for Women in Radiology. AJR Am J Roentgenol 2021; 217:1452-1460. [PMID: 34106756 DOI: 10.2214/ajr.21.25966] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
Despite increasing representation in medical schools and surgical specialties, recruitment of women into radiology has failed to exhibit commensurate growth. Furthermore, women in radiology are less likely to advance to leadership roles. A Women in Radiology (WIR) group provides a robust support system that has been shown to produce numerous benefits to the group's individual participants as well as the group's institution or practice. These benefits include development of mentorship relationships, guidance of career trajectories, improved camaraderie, increased participation in scholarly projects, and increased awareness of gender-specific issues. This article describes a recommended pathway to establishing a WIR group, with the goal of fostering sponsorship and promoting leadership, recruitment, and advancement of women in radiology. Barriers to implementation are considered, and resources to facilitate success, including a range of resources provided by the American Association for Women in Radiology, are reviewed. By implementing the provided framework, radiologists at any career stage can start a WIR group, to promote the advancement of their female colleagues.
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Esfahani SA, Lee A, Hu JY, Kelly M, Magudia K, Everett C, Szabunio M, Ackerman S, Spalluto LB. Challenges faced by women in radiology during the pandemic - A summary of the AAWR Women's Caucus at the ACR 2020 annual meeting. Clin Imaging 2020; 68:291-294. [PMID: 32957024 PMCID: PMC7453221 DOI: 10.1016/j.clinimag.2020.08.016] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/11/2020] [Revised: 08/14/2020] [Accepted: 08/24/2020] [Indexed: 12/14/2022]
Abstract
The COVID-19 pandemic has dramatically altered the professional and personal lives of radiologists and radiation oncologists. This article summarizes the 2020 American Association for Women in Radiology (AAWR) Women's Caucus at the American College of Radiology (ACR) Annual Meeting. The caucus focused on the major challenges that women in radiology have faced during the pandemic.
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Affiliation(s)
- Shadi A Esfahani
- Department of Radiology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, United States
| | - Anna Lee
- Department of Radiation Oncology, Memorial Sloan Kettering Cancer Center, New York, NY, United States
| | - Jiun-Yiing Hu
- Department of Internal Medicine, University of Maryland Medical Center, Baltimore, MD, United States
| | - Maria Kelly
- Department of Radiation Oncology, VA New Jersey Health Care System, East Orange, NJ, United States
| | - Kirti Magudia
- Department of Radiology and Biomedical Imaging, University of California San Francisco, San Francisco, CA, United States
| | | | - Margaret Szabunio
- Department of Radiology, University of Kentucky, Lexington, KY, United States
| | - Susan Ackerman
- Department of Radiology, Medical University of South Carolina, Charleston, SC, United States
| | - Lucy B Spalluto
- Department of Radiology and Radiological Sciences, Vanderbilt University Medical Center, Nashville, TN, United States; Vanderbilt Ingram Cancer Center, Nashville, TN, United States; Veterans' Health Administration - Tennessee Valley Healthcare System Geriatric Research, Education and Clinical Center, Nashville, TN, United States.
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Bender CE, Bansal S, Wolfman D, Parikh JR. 2019 ACR Commission on Human Resources Workforce Survey. J Am Coll Radiol 2020; 17:673-675. [PMID: 32068008 DOI: 10.1016/j.jacr.2020.01.012] [Citation(s) in RCA: 44] [Impact Index Per Article: 11.0] [Reference Citation Analysis] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/19/2019] [Revised: 01/06/2020] [Accepted: 01/12/2020] [Indexed: 12/15/2022]
Affiliation(s)
| | | | - Darcy Wolfman
- Department of Radiology, Johns Hopkins School of Medicine, Washington, DC
| | - Jay R Parikh
- Department of Radiology, MD Anderson Cancer Center, Houston, Texas
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Spalluto LB, Arleo EK, Lewis MC, Oates ME, Macura KJ. Addressing Needs of Women Radiologists: Opportunities for Practice Leaders to Facilitate Change. Radiographics 2019; 38:1626-1637. [PMID: 30303802 DOI: 10.1148/rg.2018180023] [Citation(s) in RCA: 56] [Impact Index Per Article: 11.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
Women are, and have always been, underrepresented in radiology. This gender disparity must be addressed. Women bring a different perspective to the workplace; and their collaborative, empathetic, and compassionate approach to patient care and education is an asset that the radiology community should embrace and leverage. Radiologic organizations should focus on removing barriers to the entry of women physicians into radiology as a specialty and to their career advancement. Organizations should address bias, promote physician well-being, and cultivate a safe and positive work environment. Radiology leaders committed to increasing gender diversity and fostering an inclusive workplace have the opportunity to strengthen their organizations. This article outlines the key steps that practice leaders can take to address the needs of women in radiology: (a) marketing radiology to talented women medical students, (b) addressing recruitment and bias, (c) understanding and accommodating the provisions of the Family and Medical Leave Act of 1993 and the Fair Labor Standards Act for both trainees and radiologists in practice, (d) preventing burnout and promoting well-being, (e) offering flexible work opportunities, (f) providing mentorship and career advancement opportunities, and (g) ensuring equity. ©RSNA, 2018.
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Affiliation(s)
- Lucy B Spalluto
- From the Department of Radiology and Radiological Sciences, Vanderbilt University Medical Center, and the Geriatric Research, Education, and Clinical Center, Veterans Health Administration-Tennessee Valley Healthcare System, Nashville, Tenn (L.B.S.); Department of Radiology, New York-Presbyterian/Weill Cornell Medicine, New York, NY (E.K.A.); Department of Radiology and Radiological Sciences, Medical University of South Carolina, Charleston, SC (M.C.L.); Department of Radiology, University of Kentucky College of Medicine, UK Healthcare, Lexington, Ky (M.E.O.); and Department of Radiology, Johns Hopkins University, 601 N Caroline St, JHOC 3140C, Baltimore, MD 21287 (K.J.M.)
| | - Elizabeth Kagan Arleo
- From the Department of Radiology and Radiological Sciences, Vanderbilt University Medical Center, and the Geriatric Research, Education, and Clinical Center, Veterans Health Administration-Tennessee Valley Healthcare System, Nashville, Tenn (L.B.S.); Department of Radiology, New York-Presbyterian/Weill Cornell Medicine, New York, NY (E.K.A.); Department of Radiology and Radiological Sciences, Medical University of South Carolina, Charleston, SC (M.C.L.); Department of Radiology, University of Kentucky College of Medicine, UK Healthcare, Lexington, Ky (M.E.O.); and Department of Radiology, Johns Hopkins University, 601 N Caroline St, JHOC 3140C, Baltimore, MD 21287 (K.J.M.)
| | - Madelene C Lewis
- From the Department of Radiology and Radiological Sciences, Vanderbilt University Medical Center, and the Geriatric Research, Education, and Clinical Center, Veterans Health Administration-Tennessee Valley Healthcare System, Nashville, Tenn (L.B.S.); Department of Radiology, New York-Presbyterian/Weill Cornell Medicine, New York, NY (E.K.A.); Department of Radiology and Radiological Sciences, Medical University of South Carolina, Charleston, SC (M.C.L.); Department of Radiology, University of Kentucky College of Medicine, UK Healthcare, Lexington, Ky (M.E.O.); and Department of Radiology, Johns Hopkins University, 601 N Caroline St, JHOC 3140C, Baltimore, MD 21287 (K.J.M.)
| | - M Elizabeth Oates
- From the Department of Radiology and Radiological Sciences, Vanderbilt University Medical Center, and the Geriatric Research, Education, and Clinical Center, Veterans Health Administration-Tennessee Valley Healthcare System, Nashville, Tenn (L.B.S.); Department of Radiology, New York-Presbyterian/Weill Cornell Medicine, New York, NY (E.K.A.); Department of Radiology and Radiological Sciences, Medical University of South Carolina, Charleston, SC (M.C.L.); Department of Radiology, University of Kentucky College of Medicine, UK Healthcare, Lexington, Ky (M.E.O.); and Department of Radiology, Johns Hopkins University, 601 N Caroline St, JHOC 3140C, Baltimore, MD 21287 (K.J.M.)
| | - Katarzyna J Macura
- From the Department of Radiology and Radiological Sciences, Vanderbilt University Medical Center, and the Geriatric Research, Education, and Clinical Center, Veterans Health Administration-Tennessee Valley Healthcare System, Nashville, Tenn (L.B.S.); Department of Radiology, New York-Presbyterian/Weill Cornell Medicine, New York, NY (E.K.A.); Department of Radiology and Radiological Sciences, Medical University of South Carolina, Charleston, SC (M.C.L.); Department of Radiology, University of Kentucky College of Medicine, UK Healthcare, Lexington, Ky (M.E.O.); and Department of Radiology, Johns Hopkins University, 601 N Caroline St, JHOC 3140C, Baltimore, MD 21287 (K.J.M.)
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Bender CE, Bansal S, Wolfman D, Parikh JR. 2018 ACR Commission on Human Resources Workforce Survey. J Am Coll Radiol 2019; 16:508-512. [DOI: 10.1016/j.jacr.2018.12.034] [Citation(s) in RCA: 43] [Impact Index Per Article: 8.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/13/2018] [Accepted: 12/19/2018] [Indexed: 12/21/2022]
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