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Thakore NL, Lan M, Winkel AF, Vieira DL, Kang SK. Best Practices: Burnout Is More Than Binary. AJR Am J Roentgenol 2024. [PMID: 39016454 DOI: 10.2214/ajr.24.31111] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 07/18/2024]
Abstract
Burnout among radiologists is increasingly prevalent, with potential for substantial negative impact on physician well-being, care delivery, and health outcomes. To evaluate this phenomenon using reliable and accurate means, validated quantitative instruments are essential. Variation in measurement can contribute to wide-ranging findings. This article evaluates radiologist burnout rates globally and dimensions of burnout as reported using different validated instruments and provide guidance on best practices to characterize burnout. Fifty-seven studies between 1990 and 2023 were included in a systematic review, and 43 studies were included in a meta-analysis of burnout prevalence using random effects models. Reported burnout ranged from 5% to 85%. With the Maslach Burnout Inventory (MBI), burnout prevalence varied significantly depending on instrument version. Among MBI subcategories, the prevalence of emotional exhaustion was 54% (95% CI, 45-63%), depersonalization was 52% (95% CI, 41-63%), and low personal accomplishment was 36% (95% CI, 27-47%). Other validated burnout instruments showed less heterogeneous results; studies using the Stanford Professional Fulfillment Index yielded burnout prevalence of 39% (95% CI, 34-45%), whereas the Validated Single-Item instrument yielded 34% (95% CI, 29-39%). Standardized instruments for prevalence alongside multidimensional profiles capturing experiences may better characterize radiologist burnout, including change over time.
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Affiliation(s)
| | - Michael Lan
- NYU Grossman School of Medicine, New York, NY
| | | | - Dorice L Vieira
- Health Sciences Library, NYU Grossman School of Medicine, New York, NY
| | - Stella K Kang
- Associate Professor, Department of Radiology, NYU Langone Health, New York, NY
- Department of Population Health, NYU Langone Health, New York, NY
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Shah-Patel LR, vanSonnenberg E. Ideas and Opportunities for Radiologists--Career and Professional Advising and Medical Education. Curr Probl Diagn Radiol 2024; 53:455-457. [PMID: 38744616 DOI: 10.1067/j.cpradiol.2024.05.012] [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: 03/14/2024] [Accepted: 05/02/2024] [Indexed: 05/16/2024]
Abstract
This article is about two highly diverse radiologists, who fortuitously came together by working as Career and Professional Advisors in the Student Affairs Department of a U.S. medical school. This job opportunity offered each radiologist, albeit for markedly different reasons, a means to transition from full-time Radiology to the opportune world of medical school education. The focus of this paper will be on Career and Professional Advising, while also highlighting the many opportunities for radiologists in current medical school education.
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Affiliation(s)
- Lisa R Shah-Patel
- University of Arizona College of Medicine Phoenix, Departments of Radiology and Student Affairs, USA.
| | - Eric vanSonnenberg
- University of Arizona College of Medicine Phoenix, Departments of Radiology and Student Affairs, USA
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Troupis CJ, Knight RAH, Lau KKP. What is the appropriate measure of radiology workload: Study or image numbers? J Med Imaging Radiat Oncol 2024. [PMID: 38837555 DOI: 10.1111/1754-9485.13713] [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: 01/29/2024] [Accepted: 05/15/2024] [Indexed: 06/07/2024]
Abstract
INTRODUCTION Previous studies assessing the volume of radiological studies rarely considered the corresponding number of images. We aimed to quantify the increases in study and image numbers per radiologist in a tertiary healthcare network to better understand the demands on imaging services. METHODS Using the Picture Archiving and Communication System (PACS), the number of images per study was obtained for all diagnostic studies reported by in-house radiologists at a tertiary healthcare network in Melbourne, Australia, between January 2009 and December 2022. Payroll data was used to obtain the numbers of full-time equivalent radiologists. RESULTS Across all modalities, there were 4,462,702 diagnostic studies and 1,116,311,209 images. The number of monthly studies increased from 17,235 to 35,152 (104%) over the study period. The number of monthly images increased from 1,120,832 to 13,353,056 (1091%), with computed tomography (CT) showing the greatest absolute increase of 9,395,653 images per month (1476%). There was no increase in the monthly studies per full-time equivalent radiologist; however, the number of monthly image slices per radiologist increased 399%, from 48,781 to 243,518 (Kendall Tau correlation coefficient 0.830, P-value < 0.0001). CONCLUSION The number of monthly images per radiologist increased substantially from 2009 to 2022, despite a relatively constant number of monthly studies per radiologist. Our study suggests that using the number of studies as an isolated fundamental data set underestimates the true radiologist's workload. We propose that the increased volume of images examined by individual radiologists may more appropriately reflect true work demand and may add more weight to future workforce planning.
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Affiliation(s)
- Christopher John Troupis
- The Royal Melbourne Hospital, Parkville, Victoria, Australia
- Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, Parkville, Victoria, Australia
| | | | - Kenneth Kwok-Pan Lau
- Monash Imaging, Monash Health, Clayton, Victoria, Australia
- School of Clinical Sciences, Faculty of Medicine, Nursing and Health Sciences, Monash University, Clayton, Victoria, Australia
- Sir Peter MacCallum Department of Oncology, Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, 305 Grattan Street, 3050, Victoria, Australia
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Parikh JR, Lexa F. Practical Strategies to Retain Radiologists. J Am Coll Radiol 2024; 21:963-968. [PMID: 38101499 PMCID: PMC11144110 DOI: 10.1016/j.jacr.2023.11.026] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/12/2023] [Accepted: 11/12/2023] [Indexed: 12/17/2023]
Abstract
Since the great resignation associated with the coronavirus disease 2019 pandemic, radiology practices are now challenged with maintaining adequate radiology staffing requirements to cope with increasing clinical workload requirements. The authors describe practical strategies for radiology practice leaders to retain radiologists in the current challenging job market, while mitigating their burnout.
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Affiliation(s)
- Jay R Parikh
- Professor, Division of Diagnostic Imaging, The University of Texas MD Anderson Cancer Center, Houston, Texas.
| | - Frank Lexa
- Professor and Vice Chair, Faculty Affairs, Department of Radiology, University of Pittsburgh, Pittsburgh, Pennsylvania
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vanSonnenberg E, Mueller PR, Towbin R, Silverman SG, Berliner L, D'Agostino HB. Transitioning from interventional radiology: ideas for the inevitable. Abdom Radiol (NY) 2024; 49:1771-1777. [PMID: 38502212 DOI: 10.1007/s00261-024-04234-7] [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: 01/23/2024] [Revised: 01/23/2024] [Accepted: 02/01/2024] [Indexed: 03/21/2024]
Abstract
BACKGROUND Interventional Radiology (IR) is a highly rewarding specialty, both for its salutary effects for patients, as will as the satisfaction it provides for the operating radiologists. Nonetheless, arduous work and long hours have led to numerous reports of burnout amongst interventional radiologists (IRs). MATERIALS AND METHODS Six long-term academic radiologists in leadership positions briefly chronicle their becoming IRs, their type of transitioning from IR, and the pros and cons of those respective transitions. RESULTS The specific transitions include reduced time in IR, switching to diagnostic radiology, becoming involved in medical school education, ceasing IR leadership, and retirement. Pros and cons of the various transition strategies are highlighted. CONCLUSION As the taxing work and long hours are so ubiquitous for IRs, and as burnout is so common, transitioning from IR is highly likely eventually for IRs. The varied transition experiences highlighted in this report hopefully will be helpful for current and aspiring IRs.
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Affiliation(s)
- Eric vanSonnenberg
- Departments of Radiology and Student Affairs, University of Arizona College of Medicine Phoenix, HSEB Building, C536, 435 North 5th Street, Phoenix, AZ, 85004, USA.
| | - Peter R Mueller
- Department of Radiology, Massachusetts General Hospital, Harvard Medical School, Boston, USA
| | - Richard Towbin
- Department of Radiology, University of Arizona College of Medicine Phoenix, Phoenix, USA
| | - Stuart G Silverman
- Department of Radiology, Brigham and Women's Hospital, Harvard Medical School, Boston, USA
| | - Leonard Berliner
- Department of Radiology, Staten Island University Hospital, Northwell Health, Staten Island, USA
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Parikh JR, Cavanaugh KJ. Formal wellness training of academic radiology leaders improves work-life conflict. Eur Radiol 2024:10.1007/s00330-024-10735-2. [PMID: 38639913 DOI: 10.1007/s00330-024-10735-2] [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: 12/30/2023] [Revised: 02/11/2024] [Accepted: 03/12/2024] [Indexed: 04/20/2024]
Abstract
OBJECTIVE To investigate the effect of formal leadership training of academic radiology leaders within an academic center on their own burnout and professional fulfillment. METHODS The study cohort was academic radiology leaders within one of the largest academic organizations of academic radiologists within the United States. All academic radiology leaders within the organization were electronically mailed a weblink to a confidential IRB-approved survey in April 2021. The survey included validated questions from the Stanford Professional Fulfillment Index (PFI), values alignment, teamwork, overload, and work-family conflict. Academic leaders were invited in May 2021 to participate in instructor-led formal training on leading wellness focusing on 5 core leadership skills - emotional intelligence, self-care, resilience support, demonstrating care, and managing burnout. An identical follow-up survey was electronically mailed 6 months after initial training in November 2021. RESULTS The overall response rate of academic radiology leaders was 59% (19/32). For both measures, there was acceptable internal consistency (Cronbach's α = 0.63 for work exhaustion and α = 0.90 for fulfillment). There was a statistically significant improvement in work-family conflict (3.32 vs 2.86; p = 0.04). No statistically significant differences were identified for fulfillment, work exhaustion, alignment, work overload, and teamwork scores after training. CONCLUSION Formal instruction in leading wellness improved work-life conflict for academic radiology leaders. There was no significant change in burnout, fulfillment nor organizational alignment of the leaders. CLINICAL RELEVANCE STATEMENT Formal instruction in leading wellness raised awareness and improved work-life conflict in academic radiology leaders.
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Affiliation(s)
- Jay R Parikh
- Department of Breast Imaging, Division of Diagnostic Imaging, The University of Texas MD Anderson Cancer Center, 1155 Pressler St., Unit 1350, CPB 5.3208, Houston, TX, 77030, USA.
| | - Katelyn J Cavanaugh
- Leadership Institute, The University of Texas MD Anderson Cancer Center, 7007 Bertner Avenue, Houston, TX, 77030, USA
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Gransjøen AM. Resilience and mindfulness among radiological personnel in Norway, their relationship and their impact on quality and safety- a questionnaire study. BMC Res Notes 2024; 17:96. [PMID: 38561805 PMCID: PMC10983646 DOI: 10.1186/s13104-024-06748-1] [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: 08/15/2023] [Accepted: 03/18/2024] [Indexed: 04/04/2024] Open
Abstract
BACKGROUND Stress and burnout are widespread problems among radiological personnel Individual and organizational resilience and mindfulness offer protection against burnout. AIM To investigate the level of resilience and mindfulness among radiological personnel, the associations between organizational resilience, individual resilience, and mindfulness, and how these factors impact the quality of care provided in radiological departments. METHODS An online questionnaire consisting of the Connor-Davidson Resilience Scale, the Mindful Attention Awareness Scale, the Benchmark Resilience Tool, and questions regarding burnout, and quality and safety was used. Data analysis consisted of descriptive statistics, bivariate correlation and standard multiple regression. RESULTS AND CONCLUSION Few participants considered burnout a significant challenge. Individual and organizational resilience were low (30.40 ± 4.92 and 63.21 ± 13.63 respectively), and mindfulness was high (4.29 ± 0.88). There was a significant correlation between individual and organizational resilience (p = 0.004), between individual resilience and mindfulness (p = 0.03), and between organizational resilience and mindfulness (p = 0.02). Individual and organizational resilience affect each other. However; neither significantly affect quality and safety, nor mindfulness.
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Affiliation(s)
- Ann Mari Gransjøen
- Department of Health Sciences in Gjøvik, Norwegian University of Science and Technology in Gjøvik (NTNU), Teknologiveien 22, 2815, Gjøvik, Norway.
- SHARE-Centre for Resilience in Healthcare, Faculty of Health Sciences, University of Stavanger, Kjell Arholmsgate 41, 4036, Stavanger, Norway.
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Kilgour J, McLean G, Paul E, Knight R. Identifying delays in the outpatient interventional radiology department: a quality improvement study. J Med Radiat Sci 2024; 71:72-77. [PMID: 37941092 PMCID: PMC10920948 DOI: 10.1002/jmrs.739] [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: 05/29/2023] [Accepted: 10/24/2023] [Indexed: 11/10/2023] Open
Abstract
INTRODUCTION In the post-COVID 19 environment, it has become increasingly important for healthcare services to optimise service delivery for the benefit of both patients and staff. The project purpose was to quantify and determine causes of throughput delays in a newly established outpatient angiography service in a public hospital setting. METHODS This single-centre study obtained quantitative and qualitative data for 81 consecutive outpatient interventional radiology (IR) examinations over a 3-month period via survey and retrospective analysis of electronic medical records. Staff participating in data collection were able to record multiple causes for delay in a single case and were also able to include comments, allowing for more detailed descriptions of the delays that occurred. RESULTS A total of 93 delay factors were identified in 73 of the 81 outpatient interventional examinations and grouped into six categories via thematic analysis. Availability of the IR room (40%), availability of the radiologist (28%) and insufficient documentation (18%) were identified as the most frequent causes for delay. Linear regression analysis showed that documentation (P = 0.0002) and room unavailability (P = 0.022) were independently associated with procedural starting delay. CONCLUSION Delays to the IR procedural start time occurred in 90% of cases (73/81). This study identified the causes for delays in outpatient interventional procedures. This information can be used to improve service delivery in IR departments.
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Affiliation(s)
| | | | - Eldho Paul
- Monash UniversityMelbourneVictoriaAustralia
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Woerner AJ, Greenberg CH, Chick JFB, Monroe EJ, Abad-Santos M, Kim H, Lee E, Makary MS, Hage AN, Covello B, Shin DS. Moral Injury Among Interventional Radiologists. Acad Radiol 2024; 31:1122-1129. [PMID: 37926643 DOI: 10.1016/j.acra.2023.09.015] [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: 06/03/2023] [Revised: 09/01/2023] [Accepted: 09/05/2023] [Indexed: 11/07/2023]
Abstract
RATIONALE AND OBJECTIVES To evaluate moral injury (MI) among interventional radiologists using validated assessment tools. MATERIALS AND METHODS An anonymous 29-question online survey was distributed to interventional radiologists using the Society of Interventional Radiology Connect Open Forum website, Twitter, Facebook, LinkedIn, and electronic mail. The survey consisted of demographic and practice environment questions, a global quality of life (QoL) scale (scored 1-100), the MI Symptom Scale‑Healthcare Professional (MISS-HP) (scored 1-100), and two open-ended questions. A MISS-HP score ≥ 36 was indicative of experiencing MI. P < .05 was considered statistically significant for all two-sided tests. RESULTS Beginning on March 30, 2023, 365 surveys were completed over 5 days. Of the respondents, 299 (81.9%) were male, 65 (17.8%) were female, and one preferred not to disclose gender. The respondents included practicing interventional radiologists (299; 81.9%) and interventional radiologists-in-training (66; 18.1%). Practice settings included academic (146; 40.0%), community (121; 33.2%), hybrid (84; 23.0%), or other (14; 3.8%) centers. Mean QoL was 71.1 ± 17.0 (range: 0-100) suggestive of "good" QoL. Mean QoL in the MI subgroup was significantly different from that for the rest of the group (67.6 ± 17.0 vs. 76.6 ± 16.0; P < 0.05). 223 (61.1%) respondents scored ≥ 36 on the MISS-HP, and thus were categorized as having profession-related MI. Mean MISS-HP was 39.9 ± 12.6 (range: 10-83). Mean MISS-HP in the MI subgroup was significantly different from that for the rest of the group (47.4 ± 9.6 vs. 28.0 ± 5.7; P < 0.05). There was a negative correlation between MI and QoL (r = -0.4; P < 0.001). Most common themes for greatest contribution to MI were ineffective leadership, barriers to patient care, corporatization of medicine, non-physician administration, performing futile procedures, turf battles, and reduced resources. Most common themes for ways to reduce MI were more autonomy, less bureaucracy, more administrative support, physician-directed leadership, adequate staffing, changes to the medical system, physician unionization, transparency with insurance companies, more time off, and leaving medicine/retirement. CONCLUSION MI is prevalent among interventional radiologists, and it negatively correlates with QoL. Future work should investigate causative factors and mitigating solutions.
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Affiliation(s)
- Andrew J Woerner
- Section of Vascular and Interventional Radiology, Department of Radiology, University of Washington, 1959 Northeast Pacific Street, Seattle, Washington, 98195, USA (A.J.W., C.H.G., J.F.B.C., M.A.S., D.S.S.)
| | - Colvin H Greenberg
- Section of Vascular and Interventional Radiology, Department of Radiology, University of Washington, 1959 Northeast Pacific Street, Seattle, Washington, 98195, USA (A.J.W., C.H.G., J.F.B.C., M.A.S., D.S.S.)
| | - Jeffrey Forris Beecham Chick
- Section of Vascular and Interventional Radiology, Department of Radiology, University of Washington, 1959 Northeast Pacific Street, Seattle, Washington, 98195, USA (A.J.W., C.H.G., J.F.B.C., M.A.S., D.S.S.)
| | - Eric J Monroe
- Section of Vascular and Interventional Radiology, Department of Radiology, University of Wisconsin, Madison, Wisconsin, USA (E.J.M.)
| | - Matthew Abad-Santos
- Section of Vascular and Interventional Radiology, Department of Radiology, University of Washington, 1959 Northeast Pacific Street, Seattle, Washington, 98195, USA (A.J.W., C.H.G., J.F.B.C., M.A.S., D.S.S.)
| | - HeeJin Kim
- Department of Information and Statistics, Chungnam National University, Yuseong-gu, Daejeon, South Korea (H.K., E.L.)
| | - Eunjee Lee
- Department of Information and Statistics, Chungnam National University, Yuseong-gu, Daejeon, South Korea (H.K., E.L.)
| | - Mina S Makary
- Department of Radiology, Division of Vascular and Interventional Radiology, The Ohio State University Wexner Medical Center, Columbus, Ohio, USA (M.S.M.)
| | - Anthony N Hage
- Department of Radiology, Division of Vascular and Interventional Radiology, Thomas Jefferson Hospital, Philadelphia, Pennsylvania, USA (A.N.H.)
| | - Brian Covello
- Division of Interventional Radiology, Department of Radiology, Aventura Hospital & Medical Center, Aventura, Florida, USA (B. C.)
| | - David S Shin
- Section of Vascular and Interventional Radiology, Department of Radiology, University of Washington, 1959 Northeast Pacific Street, Seattle, Washington, 98195, USA (A.J.W., C.H.G., J.F.B.C., M.A.S., D.S.S.).
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Baird GL, Mainiero MB, Bernstein MH, Parikh JR. Should I Stay, or Should I Go? Early Phase Instrument Development of Workforce Movement-A Pilot Study with Breast Radiologists. J Am Coll Radiol 2024; 21:515-522. [PMID: 37816468 PMCID: PMC10922960 DOI: 10.1016/j.jacr.2023.02.042] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/20/2022] [Revised: 02/06/2023] [Accepted: 02/09/2023] [Indexed: 10/12/2023]
Abstract
OBJECTIVE The goal of this study was to develop a psychometrically valid survey on workplace satisfaction and examine predictors of workforce movement among breast radiologists. METHODS Actively practicing members of the Society of Breast Imaging were invited to complete a survey on workplace satisfaction. Radiologists also indicated whether they had recently left their practice or were thinking of leaving their practice. RESULTS In total, 228 breast radiologists provided valid responses (8.7% response rate); 45% were thinking of leaving or had left their practice. Factor analysis yielded five factors, and discriminant function analysis found six main aspects associated with workforce movement in breast radiologists: (1) not enough work-life balance; (2) salary too low; (3) not feeling valued; (4) wanting a different challenge and/or more growth opportunity; (5) safety concerns; and (6) not feeling respected by physician leadership. CONCLUSIONS Pending further validation in larger and different cohorts, the survey created here can be administered by radiology practices to predict when breast radiologists are vulnerable to quitting. Atlhough this measure was designed for breast radiologists specifically, it could be adapted for other subspecialties.
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Affiliation(s)
- Grayson L Baird
- Associate Professor, Department of Diagnostic Imaging, Rhode Island Hospital & the Warren Alpert Medical School of Brown University, Providence, Rhode Island; Associate Professor, Radiology Human Factors Lab, Department of Diagnostic Imaging, Rhode Island Hospital & the Warren Alpert Medical School of Brown University, Providence, Rhode Island.
| | - Martha B Mainiero
- Professor, Department of Diagnostic Imaging, Rhode Island Hospital & the Warren Alpert Medical School of Brown University, Providence, Rhode Island
| | - Michael H Bernstein
- Assistant Professor, Radiology Human Factors Lab, Department of Diagnostic Imaging, Rhode Island Hospital & the Warren Alpert Medical School of Brown University, Providence, Rhode Island
| | - Jay R Parikh
- Professor, Division of Diagnostic Imaging, The University of Texas MD Anderson Cancer Center, Houston, Texas
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Roth MF, Chick JFB, McLoughlin D, Shin DS, Chadalavada SC, Monroe EJ, Hage AN, Ji I, Lee E, Makary MS. Wellness Among Interventional Radiologists: Results From a Multidimensional Survey. Acad Radiol 2024; 31:1130-1140. [PMID: 37945493 DOI: 10.1016/j.acra.2023.09.018] [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: 07/31/2023] [Revised: 09/09/2023] [Accepted: 09/16/2023] [Indexed: 11/12/2023]
Abstract
RATIONALE AND OBJECTIVES To evaluate wellness among interventional radiologists using a multidimensional survey. MATERIALS AND METHODS An anonymous 53-item survey, including 36 Perceived Wellness Survey (PWS) prompts, was created in Qualtrics (an online survey tool) to assess wellness among interventional radiology attendings and residents. The survey was open from June to September, 2022, 2 years into the COVID-19 Pandemic. The survey was distributed via Society of Interventional Radiology Forums, social media (Twitter, LinkedIn, and Facebook), and personal correspondence. PWS scores were categorized into Wellness Composite and subscores (physical, emotional, intellectual, psychological, social, and spiritual). RESULTS 367 surveys were completed. 300 (81.7%) respondents were male and 67 (18.3%) were female. Respondents included attending physicians (297; 81.0%) and residents (70; 19.0%). Practice settings included academic (174; 47.4%), private (114; 31.0%), private-academic hybrid (62; 16.9%), and others (17; 4.7%). Mean Wellness Composite at academic centers (14.74 ± 3.16; range: 5.42-23.50) was significantly lower than at private (15.22 ± 3.37; range: 6.13-23.51) and hybrid (16.14 ± 2.47; range: 10.20-23.50) practices (p = 0.01). Respondents < 40 years old had significantly lower emotional wellness subscores compared to those ≥ 40 years old (4.34 ± 0.86 vs. 4.60 ± 0.87; p = 0.006). There were no significant differences between geographic regions in the United States, however, International respondents had significantly lower social and intellectual wellness (INT) subscores. Physical wellness subscore (4.00 ± 0.9) was significantly lower than the other subscores (4.59 ± 0.81) (p < .001). Overall mean Wellness Composite was 15.11 ± 3.13 (range: 5.42-23.51). CONCLUSION Overall self-reported wellness was lower among interventional radiologists practicing at academic centers. Interventional Radiologists < 40 years old and residents had lower emotional wellness, while international respondents had lower social and INT. Overall wellness scores were lower than prior PWS studies.
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Affiliation(s)
- Matthew F Roth
- Division of Vascular and Interventional Radiology, Department of Radiology, The Ohio State University Wexner Medical Center, Columbus, Ohio 43240, USA (M.F.R., D.M., M.S.M.).
| | - Jeffrey Forris Beecham Chick
- Division of Interventional Radiology, Department of Radiology, University of Washington, Seattle, Washington, USA (J.F.B.C., D.S.S.); The Deep Vein Institute, University of Washington, Seattle, Washington, USA (J.F.B.C., D.S.S.)
| | - Dane McLoughlin
- Division of Vascular and Interventional Radiology, Department of Radiology, The Ohio State University Wexner Medical Center, Columbus, Ohio 43240, USA (M.F.R., D.M., M.S.M.)
| | - David S Shin
- Division of Interventional Radiology, Department of Radiology, University of Washington, Seattle, Washington, USA (J.F.B.C., D.S.S.); The Deep Vein Institute, University of Washington, Seattle, Washington, USA (J.F.B.C., D.S.S.)
| | - Seetharam C Chadalavada
- Division of Interventional Radiology, Department of Radiology, University of Cincinnati, Cincinnati, Ohio, USA (S.C.C.)
| | - Eric J Monroe
- Division of Interventional Radiology, Department of Radiology, University of Wisconsin, Madison, Wisconsin, USA (E.J.M.)
| | - Anthony N Hage
- Division of Vascular and Interventional Radiology, Department of Radiology, Thomas Jefferson University Hospitals, Philadelphia, Pennsylvania, USA (A.N.H.)
| | - Ido Ji
- Department of Information and Statistics, Chungnam National University, Daejeon, South Korea (I.J., E.L.)
| | - Eunjee Lee
- Department of Information and Statistics, Chungnam National University, Daejeon, South Korea (I.J., E.L.)
| | - Mina S Makary
- Division of Vascular and Interventional Radiology, Department of Radiology, The Ohio State University Wexner Medical Center, Columbus, Ohio 43240, USA (M.F.R., D.M., M.S.M.)
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Hassankhani A, Amoukhteh M, Valizadeh P, Jannatdoust P, Ghadimi DJ, Sabeghi P, Gholamrezanezhad A. A Meta-analysis of Burnout in Radiology Trainees and Radiologists: Insights From the Maslach Burnout Inventory. Acad Radiol 2024; 31:1198-1216. [PMID: 37980223 DOI: 10.1016/j.acra.2023.10.046] [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: 09/29/2023] [Revised: 10/24/2023] [Accepted: 10/25/2023] [Indexed: 11/20/2023]
Abstract
RATIONALE AND OBJECTIVES Burnout, stemming from chronic work stress, is a significant issue in the medical field, especially among radiologists. It leads to compromised patient care and reduced job satisfaction. Addressing burnout in radiology is essential for the well-being of radiologists and, in turn, for improving patient care. This study aimed to assess the prevalence and dimensions of burnout among radiology trainees (RTs) and practicing radiologists (PRs). MATERIALS AND METHODS A systematic review and meta-analysis were conducted in accordance with established guidelines. The search encompassed PubMed, Scopus, Web of Science, and Embase databases up to June 20, 2023. Eligible studies that assessed the rate of burnout syndrome and/or its subscales, including depersonalization (DP), emotional exhaustion (EE), and personal accomplishment (PA), among RTs and/or PRs using the Maslach Burnout Inventory (MBI), were included. Relevant data were extracted and analyzed using R and STATA. RESULTS Among the 22 included studies, the pooled rates of positive MBI subscales for RTs and PRs were as follows: 54.7% (95% confidence interval [CI]: 43.8%-65.1%, I2 = 95.2%) for DP, 57.2% (95% CI: 48.7%-65.4%, I2 = 92.9%) for EE, and 38.6% (95% CI: 27%-51.7%, I2 = 95.5%) for low PA. The pooled rate indicating the presence of at least one positive MBI subscale was 82.9% (95% CI: 79.2%-86.1%, I2 = 57.4%). For two or more positive MBI subscales, the pooled rate was 55.5% (95% CI: 49.7%-61.3%, I2 = 60.2%), and for three positive MBI subscales, it was 16.7% (95% CI: 11.7%-23.3%, I2 = 82.7%). CONCLUSION This study emphasizes a notable prevalence of burnout in the radiology specialty, with 8 of 10 individuals exhibiting positive results in at least one MBI subscale. This highlights the urgent need for interventions and support systems to protect the well-being of both trainees and practitioners and uphold the quality of patient care.
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Affiliation(s)
- Amir Hassankhani
- Department of Radiology, Keck School of Medicine, University of Southern California (USC), Los Angeles, California (A.H., M.A., P.S., A.G.); Department of Radiology, Mayo Clinic, Rochester, Minnesota (A.H., M.A.)
| | - Melika Amoukhteh
- Department of Radiology, Keck School of Medicine, University of Southern California (USC), Los Angeles, California (A.H., M.A., P.S., A.G.); Department of Radiology, Mayo Clinic, Rochester, Minnesota (A.H., M.A.)
| | - Parya Valizadeh
- School of Medicine, Tehran University of Medical Sciences, Tehran, Iran (P.V.)
| | - Payam Jannatdoust
- School of Medicine, Tehran University of Medical Sciences, Tehran, Iran (P.V.)
| | - Delaram J Ghadimi
- School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran (D.J.G.)
| | - Paniz Sabeghi
- Department of Radiology, Keck School of Medicine, University of Southern California (USC), Los Angeles, California (A.H., M.A., P.S., A.G.)
| | - Ali Gholamrezanezhad
- Department of Radiology, Keck School of Medicine, University of Southern California (USC), Los Angeles, California (A.H., M.A., P.S., A.G.).
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Neitzel E, vanSonnenberg E, Lynch K, Irwin C, Shah-Patel L, Mamlouk MD. Why Medical Students Pursue Radiology: A Current Longitudinal Survey on Motivations and Controversial Issues in Radiology. Acad Radiol 2024; 31:736-744. [PMID: 37852816 DOI: 10.1016/j.acra.2023.09.025] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/23/2023] [Revised: 09/11/2023] [Accepted: 09/16/2023] [Indexed: 10/20/2023]
Abstract
RATIONALE AND OBJECTIVES Radiology is an increasingly competitive specialty. Various current factors influence medical students' decision to pursue a radiology career, including artificial intelligence (AI), remote reading, and COVID-19. This study seeks to determine the decision-making factors of all alumni from our medical school who matched into a radiology residency, and to gather opinions on emerging radiology topics. MATERIALS AND METHODS A survey querying decision-making factors and opinions on current radiology topics was distributed to all alumni from our medical school (first graduating class in 2011) who previously matched into a diagnostic or interventional radiology residency program (n = 57). Wilcoxon Rank-Sum and Fisher's Exact tests were used to determine statistical significance. RESULTS Forty-three of fifty-seven responses were received (75% response rate). The most influential factor that sparked respondents' interest in radiology was a radiology elective (25/43, 58%). Students who will finish radiology training in 2023 or later were more likely to be influenced by a mentor (15/23, 65%) than those who finished radiology training before 2023 (5/20, 25%) (p = 0.04). Respondents reported a 1.6/5 concern about AI negatively impacting their future career in radiology. There was 1.7/5 concern about performing radiology procedures on patients during the COVID-19 pandemic. Respondents predicted that remote reading would have a 3.2/5 positive impact on helping them achieve their preferred lifestyle. Job satisfaction among attending radiologists is rated at 4.3/5. CONCLUSION Radiology electives had the greatest influence in piquing students' interest in radiology, while mentorship is assuming increasing influence. AI is perceived as a relatively minimal threat to negatively impact radiologists' jobs. Respondents had little concern about performing radiology procedures during the COVID-19 pandemic. Remote reading is viewed as having a moderately positive impact on lifestyle. Responding radiologists enjoy notably high job satisfaction.
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Affiliation(s)
- Easton Neitzel
- University of Arizona College of Medicine-Phoenix, HSEB C536, 475 N 5th St, Phoenix, AZ 85004 (E.N., E.v., K.L., C.I., L.S.-P.).
| | - Eric vanSonnenberg
- University of Arizona College of Medicine-Phoenix, HSEB C536, 475 N 5th St, Phoenix, AZ 85004 (E.N., E.v., K.L., C.I., L.S.-P.); Departments of Radiology & Student Affairs, University of Arizona College of Medicine - Phoenix, Phoenix, AZ (M.M., E.v., L.S.-P.)
| | - Kelly Lynch
- University of Arizona College of Medicine-Phoenix, HSEB C536, 475 N 5th St, Phoenix, AZ 85004 (E.N., E.v., K.L., C.I., L.S.-P.)
| | - Chase Irwin
- University of Arizona College of Medicine-Phoenix, HSEB C536, 475 N 5th St, Phoenix, AZ 85004 (E.N., E.v., K.L., C.I., L.S.-P.)
| | - Lisa Shah-Patel
- University of Arizona College of Medicine-Phoenix, HSEB C536, 475 N 5th St, Phoenix, AZ 85004 (E.N., E.v., K.L., C.I., L.S.-P.); Departments of Radiology & Student Affairs, University of Arizona College of Medicine - Phoenix, Phoenix, AZ (M.M., E.v., L.S.-P.)
| | - Mark D Mamlouk
- Department of Radiology, The Permanente Medical Group, Kaiser Permanente Medical Center, Santa Clara, California (M.M.); Department of Radiology and Biomedical Imaging, University of California San Francisco, San Francisco, California (M.M.)
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14
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Haridass S, Kalva S, Yadav B, Keshava SN. A Survey on Factors Influencing the Work-Family-Health Balance of an Interventional Radiologist. Indian J Radiol Imaging 2024; 34:60-68. [PMID: 38106873 PMCID: PMC10723968 DOI: 10.1055/s-0043-1772694] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/19/2023] Open
Abstract
Aim: Burnout and stress-related health disorders are on the rise among physicians. The aim of this study is to report the results of a survey on factors affecting the work-life balance of interventional radiologists (IR). Material: The survey consisted of 30 questions focusing on work, family, and personal health. The questionnaire addressed knowledge, attitude, and practice. This online survey was sent to IRs across the globe and the responses were analyzed by three IRs (SH, SNK, SK). Results: On univariate analysis, the major risk factors for burnout were presence of weekend duties ( n = 91, 98.9%, p = 0.02), absence of support group at workplace ( n = 36, 39.1%, p = 0.005), having tough time with administration ( n = 61, 66.3%, p = 0.001), not able to spend quality time on family ( n = 30, 32.6%, p = 0.035), and inability to find time to do things that one enjoys ( n = 53, 57.6%, p = 0.0002). However, multivariate analysis revealed that those having tough time with administration (odds ratio = 2.77 [95% confidence interval [CI]: 1.12-6.48], p = 0.02) and those who could not find time to do things one enjoys (odds ratio = 4.79 [95% CI: 1.42-16.1], p = 0.01) were only statistically significant. Conclusion: Burnout is common among IRs and is considered a significant issue that needs to be addressed. Teamwork, a support structure for major events, healthy lifestyle, and dedicated time for family may combat the burnout.
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Affiliation(s)
- Shoban Haridass
- Division of Clinical Radiology, Department of Interventional Radiology, Christian Medical College, Vellore, Tamil Nadu, India
| | - Sanjeeva Kalva
- Division of Interventional Radiology, Department of Radiology, Massachusetts General Hospital, Massachusetts, United States
| | - Bijesh Yadav
- Department of Biostatistics, Christian Medical College, Vellore, Tamil Nadu, India
| | - Shyamkumar Nidugala Keshava
- Division of Clinical Radiology, Department of Interventional Radiology, Christian Medical College, Vellore, Tamil Nadu, India
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15
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Fawzy NA, Tahir MJ, Saeed A, Ghosheh MJ, Alsheikh T, Ahmed A, Lee KY, Yousaf Z. Incidence and factors associated with burnout in radiologists: A systematic review. Eur J Radiol Open 2023; 11:100530. [PMID: 37920681 PMCID: PMC10618688 DOI: 10.1016/j.ejro.2023.100530] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/04/2023] [Revised: 09/24/2023] [Accepted: 10/08/2023] [Indexed: 11/04/2023] Open
Abstract
Rationale and objectives Burnout among physicians has a prevalence rate exceeding 50%. The radiology department is not immune to the burnout epidemic. Understanding and addressing burnout among radiologists has been a subject of recent interest. Thus, our study aims to systematically review studies reporting the prevalence of burnout in physicians in the radiology department while providing an overview of the factors associated with burnout among radiologists. Materials and methods The search was conducted from inception until November 13th, 2022, in PubMed, Embase, Education Resources Information Center, PsycINFO, and psycArticles. Studies reporting the prevalence of burnout or any subdimensions among radiology physicians, including residents, fellows, consultants, and attendings, were included. Data on study characteristics and estimates of burnout syndrome or any of its subdimensions were collected and summarized. Results After screening 6379 studies, 23 studies from seven countries were eligible. The number of participants ranged from 26 to 460 (median, 162; interquartile range, 91-264). In all, 18 studies (78.3%) employed a form of the Maslach Burnout Inventory. In comparison, four studies (17.4%) used the Stanford Professional Fulfillment Index, and one study (4.3%) used a single-item measure derived from the Zero Burnout Program survey. Overall burnout prevalence estimates were reported by 14 studies (60.9%) and varied from 33% to 88%. High burnout prevalence estimates were reported by only five studies (21.7%) and ranged from 5% to 62%. Emotional exhaustion and depersonalization prevalence estimates were reported by 16 studies (69.6%) and ranged from 11%-100% and 4%-97%, respectively. Furthermore, 15 studies (65.2%) reported low personal accomplishment prevalence, ranging from 14.7% to 84%. There were at least seven definitions for overall burnout and high burnout among the included studies, and there was high heterogeneity among the cutoff scores used for the burnout subdimensions. Conclusion Burnout in radiology is increasing globally, with prevalence estimates reaching 88% and 62% for overall and high burnout, respectively. A myriad of factors has been identified as contributing to the increased prevalence. Our data demonstrated significant variability in burnout prevalence estimates among radiologists and major disparities in burnout criteria, instrument tools, and study quality.
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Affiliation(s)
- Nader A. Fawzy
- College of Medicine, Alfaisal University, Riyadh 11533, Saudi Arabia
| | - Muhammad Junaid Tahir
- Pakistan Kidney and Liver Institute and Research Center (PKLI & RC), Lahore 54000, Pakistan
| | - Abdullah Saeed
- Pakistan Kidney and Liver Institute and Research Center (PKLI & RC), Lahore 54000, Pakistan
| | | | - Tamara Alsheikh
- College of Medicine, Alfaisal University, Riyadh 11533, Saudi Arabia
| | - Ali Ahmed
- School of Pharmacy, Monash University, Jalan Lagoon Selatan, Bandar Sunway, Subang Jaya, Selangor, Malaysia
| | - Ka Yiu Lee
- Swedish Winter Sports Research Centre, Department of Health Sciences, Mid Sweden University, Östersund, Sweden
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16
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Parikh JR, Baird GL, Mainiero MB. A pre-post study of stressors and burnout affecting breast radiologists before and during the COVID-19 pandemic. Eur J Radiol Open 2023; 11:100507. [PMID: 37538382 PMCID: PMC10393601 DOI: 10.1016/j.ejro.2023.100507] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/23/2023] [Revised: 07/03/2023] [Accepted: 07/08/2023] [Indexed: 08/05/2023] Open
Abstract
Rationale and objective To compare burnout and stressors of breast radiologists prior to and during the COVID-19 pandemic. Materials and methods Members of the Society of Breast Imaging were emailed an IRB-approved survey in January 2021 during the COVID-19 pandemic. Survey included questions from the Maslach Burnout Inventory and specific stressors including work pace, work-life balance, care of dependents, and financial strain. Data were compared to previous surveys prior to the pandemic. Results The response rate was 25% (261/1061) for those who opened the email. Of the respondents, 74% (194/261) were female, 82% (214/261) were white, 73% (191/261) were full time, 71% (185/261) were fellowship trained, 41% (106/261) had more than 20 years of experience, and 30% (79/261) were in academic practice.Respondents in 2021 reported frequent levels of depersonalization (2.2) and emotional exhaustion (3.4) while reporting frequent levels of personal accomplishment (5.3), a protective factor. These values were nearly identical before the pandemic in 2020: (2.2, 3.5, 5.3, respectively, p = .9). Respondents rated practicing faster than they would like as the highest stressor; however, 5 of the 6 stressors improved after the pandemic onset (p < .05). Conversely, participants perceived these stresses had gotten slightly worse since the pandemic (p < .01). Almost 50% of respondents reported they were considering leaving their practice; the most common reason was work/life balance. Conclusion Burnout in breast radiologists remains frequent but unchanged during the COVID-19 pandemic. While participants perceived that some stressors were worse during the pandemic, there was slight improvement in most stressors between the pre-pandemic and pandemic cohorts.
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Affiliation(s)
- Jay R. Parikh
- Division of Diagnostic Imaging, The University of Texas MD Anderson Cancer Center, USA
| | - Grayson L. Baird
- Department of Diagnostic Imaging, Rhode Island Hospital & the Warren Alpert Medical School of Brown University, USA
- Radiology Human Factors Lab, Department of Diagnostic Imaging, Rhode Island Hospital & the Warren Alpert Medical School of Brown University, USA
| | - Martha B. Mainiero
- Department of Diagnostic Imaging, Rhode Island Hospital & the Warren Alpert Medical School of Brown University, USA
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17
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Cyphers ED, Keller EJ, Makary MS. Trainee Ethics in Interventional Radiology. Semin Intervent Radiol 2023; 40:472-474. [PMID: 37927524 PMCID: PMC10622242 DOI: 10.1055/s-0043-1772816] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2023]
Affiliation(s)
- Eric D. Cyphers
- Department of Bioethics, Columbia University, New York, New York
- Philadelphia College of Osteopathic Medicine, Philadelphia, Pennsylvania
| | - Eric J. Keller
- Division of Interventional Radiology, Department of Radiology, Stanford University, Stanford, California
| | - Mina S. Makary
- Division of Interventional Radiology, Department of Radiology, The Ohio State University, Columbus, Ohio
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18
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Dave P, Brook OR, Brook A, Sarwar A, Siewert B. Moral Distress in Radiology: Frequency, Root Causes, and Countermeasures-Results of a National Survey. AJR Am J Roentgenol 2023; 221:249-257. [PMID: 36946897 DOI: 10.2214/ajr.22.28968] [Citation(s) in RCA: 6] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/23/2023]
Abstract
BACKGROUND. A major cause of burnout is moral distress: when one knows the right course of action but institutional constraints make the right course impossible to pursue. OBJECTIVE. The purpose of this study was to assess the frequency and severity with which radiologists experience moral distress and to explore moral distress's root causes and countermeasures. METHODS. This study entailed a national survey that evaluated moral distress in radiology. The survey incorporated the validated Moral Distress Scale for Health Care Professionals, along with additional questions. After the scale was modified for applicability to radiology, respondents were asked to assess 16 clinical scenarios in terms of frequency and severity of moral distress. On May 10, 2022, the survey was sent by e-mail to 425 members of radiology practices included on a national radiology society's quality-and-safety LISTSERV. The Measure of Moral Distress for Health Care Professionals (MMD-HP) score was calculated for each respondent as a summary measure of distress across scenarios (maximum possible score, 256). RESULTS. After 12 surveys with incomplete data were excluded, the final analysis included 93 of 425 respondents (22%). A total of 91 of 93 respondents (98%) experienced at least some moral distress for at least one scenario. A total of 17 of 93 respondents (18%) had left a clinical position due to moral distress; 26 of 93 (28%) had considered leaving a clinical position due to moral distress but did not leave. The mean MMD-HP score was 73 ± 51 (SD) for those who had left, 89 ± 47 for those who had considered leaving but did not leave, and 39 ± 35 for those who had never considered leaving (p < .001). A total of 41 of 85 respondents (48%) thought that the COVID-19 pandemic had influenced their moral distress level. Across respondents, the three scenarios with highest moral distress were related to systemic causes (higher case volume than could be read safely, high case volume preventing teaching residents, and lack of administrative action or support). The countermeasure most commonly selected to alleviate moral distress was educating leadership about sources of moral distress (71%). CONCLUSION. Moral distress is prevalent in radiology, typically relates to systemic causes, and is a reported contributor to radiologists changing jobs. CLINICAL IMPACT. Urgent action by radiology practice leadership is required to address moral distress, as radiologists commonly practice in environments contradictory to their core values as physicians.
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Affiliation(s)
- Priya Dave
- Harvard Medical School Center for Bioethics, Boston, MA
- Icahn School of Medicine at Mount Sinai, New York, NY
| | - Olga R Brook
- Department of Radiology, Beth Israel Deaconess Medical Center, 330 Brookline Ave, Boston, MA 02215
| | - Alexander Brook
- Department of Radiology, Beth Israel Deaconess Medical Center, 330 Brookline Ave, Boston, MA 02215
| | - Ammar Sarwar
- Department of Radiology, Beth Israel Deaconess Medical Center, 330 Brookline Ave, Boston, MA 02215
| | - Bettina Siewert
- Department of Radiology, Beth Israel Deaconess Medical Center, 330 Brookline Ave, Boston, MA 02215
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19
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Al Rekabi A, Chen M, Patel N, Morgan R, McCafferty I, Haslam P, Hamady M. Well-being and Burnout Amongst Interventional Radiologists in the United Kingdom. Cardiovasc Intervent Radiol 2023; 46:1053-1063. [PMID: 37380792 PMCID: PMC10382397 DOI: 10.1007/s00270-023-03455-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/06/2023] [Accepted: 04/24/2023] [Indexed: 06/30/2023]
Abstract
PURPOSE To assess the prevalence of burnout amongst Interventional Radiologists (IRs) in the United Kingdom and identify demographic and practice-related stressors that may adversely affect well-being. MATERIALS AND METHODS A survey of 36 questions was divided into two sections. Section A consisted of 14 questions that assessed demographics and work characteristics; Section B assessed burnout, utilizing the 22-item Maslach burnout inventory. Four additional open-ended questions were included to allow participants to voice opinions on the biggest contributors to workplace burnout and plans that could be implemented to alleviate this. The questionnaire was distributed to the British Society of interventional (BSIR) members. The study was conducted between August and September 2022. RESULTS Moderate to severe scores in emotional exhaustion (EE) were recorded in 65% of participants (moderate 26%; severe 39%) of participants r. Moderate to severe depersonalization (DP) scores were recorded in 46% of participants (moderate 23%; severe 23%). Low-moderate levels of personal accomplishment (PA) scores were recorded in 77% of respondents (low 50%; moderate 27%). Weekly hours and out-of-hour IR cover were statistically significant in predicting emotional exhaustion. Age, sex (male), time available for teaching, and weekly hours were statistically significant in predicting the depersonalisation score. Age was a predictive factor for personal accomplishment. The most recurring themes in open response to major contributors of burnout were shortage of IR clinicians and supporting staff as well as the increasing IR workload. CONCLUSIONS This survey has demonstrated high prevalence of burnout amongst Interventional Radiologists in UK. Urgent measures are required to tackle the workforce shortage, recognition of IR workload and control IR resources.
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Affiliation(s)
- Ahmad Al Rekabi
- Division of Interventional Radiology, Imperial Academic and Healthcare NHS Trust, 53 humes avenue, London, W72LJ UK
| | - Mitch Chen
- Division of Interventional Radiology, Imperial Academic and Healthcare NHS Trust, 53 humes avenue, London, W72LJ UK
| | - Neeral Patel
- Division of Interventional Radiology, Imperial Academic and Healthcare NHS Trust, 53 humes avenue, London, W72LJ UK
| | - Robert Morgan
- Department of Radiology, St George’s NHS Trust, London, UK
| | | | - Philip Haslam
- Department of Interventional Radiology, Newcastle Upon Town NHS Trust, Newcastle Upon Tyne, UK
| | - Mohamad Hamady
- Department of Surgery and Cancer, Imperial College London, London, UK
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20
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Oprisan A, Baettig-Arriagada E, Baeza-Delgado C, Martí-Bonmatí L. Prevalence of burnout syndrome in Spanish radiologists. RADIOLOGIA 2023; 65:307-314. [PMID: 37516484 DOI: 10.1016/j.rxeng.2021.09.013] [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: 02/07/2021] [Accepted: 09/07/2021] [Indexed: 07/31/2023]
Abstract
BACKGROUND AND AIMS The primary objective was to analyze the prevalence and degree of professional burnout in radiologists in Spain. Secondary objectives were to identify possible factors that increase or decrease the risk of burnout to enable preventive and corrective measures, decrease the stress associated with this condition, and thereby increase radiologists' performance and satisfaction at work. MATERIAL AND METHODS This cross-sectional observational study used a voluntary, anonymous online survey of attending radiologists and residents through Google Forms®. The survey was structured into three sections: a qualitative assessment of the degree of professional burnout with the Maslach Burnout Inventory Human Services Survey (MBI-HSS), a series of sociodemographic and work-related questions, and a final section centered on possible causes of stress and improvements to the working environment. The results of the survey were analyzed statistically to determine which variables were associated with burnout syndrome as well as to identify possible risk factors and protective factors. RESULTS After disseminating the survey through social networks and email contacts, we received a total of 226 responses (175 from attending radiologists and 51 from residents; 52% men; mean age, 41 ± 11 years; age range, 25-68). The prevalence of the syndrome was 33%, without significant differences between attending radiologists and residents. No risk factors associated with burnout were identified. Teaching in the workplace was the only protective factor. CONCLUSIONS One-third of the respondents had burnout syndrome. Because the consequences of this syndrome can affect professionals' personal life and their ability to do their jobs, early detection and intervention should be prioritized.
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Affiliation(s)
- A Oprisan
- Área Clínica de Imagen Médica, Hospital Universitario y Politécnico La Fe, Valencia, Spain.
| | - E Baettig-Arriagada
- Área Clínica de Imagen Médica, Hospital Universitario y Politécnico La Fe, Valencia, Spain
| | - C Baeza-Delgado
- Grupo de Investigación Biomédica en Imagen (GIBI230), Instituto de Investigación Sanitaria La Fe, Valencia, Spain
| | - L Martí-Bonmatí
- Área Clínica de Imagen Médica, Hospital Universitario y Politécnico La Fe, Valencia, Spain; Grupo de Investigación Biomédica en Imagen (GIBI230), Instituto de Investigación Sanitaria La Fe, Valencia, Spain; Académico de Número de la Real Academia Nacional de Medicina de España, Spain
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21
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Parikh JR, Moore AV, Mead L, Bassett R, Rubin E. Prevalence of Burnout of Radiologists in Private Practice. J Am Coll Radiol 2023; 20:712-718. [PMID: 36898491 PMCID: PMC10491735 DOI: 10.1016/j.jacr.2023.01.007] [Citation(s) in RCA: 6] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/30/2022] [Revised: 01/14/2023] [Accepted: 01/24/2023] [Indexed: 03/12/2023]
Abstract
PURPOSE The aim of this study was to evaluate the prevalence and demographic factors associated with both burnout and fulfillment of private practice radiologists within the largest coalition of independent wholly physician-owned diagnostic radiology practices within the United States. METHODS The study cohort included practicing radiologists within the largest coalition of wholly radiologist-owned, independently practicing diagnostic radiology groups within the United States. Practicing radiologists within all 31 radiology private practices within the organization were electronically mailed a web link to a confidential institutional review board-approved survey in August and September 2021. The survey included validated questions from the Stanford Professional Fulfillment Index, individual and practice demographics, and self-care. Radiologists were classified as being burned out and professionally fulfilled on the basis of established cutoffs from the Professional Fulfillment Index. RESULTS The overall response rate was 20.6% (254 of 1,235). The overall rate of radiologist burnout was 46% (Cronbach's α = 0.92), and professional fulfillment was 26.7% (Cronbach's α = 0.91). The inverse association between professional fulfillment and burnout was highly significant (r = -0.66, P < .0001) on the basis of average scores. Radiologists who took call (evenings, overnight, and weekends) were statistically most likely to be burned out. Older radiologists were less likely to experience burnout. Factors statistically significantly associated with professional fulfillment were eating nutritious meals and exercising at least four times per week. No statistically significant association was seen between either burnout or fulfillment with gender, ethnicity, practice geography, or practice size. CONCLUSIONS In the largest coalition of independent wholly physician-owned diagnostic radiology practices across the United States, about one-half of radiologists were burned out, and just over one-quarter were professionally fulfilled. Taking call was significantly associated with radiologist burnout. Self-care habits were associated with professional fulfillment.
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Affiliation(s)
- Jay R Parikh
- Professor, Division of Diagnostic Imaging, The University of Texas MD Anderson Cancer Center, Houston, Texas.
| | - Arl Van Moore
- Chairman and CEO Emeritus, Strategic Radiology, Palmetto, Florida
| | - Lisa Mead
- Strategic Radiology, Palmetto, Florida
| | - Roland Bassett
- Department of Biostatistics, The University of Texas MD Anderson Cancer Center, Houston, Texas
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22
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Sarwar A, Shanafelt TD, Sze DY, Jaff MR. The Threat to the Soul of Interventional Radiology Escalated by COVID-19. J Vasc Interv Radiol 2023; 34:945-949. [PMID: 37236702 DOI: 10.1016/j.jvir.2023.02.022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/14/2023] [Accepted: 02/15/2023] [Indexed: 05/28/2023] Open
Affiliation(s)
- Ammar Sarwar
- Division of Interventional Radiology, Department of Radiology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts.
| | - Tait D Shanafelt
- Division of Hematology, Department of Internal Medicine, Stanford University School of Medicine, Stanford, California
| | - Daniel Y Sze
- Division of Interventional Radiology, Department of Radiology, Stanford University School of Medicine, Stanford, California
| | - Michael R Jaff
- Division of Vascular and Endovascular Surgery, Department of Surgery, Massachusetts General Hospital, Boston, Massachusetts
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Parikh JR. Innovative Approaches to Address Burnout in Radiology. J Am Coll Radiol 2023; 20:477-478. [PMID: 36934888 PMCID: PMC10167699 DOI: 10.1016/j.jacr.2023.03.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/28/2023] [Revised: 03/10/2023] [Accepted: 03/13/2023] [Indexed: 03/19/2023]
Affiliation(s)
- Jay R Parikh
- Professor, Division of Diagnostic Imaging, The University of Texas MD Anderson Cancer Center, Houston, Texas.
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Abstract
Interventional radiologists (IRs) have a massive impact on their patients, communities, and healthcare at large. Yet, IRs have physical and emotional challenges that lead to a high rate of burnout compared with other medical specialties. A Medscape survey in 2013 showed a 37% burnout incidence among radiologists, which increased to 49% in 2015. This ranked radiology 7th out of 26 specialties with respect to burnout. Although the survey did not examine IR specifically, with the increasing demands on those in the profession, this number can only be expected to increase. A survey by Bundy et al demonstrated that interventional radiologists are in the upper range of burnout among physicians with 71.9% presenting with at least 1 manifestation of burnout. This is higher than that reported among surgeons or diagnostic radiologists. We must be proactive in addressing wellness in IR if we are to flourish both individually and as a group. The impact of suboptimal well-being in an IR goes beyond that of the individual, influencing patient care with ripple effects to society at large. At worst, severe burnout can lead to an early exit from medicine, with the cost of recruiting a replacement IR estimated at two to three times an annual physician salary. This is to say nothing of the experience, wisdom, and leadership that are lost when physicians burn out and drop out. Particularly in IR, where the work performed often improves the cost-effectiveness and quality of care, burnout is a threat to the physician workforce and healthcare at large. In this article, our goal is to share some elements of physician well-being and highlight opportunities to support well-being in IR.
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Affiliation(s)
- Amina Farooq
- Northshore/Long Island Jewish/Mather Hospital Long Island, Middle Island, NY, USA
| | - Barbara Hamilton
- 25112Desert Regional Medical Center Palm Springs, Palm Springs, CA, USA
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Alsaeiti KD, Elkadiki A, Hamedh MAI, Ezwaie RM, Younis SM, Elfigih SO. Burnout among Physicians at Medical Departments in Benghazi-Libya. LIBYAN INTERNATIONAL MEDICAL UNIVERSITY JOURNAL 2022. [DOI: 10.1055/s-0042-1758810] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/23/2022] Open
Abstract
Abstract
Background Burnout syndrome is recognized as a global issue, and as medical practice is stressful, healthcare workers are found to be burnt out and exhausted very soon, which is reflected negatively on the medical staff well-being, patients' outcome, and the overall organizational performance.
Aim This study is planned to assess the magnitude of burnout among physicians in Benghazi-Libya.
Methods This cross-sectional study was carried out in 2020 on a total of 150 physicians working at different departments of internal medicine in Benghazi-Libya. The Maslach Burnout Inventory collection instrument was used to assess the three components of burnout syndrome: emotional exhaustion, depersonalization, and reduced personal accomplishment. High scores in emotional exhaustion and depersonalization and low scores in personal accomplishment are indicative of high burnout. The statistical analyses of the data were performed using the SPSS version 21. The level of statistical significance was considered as p-value less than 0.05.
Results 60% of the respondents were females and 40% were males. About 14.7% had high emotional exhaustion, 92% had high depersonalization, and 87.3% had low personal accomplishment scores. Statistical analysis showed no significant relationship between gender and burnout. Alternatively, a significant association was found between degree certificate and emotional exhaustion, as moderate- and high-level burnout were more prevalent among MBCHB participants than those with masters and board degrees. No association was found between degree certificate and depersonalization or personal accomplishment.
Conclusion Burnout is prevalent among internal medicine doctors in Benghazi, with the newly graduated medical personnel scoring higher rates of burnout than doctors with higher degrees. No relationship was found between gender and burnout.
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Affiliation(s)
- Khaled D. Alsaeiti
- Department of Internal Medicine, Faculty of Medicine, Libyan International Medical University, Libya
| | - Abdelhdi Elkadiki
- Department of Internal Medicine, Faculty of Medicine, Benghazi University, Libya
| | - Mohamed A. I. Hamedh
- Department of Internal Medicine, Faculty of Medicine, Benghazi University, Libya
| | | | | | - Seraj O. Elfigih
- Faculty of Medicine, Libyan International Medical University, Libya
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Petscavage-Thomas JM, Hardy S, Chetlen A. Mitigation Tactics Discovered During COVID-19 with Long-Term Report Turnaround Time and Burnout Reduction Benefits. Acad Radiol 2022; 29:1786-1791. [PMID: 35585013 PMCID: PMC9023354 DOI: 10.1016/j.acra.2022.04.016] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/24/2022] [Revised: 04/13/2022] [Accepted: 04/15/2022] [Indexed: 01/26/2023]
Abstract
RATIONALES AND OBJECTIVES The purpose is to describe a hybrid teleradiology solution utilized in an academic medical center and its outcomes on radiology report turnaround time (RTAT) and physician wellness. MATERIALS AND METHODS During coronavirus disease 2019, we utilized an alternating teleradiology solution with procedural and education attendings working in the hospital and other faculty remote to keep the worklist clean. RTAT data was collected for remote vs. in house emergency department (ED) and inpatient cases over a 6-month period. Pre and post implementation burnout surveys were administered. RESULTS RTAT significantly improved for ED and inpatient MR and CT, and inpatient US and radiographs when interpreted remotely compared to in-hospital. Physician wellness scores improved and open-ended comments reflected positive feedback about the hybrid work solution. 74% enjoyed the autonomy and flexibility, and 51% said the solution positively influences my desire to remain in my current institution and improves their clinical and/or academic productivity. CONCLUSION Hybrid work from home solutions allow faculty autonomy and flexibility with work-life balance, improving wellness. It is important to alternate the at-home faculty to maintain interdepartmental relations, particularly for junior faculty, and prevent isolation. The hybrid solution also demonstrated improved patient care metrics, possibly due to decreased distractions at home compared to the reading room.
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Parikh JR, Van Moore A, Mead L, Bassett R, Rubin E. Prevalence of burnout in private practice radiology leaders. Clin Imaging 2022; 92:1-6. [PMID: 36126440 PMCID: PMC10139836 DOI: 10.1016/j.clinimag.2022.08.014] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/21/2022] [Revised: 08/07/2022] [Accepted: 08/15/2022] [Indexed: 11/03/2022]
Abstract
RATIONALE AND OBJECTIVES To evaluate prevalence and demographic factors associated with both burnout and fulfillment of private practice radiologist leaders within the United States. MATERIALS AND METHODS The study cohort was the largest coalition of wholly radiologist owned, independently practicing radiology groups within the United States. Two designated leaders within each of the 30 radiology private practices within the organization Strategic Radiology were electronically mailed a weblink to a confidential IRB-approved survey in July 2021. Surveys included questions from the Stanford Professional Fulfillment Index, individual and practice demographics, and self-care. RESULTS The overall response rate was 67% (40/60). Fulfillment and burnout scores were calculated from the individual questions, and radiologists were classified as being fulfilled or not and burned out or not based upon score cutoffs previously validated from the Stanford Professional Fulfillment Index (PFI). The overall professional fulfillment rate of staff was 43% and the overall burnout rate was 33%. (Cronbach's α = 0.90 for fulfillment and 0.91 for burnout). The inverse correlation between professional fulfillment and burnout was highly significant (r = -0.42, p = 0.007). No statistically significant association was seen between either burnout or fulfillment and age, gender, ethnicity, practice geography or practice size. CONCLUSION Utilizing the validated Stanford PFI for assessment, the prevalence of burnout in private practice radiologist leaders was 33%. The prevalence of professional fulfillment was 43%, with a mild inverse association between professional fulfillment and burnout. SUMMARY In private practice leaders, the prevalence of burnout was 33% and the prevalence of professional fulfillment was 43%.
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Affiliation(s)
- Jay R Parikh
- Division of Diagnostic Imaging, The University of Texas MD Anderson Cancer Center, USA.
| | | | - Lisa Mead
- Strategic Radiology, Palmetto, FL, USA.
| | - Roland Bassett
- Department of Biostatistics, The University of Texas MD Anderson Cancer Center, USA.
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MacKinnon NJ, Rosema D, Cyca P. Career and life fulfillment and planning for medical trainees, and physicians. INTERNATIONAL JOURNAL OF MEDICAL EDUCATION 2022; 13:305-306. [PMID: 36444839 PMCID: PMC9911277 DOI: 10.5116/ijme.6372.17ba] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/28/2022] [Accepted: 11/14/2022] [Indexed: 06/16/2023]
Affiliation(s)
- Neil J. MacKinnon
- Department of Population Health Sciences, Medical College of Georgia, Augusta University, Augusta, Georgia, USA
| | - Danielle Rosema
- Department of Pediatrics, Medical College of Georgia, Augusta University, and the Childrens Hospital of Georgia, Augusta, Georgia, USA
| | - Pauwlina Cyca
- Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada
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29
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Peng YC, Lee WJ, Chang YC, Chan WP, Chen SJ. Radiologist Burnout: Trends in Medical Imaging Utilization under the National Health Insurance System with the Universal Code Bundling Strategy in an Academic Tertiary Medical Centre. Eur J Radiol 2022; 157:110596. [DOI: 10.1016/j.ejrad.2022.110596] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/15/2022] [Revised: 10/12/2022] [Accepted: 11/06/2022] [Indexed: 11/11/2022]
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Desai SB, Pareek A, Lungren MP. Current and emerging artificial intelligence applications for pediatric interventional radiology. Pediatr Radiol 2022; 52:2173-2177. [PMID: 33978793 DOI: 10.1007/s00247-021-05013-y] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/06/2020] [Revised: 01/09/2021] [Accepted: 02/10/2021] [Indexed: 11/25/2022]
Abstract
Artificial intelligence in medicine can help improve the accuracy and efficiency of diagnostics, selection of therapies and prediction of outcomes. Machine learning describes a subset of artificial intelligence that utilizes algorithms that can learn modeling functions from datasets. More complex algorithms, or deep learning, can similarly learn modeling functions for a variety of tasks leveraging massive complex datasets. The aggregation of artificial intelligence tools has the potential to improve many facets of health care delivery, from mundane tasks such as scheduling appointments to more complex functions such as enterprise management modeling and in-suite procedural assistance. Within radiology, the roles and use cases for artificial intelligence (inclusive of machine learning and deep learning) continue to evolve. Significant resources have been devoted to diagnostic radiology tasks via national radiology societies, academic medical centers and hundreds of commercial entities. Despite the widespread interest in artificial intelligence radiology solutions, there remains a lack of applications and discussion for use cases in interventional radiology (IR). Even more relevant to this audience, specific technologies tailored to the pediatric IR space are lacking. In this review, we describe artificial intelligence technologies that have been developed within the IR suite, as well as some future work, with a focus on artificial intelligence's potential impact in pediatric interventional medicine.
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Affiliation(s)
- Sudhen B Desai
- Section of Interventional Radiology, Division of Radiology, Phoenix Children's Hospital, 1919 E. Thomas Road, Phoenix, AZ, 85018, USA.
| | - Anuj Pareek
- Center for Artificial Intelligence in Medicine & Imaging, Stanford University, Stanford, CA, USA
| | - Matthew P Lungren
- Center for Artificial Intelligence in Medicine & Imaging, Stanford University, Stanford, CA, USA
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Le RT, Sifrig B, Chesire D, Hernandez M, Kee-Sampson J, Matteo J, Meyer TE. Comparative Analysis of Radiology Trainee Burnout Using the Maslach Burnout Inventory and Oldenburg Burnout Inventory. Acad Radiol 2022; 30:991-997. [PMID: 36167626 DOI: 10.1016/j.acra.2022.08.016] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/11/2022] [Revised: 08/07/2022] [Accepted: 08/12/2022] [Indexed: 11/01/2022]
Abstract
BACKGROUND Burnout is an individualized response to imbalances between job demands and resources that has predominantly been evaluated with the Maslach Burnout Inventory (MBI). There are other instruments not validated among healthcare providers that may be comparable to the MBI. Utilizing alternative measurements can allow researchers to assess wellness with a larger array of questions. OBJECTIVE We explored differences between the MBI- Human Services Survey for Medical Personnel (MBI-HSS [MP]) and Oldenburg Burnout Inventory (OLBI) in evaluating emotional exhaustion (EE)/exhaustion and depersonalization (DP)/disengagement. METHODS We administered the MBI-HSS (MP) and OLBI to United States (US) radiology trainees during three,1-month intervals in April 2018, October 2018, and April 2019. Student's T-tests or ANOVA was used to evaluate differences between demographic groups and burnout scores in the MBI-HSS (MP) and OBLI. Non-inferiority analysis was completed to evaluate if the OBLI was not inferior to the MBI-HSS (MP) in how its subscales measure exhaustion and disengagement. The MBI-HSS (MP) subtotals for EE and DP were compared with the OLBI scores for exhaustion and disengagement using two-tailed paired T-tests for each trainee. RESULTS Of 2823 trainees emailed, 770 (27.3%) responded. The mean EE Maslach score was 21/54, and the mean DP Maslach score was 8/30. The average OBLI exhaustion and disengagement score was 2.38 and 2.22, respectively. Comparative analysis of completed MBI-HSS (MP) and OLBI subscales yielded no significant difference between the EE/exhaustion (t(496)=1.038; p=0.30) or DP/disengagement (t(498)=0.084; p=0.933) subscales. CONCLUSIONS Our national study of radiology trainees demonstrated that the OLBI was not inferior in assessing exhaustion and disengagement to the EE and DP subscales of the MBI-HSS (MP).
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Affiliation(s)
- Rebecca T Le
- Department of Radiology, UF Health Jacksonville, FL; Department of Radiology, Rochester General Hospital, 1425 Portland Avenue, Rochester, New York, 14621.
| | - Brian Sifrig
- Department of Radiology, UF Health Jacksonville, FL
| | | | | | | | - Jerry Matteo
- Department of Radiology, UF Health Jacksonville, FL
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Schesser M, Naderi S, Fananapazir G. Utilizing advanced practice providers in the paracentesis/thoracentesis clinic. ABDOMINAL RADIOLOGY (NEW YORK) 2022; 47:2712-2716. [PMID: 35258668 DOI: 10.1007/s00261-022-03469-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/20/2021] [Revised: 02/19/2022] [Accepted: 02/21/2022] [Indexed: 01/18/2023]
Abstract
In an era of increasing radiology volumes, including image-guided procedures, as well as decreased reimbursements, radiology practices are seeking ways to become more efficient to prevent radiologist burnout. One such strategy involves the employment of advanced practice providers to perform certain procedures. We describe steps departments can pursue to involve advanced practice providers within the radiology workforce, specifically in implementing an advance practice provider-driven paracentesis and thoracentesis clinic.
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Affiliation(s)
- Mandy Schesser
- Advanced Practice Supervisor for Radiology, Acute Infection Management Service, and Trauma, UCDMC, Sacramento, CA, USA
| | - Sima Naderi
- Department of Radiology, UCDMC, Sacramento, CA, USA
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Bykov KV, Zrazhevskaya IA, Topka EO, Peshkin VN, Dobrovolsky AP, Isaev RN, Orlov AM. Prevalence of burnout among psychiatrists: A systematic review and meta-analysis. J Affect Disord 2022; 308:47-64. [PMID: 35398112 DOI: 10.1016/j.jad.2022.04.005] [Citation(s) in RCA: 8] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/15/2021] [Revised: 02/20/2022] [Accepted: 04/02/2022] [Indexed: 12/11/2022]
Abstract
BACKGROUND Burnout is a consequence of chronic occupational stress exposure. Psychiatrists are prone to burnout due to specific work-related factors. This study examined the burnout prevalence among psychiatrists. METHODS The study protocol was registered in PROSPERO (CRD42020204615). We searched MEDLINE, EMBASE, CENTRAL, PsycINFO, Web of Science, ClinicalTrials.gov, and OpenGrey for relevant publications. Random-effect meta-analysis was performed. We used subgroup analysis and meta-regression to reveal any association of geographical region, survey year, participants' age, gender, and response rate with burnout. RESULTS Thirty-six studies involving 5481 participants were included. The prevalence of overall burnout was 25.9% [11.1%-40.7%] as measured by a Maslach Burnout Inventory (MBI) and 50.3% [30.9%-69.8%] as measured by a Copenhagen Burnout Inventory (CBI). The pooled prevalence was 43.5% [27.9%-59%] for high emotional exhaustion (EE), 28.2% [17.5%-38.9%] for high depersonalization (DP), and 32.4% [3.4%-61.3%] for low personal accomplishment (PA). The mean scores of 22-item MBI subscales were 21.51 [18.64%-24.38%] for EE, 6.57 [5.53%-7.62%] for DP, and 31.83 [25.73%-37.94%] for PA. European psychiatrists revealed (p = 0.045) lower EE score (20.82; 95% CI 7.24-24.41) measured by 22-item MBI compared to their non-European colleagues (24.99; 95% CI 23.05-26.94). Other results include mean scores for 16-item MBI-General Survey, burnout rates, and scores in CBI subscales. LIMITATIONS The main limitation was high heterogeneity in terms of statistics, screening methods, burnout definitions, and cut-off points utilized in included studies. CONCLUSIONS Burnout is highly prevalent among psychiatrists. Future research should focus on finding consensus on burnout screening, longitudinal evaluation of psychiatrists' burnout predictors, and development of effective intervention strategies.
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Affiliation(s)
- Kirill V Bykov
- Peoples' Friendship University of Russia (RUDN University), Moscow, Russian Federation.
| | - Inna A Zrazhevskaya
- Peoples' Friendship University of Russia (RUDN University), Moscow, Russian Federation
| | - Elvira O Topka
- Mental Hospital №13, Moscow Healthcare Department, Moscow, Russian Federation
| | - Valery N Peshkin
- Peoples' Friendship University of Russia (RUDN University), Moscow, Russian Federation
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34
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The disruptive radiologist. Clin Imaging 2022; 87:5-10. [DOI: 10.1016/j.clinimag.2022.04.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/10/2021] [Revised: 04/04/2022] [Accepted: 04/05/2022] [Indexed: 11/23/2022]
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Lee S, Srinivasa RN, Patel P, Genshaft S, Enzmann DR. Value of Office-Based Labs to an Interventional Radiology Practice. JOURNAL OF CLINICAL INTERVENTIONAL RADIOLOGY ISVIR 2022. [DOI: 10.1055/s-0042-1742729] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022] Open
Abstract
Abstract
Purpose Office-based laboratories (OBLs), or outpatient interventional suites, are rapidly gaining traction with both patients and interventionalists. Compared with hospitals, OBLs can provide greater convenience for patients, allow physicians greater autonomy, and potentially generate more revenue under a lower cost structure. The aim of this article is to discuss logistics and finances of running an OBL using the authors' institution as a guide for interventional radiologists seeking to establish their own OBL.
Methods Interventional radiology (IR) procedures performed at an OBL from the authors' academic institution were reviewed from January 2017 to December 2020. Yearly revenues and expenses related to IR procedures were recorded.
Results The number and complexity of IR procedures performed in the OBL increased over time with nearly 10-fold growth of revenue from 2017 to 2020.
Conclusion Most IR procedures performed in the hospital are feasible in the OBL setting, and by increasing patient volume and variety over time, an individual OBL can develop into a robust patient care center capable of generating revenue.
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Affiliation(s)
- Shimwoo Lee
- Department of Interventional Radiology, David Geffen School of Medicine at UCLA, Los Angeles, California, United States
| | - Ravi N. Srinivasa
- Department of Interventional Radiology, David Geffen School of Medicine at UCLA, Los Angeles, California, United States
| | - Prital Patel
- Department of Interventional Radiology, David Geffen School of Medicine at UCLA, Los Angeles, California, United States
| | - Scott Genshaft
- Department of Interventional Radiology, David Geffen School of Medicine at UCLA, Los Angeles, California, United States
| | - Dieter R. Enzmann
- Department of Radiological Sciences, David Geffen School of Medicine at UCLA, Los Angeles, California, United States
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Keller EJ, Nixon K, Oladini L, Chrisman HB, Chaudhari A, Milad MP, Vogelzang RL. The power of proximity: Effects of a multidisciplinary fibroid clinic on inter-specialty perceptions and practice patterns. PLoS One 2022; 17:e0263058. [PMID: 35077500 PMCID: PMC8789146 DOI: 10.1371/journal.pone.0263058] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/23/2021] [Accepted: 01/11/2022] [Indexed: 11/25/2022] Open
Abstract
Background Multidisciplinary collaboration has generally been shown to have positive effects on healthcare but can be difficult to facilitate. This study assessed the effects of a multidisciplinary fibroid clinic on practice patterns and clinician perceptions to better understand drivers of interspecialty collaboration. Materials and methods Annual rates of hysterectomies, myomectomies, and uterine fibroid embolizations (UFEs) performed in an urban healthcare system were collected from 2012–2019. Rates of each procedure were compared over time before and after launching a multidisciplinary fibroid clinic at the academic medical center. Referral rates were also compared. The gynecologists and interventional radiologists (IRs) involved in the clinic were interviewed 2 years prior to and after the clinic launch about their approaches to fibroids and perceptions of others who treat this condition. A phenomenological approach was used to identify and compare themes within the interviews by two researchers with excellent inter-rater agreement (κ = 0.80). Results and discussion Annual rates of fibroid procedures increased over time (p<0.01) but the relative number of UFEs decreased (p = 0.01). UFE referrals by the clinic gynecologists significantly increased as did the number of combined fibroid procedures (p<0.01). However, the rates of one fibroid procedure relative to others were not different between the clinic and rest of the healthcare system (p = 0.55). Specialty-specific perceptions of fibroid treatments and inter-specialty dynamics did not change. Despite this, clinicians unanimously perceived the clinic and post-clinic practice patterns as positive and distinct from their previous work and relationships between gynecology and IR elsewhere. Limitations of this study included its single clinic design and potential confounder of differences in advertising pre- versus post-clinic. Conclusion Creating the right practice environment may be more important for fostering inter-specialty collaboration and work satisfaction than shared mental models or procedural volumes in certain practice settings.
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Affiliation(s)
- Eric J. Keller
- Division of Interventional Radiology, Stanford University, Stanford, CA, United States of America
- * E-mail:
| | - Kayla Nixon
- Division of Minimally Invasive Gynecologic Surgery, Northwestern University, Chicago, IL, United States of America
| | - Lola Oladini
- Division of Interventional Radiology, Stanford University, Stanford, CA, United States of America
| | - Howard B. Chrisman
- Division of Interventional Radiology, Northwestern University, Chicago, IL, United States of America
| | - Angela Chaudhari
- Division of Minimally Invasive Gynecologic Surgery, Northwestern University, Chicago, IL, United States of America
| | - Magdy P. Milad
- Division of Minimally Invasive Gynecologic Surgery, Northwestern University, Chicago, IL, United States of America
| | - Robert L. Vogelzang
- Division of Interventional Radiology, Northwestern University, Chicago, IL, United States of America
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Al-Makhamreh H, Al-Bitar F, Saadeh A, Al-Ani A, Azzam M, Alkhulaifat D, Khanfar A, Toubah Y, Aburaddad L, Hassan K, Al-Ani H. Evaluating the physical, psychosocial and ergonomic burden of lead aprons among Jordanian interventionists: a nationwide study. INTERNATIONAL JOURNAL OF OCCUPATIONAL SAFETY AND ERGONOMICS 2021; 28:2501-2508. [PMID: 34898393 DOI: 10.1080/10803548.2021.2013029] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
Objectives. This study assessed the physical and psychological burden of lead apron use on Jordanian interventionists and investigated the attitudes and knowledge of interventional personnel toward ergonomic guidelines and practices. Methods. A cross-sectional investigation of a randomly sampled Jordanian cohort of interventional personnel was conducted using a self-administered questionnaire. Results. A nationwide sample of 130 practitioners with a mean 9.3 ± 8.1 years of experience in interventional procedures participated. Practitioners were aware of their apron's weight but not of its lead equivalence (71.5%). More than 60% of respondents complained of back pain. While 66.9% did not develop musculoskeletal pathologies, 64.3% of those with already established musculoskeletal pathologies experienced worse pain due to apron usage. Despite believing in the effect of lead aprons on muscular strain and work performance, 78.5% adhere to its usage. In terms of ergonomics, only 39.2% were aware of ergonomic guidelines; however, 90.0% believe that ergonomic practices are essential as 49.2% have experienced discomfort due to bad ergonomics. In terms of psychological burden, anxiety and depression were suggested in 16.4 and 21.6% of the sample. Conclusion. Jordanian interventionists portray positive attitudes toward lead aprons; nevertheless, their awareness of ergonomic practices warrants the implementation of evidenced-based interventions.
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Affiliation(s)
- Hanna Al-Makhamreh
- Division of Cardiology, Jordanian University Hospital, Jordan.,School of Medicine, The University of Jordan, Jordan
| | | | - Aseel Saadeh
- School of Medicine, The University of Jordan, Jordan
| | | | - Muayad Azzam
- School of Medicine, The University of Jordan, Jordan
| | - Dana Alkhulaifat
- School of Medicine, The University of Jordan, Jordan.,Department of Internal Medicine, Jordanian Royal Medical Services, Jordan
| | - Asim Khanfar
- School of Medicine, The University of Jordan, Jordan
| | - Yousef Toubah
- School of Medicine, The University of Jordan, Jordan
| | | | - Kamal Hassan
- Department of Internal Medicine, Jordanian Royal Medical Services, Jordan
| | - Hashim Al-Ani
- School of Medicine, The University of Jordan, Jordan
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38
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Xiang DH, Snyder A, Capua JD, Galla N, Tischfield DJ, Lewis T, Somani S, Sucher A, Ahmed M, Daye D. Mentorship in Interventional Radiology: Addressing Obstacles to Pursuing Research and Innovation Among IR Trainees. Acad Radiol 2021; 29:1275-1281. [PMID: 34862123 DOI: 10.1016/j.acra.2021.10.028] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/05/2021] [Revised: 10/28/2021] [Accepted: 10/30/2021] [Indexed: 11/28/2022]
Abstract
RATIONALE AND OBJECTIVES To ascertain the perceived obstacles that medical students and Interventional Radiology (IR) residents face performing IR research during training and incorporating research into their future careers. MATERIALS AND METHODS The study was reviewed and exempt from Institutional Review Board review. Participants' attitudes and perceived barriers toward performing IR research, and experience with mentorship in IR were assessed using a 27-item survey sent to all members of the Society of Interventional Radiology Resident, Fellow and Student (SIR-RFS, n = 445), and Medical Student Council (SIR-MSC, n = 267) sections between July and September 2020. Descriptive statistics were computed for all assessed categorical variables. Fisher's exact tests were performed to measure the significance of association between categorical variables. RESULTS Of the 712 students and residents surveyed, 151 (∼21%) responded. Of respondents, 100% reported that conducting research is important to advancing the field of IR. The highest ranked factors and obstacles to performing IR research were increased clinical demands (67.9%), lack of time (46.2%), lack of institutional support (41.5%), and lack of research experience (35.8%). Interestingly, those with a mentor were more likely to report an interest in pursuing a career in IR compared to those without a mentor (98.6% vs 41.0%, p < 0.0001). Furthermore, those with a mentor were more likely to report an interest in pursuing IR research compared to those without a mentor (32.5% vs 14.4%, p < 0.0001). CONCLUSION There are many obstacles to performing IR research. Strong mentorship is an avenue to address these deterrents. The deployment of mentorship programs in IR is needed to ensure trainees can overcome the barriers outlined in this study and successfully pursue research careers in IR.
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Affiliation(s)
- David H Xiang
- Department of Radiology, Massachusetts General Hospital, Harvard Medical School, 25 Shattuck Street, Boston, MA 02115
| | - Austin Snyder
- Department of Radiology, Massachusetts General Hospital, Harvard Medical School, 25 Shattuck Street, Boston, MA 02115
| | - John Di Capua
- Department of Radiology, Massachusetts General Hospital, Harvard Medical School, 25 Shattuck Street, Boston, MA 02115
| | | | | | - Trevor Lewis
- Fairfax Radiological Consultants, Fairfax, Virginia
| | | | | | - Muneeb Ahmed
- Beth Israel Deaconess Medical Center, Boston, Massachusetts
| | - Dania Daye
- Department of Radiology, Massachusetts General Hospital, Harvard Medical School, 25 Shattuck Street, Boston, MA 02115.
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Habib H, Keller EJ. Disability in Interventional Radiology. Semin Intervent Radiol 2021; 38:500-503. [PMID: 34629721 DOI: 10.1055/s-0041-1735604] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Affiliation(s)
- Hasan Habib
- School of Osteopathic Medicine, Rowan University, Stratford, New Jersey
| | - Eric J Keller
- Division of Interventional Radiology, Stanford University, Stanford, California
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Foo ET, Cianfichi LJ, Guzman E, Kerr PM, Krumm J, Hofmann LV, Kothary N. Reimagining the IR Workflow for a Better Work-Life Balance. J Vasc Interv Radiol 2021; 32:1488-1491. [PMID: 34602161 DOI: 10.1016/j.jvir.2021.07.004] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/31/2021] [Revised: 06/18/2021] [Accepted: 07/11/2021] [Indexed: 11/25/2022] Open
Abstract
Several workflow changes were implemented in a large academic interventional radiology practice, including separation of inpatient and outpatient services, early start times, and using an adaptive learning system to predict case length tailored to individual physicians. Metrics including procedural volume, on-time start, accuracy at predicting case length, and room shutdown time were assessed before and after the intervention. Considerable improvements were seen in accuracy of first case start times, predicting block times, and last case encounter ending times. It is proposed that with improved role clarity, interventional radiologists can regain control over their schedules, utilize work hours more efficiently, and improve work-life balance.
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Affiliation(s)
- Eric T Foo
- Department of Radiology, Stanford School of Medicine, Stanford, California.
| | | | | | - Paul M Kerr
- Stanford Healthcare, Redwood City, California
| | - John Krumm
- Stanford Healthcare, Redwood City, California
| | - Lawrence V Hofmann
- Department of Radiology, Stanford School of Medicine, Stanford, California
| | - Nishita Kothary
- Department of Radiology, Stanford School of Medicine, Stanford, California
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Oprisan A, Baettig-Arriagada E, Baeza-Delgado C, Martí-Bonmatí L. Prevalencia del síndrome de desgaste en radiólogos españoles. RADIOLOGIA 2021. [DOI: 10.1016/j.rx.2021.09.001] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/11/2022]
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Abstract
Physician burnout is increasingly recognized as a public health crisis given the impact of burnout on physicians, their families, patients, communities, and population health. The COVID-19 pandemic has superimposed a new set of challenges for physicians to navigate, including unique challenges presented to radiologists. Radiologists from a diversity of backgrounds, practice settings, and career stages were asked for their perspectives on burnout.
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Evolution of the Interventional Radiology (IR) Pathway-Various Changes and Interrelation to Diagnostic Radiology (DR). Acad Radiol 2021; 28:1253-1263. [PMID: 33906805 DOI: 10.1016/j.acra.2021.03.017] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/16/2020] [Revised: 03/15/2021] [Accepted: 03/16/2021] [Indexed: 11/22/2022]
Abstract
Interventional radiology continues to evolve into a more robust and clinically dynamic specialty underpinned by significant advancements in training, education, and practice. This article, prepared by members of the 2020-2021 Association of University Radiologists' task force of the Radiology Research Alliance, will review these developments, highlighting the evolution of interventional radiology pathways with attention to growing educational differences, interrelation to diagnostic radiology training, post-training practice patterns, distribution of procedures and future trends, amongst other key features important to those pursuing a career in interventional radiology as well as those in practice.
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Woerner A, Chick JFB, Monroe EJ, Ingraham CR, Pereira K, Lee E, Hage AN, Makary MS, Shin DS. Interventional Radiology in the Coronavirus Disease 2019 Pandemic: Impact on Practices and Wellbeing. Acad Radiol 2021; 28:1209-1218. [PMID: 34210612 PMCID: PMC8185184 DOI: 10.1016/j.acra.2021.05.025] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/02/2021] [Revised: 05/18/2021] [Accepted: 05/25/2021] [Indexed: 12/13/2022]
Abstract
PURPOSE To report the impact of the coronavirus disease 2019 (COVID-19) pandemic on interventional radiology (IR). MATERIALS AND METHODS A 78-question survey was distributed to practicing interventional radiologists and IR trainees. The survey consisted of demographic and practice environment queries. Anxiety symptoms were evaluated using the Generalized Anxiety Disorder-7 (GAD-7) screener, and coping strategies were assessed using the Brief-Coping Orientation to Problems Experienced (Brief-COPE) questionnaire. RESULTS There were 422 respondents including 333 (78.9%) attending interventional radiologists and 89 (21.1%) interventional radiologists-in-training from 15 counties. Most respondents were from academic medical centers (n = 218; 51.7%). A large majority (n = 391; 92.7%) performed a procedure on a patient with confirmed COVID-19 infection. An N95 mask was the most common (n = 366; 93.6%) safety measure employed. Cancellation or limitation of elective procedures were reported by 276 (65.4%) respondents. Many respondents (n = 177; 41.9%) had self-reported anxiety (GAD-7 score >5) with an overall mean GAD-7 score of 4.64 ± 4.63 (range: 0-21). Factors associated with reporting anxiety included female gender (p = 0.045), increased call coverage (p = 0.048), lack of adequate departmental adjustments (p <0.0001), and lack of adjustments in a timely manner (p <0.0001). The most utilized coping strategy was acceptance (mean of 5.49 ± 1.88), while the most employed dysfunctional coping strategy was self-distraction (mean of 4.16 ± 1.67). The odds of reporting anxiety increased by >125% with adoption of dysfunctional strategies. CONCLUSION The COVID-19 pandemic induced practice alterations and high rates of self-reported anxiety in IR. Female gender, increased call coverage, and lack of adequate or timely departmental adjustments were associated with increased anxiety levels.
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Affiliation(s)
- Andrew Woerner
- Department of Radiology, Section of Vascular and Interventional Radiology, University of Washington, Seattle, Washington 98195
| | - Jeffrey Forris Beecham Chick
- Department of Radiology, Section of Vascular and Interventional Radiology, University of Washington, Seattle, Washington 98195; Department of Radiology, Section of Interventional Radiology, Seattle Children's Hospital, University of Washington, Seattle, Washington 98105
| | - Eric J Monroe
- Department of Radiology, Section of Vascular and Interventional Radiology, University of Washington, Seattle, Washington 98195; Department of Radiology, Section of Interventional Radiology, Seattle Children's Hospital, University of Washington, Seattle, Washington 98105
| | - Christopher R Ingraham
- Department of Radiology, Section of Vascular and Interventional Radiology, University of Washington, Seattle, Washington 98195
| | - Keith Pereira
- Department of Radiology, Division of Vascular Interventional Radiology, Saint Louis University Hospital, St. Louis, Missouri 63110
| | - Eunjee Lee
- Department of Information and Statistics, Chungnam National University, Yuseong-gu, Daejeon, South Korea
| | - Anthony N Hage
- Department of Radiology, Division of Vascular and Interventional Radiology, Thomas Jefferson Hospital, Philadelphia, Pennsylvania 19107
| | - Mina S Makary
- Department of Radiology, Division of Vascular and Interventional Radiology, The Ohio State University Wexner Medical Center, Columbus, Ohio 43210
| | - David S Shin
- Department of Radiology, Section of Vascular and Interventional Radiology, University of Washington, Seattle, Washington 98195.
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Factors associated with burnout amongst medical students, residents, and attendings in Orthopaedics. NORTH AMERICAN SPINE SOCIETY JOURNAL (NASSJ) 2021; 7:100074. [PMID: 35141639 PMCID: PMC8819969 DOI: 10.1016/j.xnsj.2021.100074] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/17/2021] [Revised: 07/12/2021] [Accepted: 08/17/2021] [Indexed: 11/20/2022]
Abstract
Background Methods Results Conclusion
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Bailey HS, Mehrotra P, Drinkwater KJ, Howlett DC. National audit of seven-day working care in radiology. BJR Open 2021; 3:20200046. [PMID: 34381943 PMCID: PMC8320131 DOI: 10.1259/bjro.20200046] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/18/2020] [Revised: 03/31/2021] [Accepted: 04/21/2021] [Indexed: 11/23/2022] Open
Abstract
Objectives To evaluate the extent to which our current provision of diagnostic and interventional radiology services matches existing clinical demand and future government proposals as set out in the Royal College of Radiologists published guidance on providing seven-day acute care. Methods In June 2018, all UK radiology department audit leads were sent a questionnaire designed to assess compliance for each standard of the Royal College of Radiologists published guidance on providing seven-day acute care. Results 135 hospitals (68%) responded. Of those that responded, 96% of departments have a diagnostic radiologist rota for clinicians to discuss acute cases and review imaging and 48% of departments do not have a fully staffed consultant rota 24 h a day, seven days a week for interventional radiology. There is significant variance in MRI radiographer availability within departments, ranging from 18.8% during Saturday/Sunday evening/overnight up to a maximum of 63.9% during Saturday daytime. 11% of departments participate in a regional out of hours cross-organisation reporting rota. 40% of departments have no 24/7 RIS technical support and 34% have no PACS technical support out of hours. Conclusion There is a wide variation in practice across radiology departments in the UK. Although there are some standards that the majority of hospitals are achieving, there is a significant short-fall in fundamental aspects of providing acute seven-day care. The multifactorial nature in which these problems have arisen means there is no easy solution to combat these issues. There is a requirement for significant investment and political commitment to improve staffing and infrastructure in order to address the current situation. Advances in knowledge A UK wide evaluation of the current provision of seven-day working in radiology showing 54% of hospitals do not have a UK working-time regulations compliant Interventional radiology rota, severe lack of availability of acute MRI out of hours and significant deficiencies in providing technical support out of hours. A sustainable and efficient seven-day service is currently not being provided.
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Affiliation(s)
- H S Bailey
- Department of Radiology, Aberdeen Royal Infirmary, Aberdeen, UK
| | - P Mehrotra
- Department of Radiology, City Hospitals Sunderland NHS Foundation Trust, Sunderland, UK
| | | | - D C Howlett
- Department of Radiology, Eastbourne District General Hospital, Eastbourne, UK
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Burnout, Professional Fulfillment, Intention to Leave, and Sleep-Related Impairment Among Faculty Radiologists in the United States: An Epidemiologic Study. J Am Coll Radiol 2021; 18:1359-1364. [PMID: 33964230 DOI: 10.1016/j.jacr.2021.04.005] [Citation(s) in RCA: 24] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/01/2021] [Revised: 04/01/2021] [Accepted: 04/06/2021] [Indexed: 11/21/2022]
Abstract
OBJECTIVE To examine the prevalence of burnout in faculty radiologists in the United States and to explore the relationship between burnout and professional fulfillment (PF), intention to leave (ITL), and sleep-related impairment by gender. METHODS This cross-sectional study was conducted through a voluntary anonymous, electronic survey of radiologists at 11 academic medical institutions participating in the Physician Wellness Academic Consortium between January 2017 and September 2018. Faculty radiologists who completed the survey were included in the study. The survey contained the validated professional fulfillment index and National Institute of Health Patient Reported Outcomes Measurement Information System sleep-related impairment scale. Demographics of participants only included gender to protect anonymity. Sample t tests and χ2 exact tests were used for analysis with significance level set at P < .05. RESULTS In all, 456 faculty radiologists (171 women) answered the survey. The overall prevalence of burnout was 37.4%, PF was 35.6%, ITL was 33.3%, and sleep-related impairment was 45.3%. Burnout was higher in female versus male respondents (44% versus 31%, P < .05), and PF and ITL were lower (30% versus 42%, P < .05, 26% versus 38%, P < .05, respectively). When faculty were stratified into burned out versus not burned out, PF was significantly lower in those with burnout (12% versus 52%, P < .05), and ITL and sleep-related impairment was higher (51% versus 24%, P < .05 and 75% versus 30%, P < .05, respectively). DISCUSSION Higher burnout was associated with reports of greater ITL and sleep-related impairment and lower PF. Female radiologists experience more burnout but less ITL than their male counterparts.
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Sifrig B, Le RT, Chesire D, Hernandez M, Kee-Sampson J, Meyer TE. Exploration of the Relationship Between the Subcomponents of Burnout Throughout Radiology Training. J Am Coll Radiol 2021; 18:647-653. [DOI: 10.1016/j.jacr.2021.02.025] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/22/2021] [Accepted: 02/22/2021] [Indexed: 12/13/2022]
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Buch KA, Daye D, Wood MJ, Alvarez C, del Carmen MG, Mehta DH, Bredella MA. Wellness Program Implementation in an Academic Radiology Department: Determination of Need, Organizational Buy-in, and Outcomes. J Am Coll Radiol 2021; 18:663-668. [DOI: 10.1016/j.jacr.2020.12.006] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/11/2020] [Accepted: 12/02/2020] [Indexed: 01/02/2023]
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Le RT, Sifrig B, Hernandez M, Chesire D, Kee-Sampson J, Meyer TE. Predictors Between the Subcomponents of Burnout Among Radiology Trainees. J Am Coll Radiol 2021; 18:654-660. [DOI: 10.1016/j.jacr.2021.01.024] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/22/2021] [Accepted: 01/24/2021] [Indexed: 12/14/2022]
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