Burnout in Radiation Oncology Physician Workforce: The Effect of Mindfulness and Fulfillment
Purpose: Mindfulness, defined as awareness of the moment while acknowledging and accepting one's feelings, thoughts, and sensations, is the aim of mindfulness meditation. Our objective was to investigate the relationship between burnout, mindfulness, fulfillment, and other personal characterist...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2022-11-01
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| Series: | Advances in Radiation Oncology |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2452109422000781 |
| _version_ | 1818251134833262592 |
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| author | Jacob Eckstein, MD Zaker H. Rana, MD Sahar Caravan, BSc Rajiv Sharma, MD Louis Potters, MD Bhupesh Parashar, MD, DrPH |
| author_facet | Jacob Eckstein, MD Zaker H. Rana, MD Sahar Caravan, BSc Rajiv Sharma, MD Louis Potters, MD Bhupesh Parashar, MD, DrPH |
| author_sort | Jacob Eckstein, MD |
| collection | DOAJ |
| description | Purpose: Mindfulness, defined as awareness of the moment while acknowledging and accepting one's feelings, thoughts, and sensations, is the aim of mindfulness meditation. Our objective was to investigate the relationship between burnout, mindfulness, fulfillment, and other personal characteristics in radiation oncology (RO) residents/attendings compared with other specialties. Methods and Materials: From December 2019 to February 2020, residents and attendings in multiple specialties at a single tertiary care academic institution were sent surveys, including the mindfulness attention awareness scale, Stanford professional fulfillment index, and a personal questionnaire. A Pearson correlation was conducted on the relationship between mindfulness, fulfillment, disengagement, and exhaustion. To determine risk factors for burnout (overall burnout ≥ 1.33), a univariate analysis was conducted to yield odds ratios (ORs) on debt, specialty, income, sleep, exercise, marital status, number of children, work hours, mindfulness (mindfulness attention awareness scale ≥ 4), fulfillment (professional fulfillment ≥ 3), and time with family/friends. Significant factors on univariate analysis were entered into multivariate analysis. Results: There were 180 surveys completed by 60 residents and attendings across 17 specialties. Eighteen (30%) respondents were in RO. Mindfulness positively correlated with fulfillment (P < .001, r = 0.534), negatively correlated with exhaustion (P < .001, r = -0.578), and negatively correlated with disengagement (P < .001, r = -0.483). Univariate analysis for factors associated with burnout was significant for mindfulness (OR = 0.065, P < .001), RO versus other specialty (OR = 0.024, P = .044), working >60 h/wk (OR = 5.091, P = .018), spending >10 h/wk with family or friends (OR = 0.120, P = .001), and fulfillment (OR = 0.103, P < .001). Multivariate analysis showed mindfulness and fulfillment to significantly decrease odds of burnout. Conclusions: RO physicians experienced less burnout than physicians in other specialties at our institution. Mindfulness, professional fulfillment, moderate work hours, and spending time with loved ones protected against burnout. Further study of interventions to promote mindfulness and fulfillment may help us understand how best to improve the mental and emotional health of RO physicians. |
| first_indexed | 2024-12-12T16:03:28Z |
| format | Article |
| id | doaj.art-8448cd8f17e14505901e92fe225187da |
| institution | Directory Open Access Journal |
| issn | 2452-1094 |
| language | English |
| last_indexed | 2024-12-12T16:03:28Z |
| publishDate | 2022-11-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Advances in Radiation Oncology |
| spelling | doaj.art-8448cd8f17e14505901e92fe225187da2022-12-22T00:19:22ZengElsevierAdvances in Radiation Oncology2452-10942022-11-0176100971Burnout in Radiation Oncology Physician Workforce: The Effect of Mindfulness and FulfillmentJacob Eckstein, MD0Zaker H. Rana, MD1Sahar Caravan, BSc2Rajiv Sharma, MD3Louis Potters, MD4Bhupesh Parashar, MD, DrPH5Department of Radiation Medicine, Northwell Health Cancer Institute, Lake Success, New YorkDepartment of Radiation Medicine, Northwell Health Cancer Institute, Lake Success, New YorkDepartment of Radiation Medicine, Northwell Health Cancer Institute, Lake Success, New YorkDepartment of Radiation Medicine, Northwell Health Cancer Institute, Lake Success, New YorkDepartment of Radiation Medicine, Northwell Health Cancer Institute, Lake Success, New YorkCorresponding author: Bhupesh Parashar, MD, DrPH, Department of Radiation Medicine, Northwell Health Cancer Institute, Lake Success, New York; Department of Radiation Medicine, Northwell Health Cancer Institute, Lake Success, New YorkPurpose: Mindfulness, defined as awareness of the moment while acknowledging and accepting one's feelings, thoughts, and sensations, is the aim of mindfulness meditation. Our objective was to investigate the relationship between burnout, mindfulness, fulfillment, and other personal characteristics in radiation oncology (RO) residents/attendings compared with other specialties. Methods and Materials: From December 2019 to February 2020, residents and attendings in multiple specialties at a single tertiary care academic institution were sent surveys, including the mindfulness attention awareness scale, Stanford professional fulfillment index, and a personal questionnaire. A Pearson correlation was conducted on the relationship between mindfulness, fulfillment, disengagement, and exhaustion. To determine risk factors for burnout (overall burnout ≥ 1.33), a univariate analysis was conducted to yield odds ratios (ORs) on debt, specialty, income, sleep, exercise, marital status, number of children, work hours, mindfulness (mindfulness attention awareness scale ≥ 4), fulfillment (professional fulfillment ≥ 3), and time with family/friends. Significant factors on univariate analysis were entered into multivariate analysis. Results: There were 180 surveys completed by 60 residents and attendings across 17 specialties. Eighteen (30%) respondents were in RO. Mindfulness positively correlated with fulfillment (P < .001, r = 0.534), negatively correlated with exhaustion (P < .001, r = -0.578), and negatively correlated with disengagement (P < .001, r = -0.483). Univariate analysis for factors associated with burnout was significant for mindfulness (OR = 0.065, P < .001), RO versus other specialty (OR = 0.024, P = .044), working >60 h/wk (OR = 5.091, P = .018), spending >10 h/wk with family or friends (OR = 0.120, P = .001), and fulfillment (OR = 0.103, P < .001). Multivariate analysis showed mindfulness and fulfillment to significantly decrease odds of burnout. Conclusions: RO physicians experienced less burnout than physicians in other specialties at our institution. Mindfulness, professional fulfillment, moderate work hours, and spending time with loved ones protected against burnout. Further study of interventions to promote mindfulness and fulfillment may help us understand how best to improve the mental and emotional health of RO physicians.http://www.sciencedirect.com/science/article/pii/S2452109422000781 |
| spellingShingle | Jacob Eckstein, MD Zaker H. Rana, MD Sahar Caravan, BSc Rajiv Sharma, MD Louis Potters, MD Bhupesh Parashar, MD, DrPH Burnout in Radiation Oncology Physician Workforce: The Effect of Mindfulness and Fulfillment Advances in Radiation Oncology |
| title | Burnout in Radiation Oncology Physician Workforce: The Effect of Mindfulness and Fulfillment |
| title_full | Burnout in Radiation Oncology Physician Workforce: The Effect of Mindfulness and Fulfillment |
| title_fullStr | Burnout in Radiation Oncology Physician Workforce: The Effect of Mindfulness and Fulfillment |
| title_full_unstemmed | Burnout in Radiation Oncology Physician Workforce: The Effect of Mindfulness and Fulfillment |
| title_short | Burnout in Radiation Oncology Physician Workforce: The Effect of Mindfulness and Fulfillment |
| title_sort | burnout in radiation oncology physician workforce the effect of mindfulness and fulfillment |
| url | http://www.sciencedirect.com/science/article/pii/S2452109422000781 |
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