Identifying and preventing burnout in young oncologists, an overwhelming challenge in the COVID-19 era: a study of the Spanish Society of Medical Oncology (SEOM)

被引:11
作者
Jimenez-Labaig, P. [1 ]
Pacheco-Barcia, V. [2 ]
Cebria, A. [3 ]
Galvez, F. [4 ]
Obispo, B. [5 ]
Paez, D. [6 ]
Quilez, A. [7 ]
Quintanar, T. [8 ]
Ramchandani, A. [9 ]
Remon, J. [10 ]
Rogado, J. [5 ]
Sanchez, D. A. [11 ]
Sanchez-Canovas, M. [12 ]
Sanz-Garcia, E. [13 ]
Sesma, A. [14 ]
Tarazona, N. [15 ,16 ]
Cotes, A. [17 ]
Gonzalez, E. [18 ]
Bosch-Barrera, J. [19 ]
Fernandez, A. [20 ]
Felip, E. [21 ]
Vera, R. [22 ]
Rodriguez-Lescure, A. [8 ]
Elez, E. [21 ]
机构
[1] Cruces Univ Hosp, Dept Med Oncol, Baracaldo, Bizkaia, Spain
[2] Gomez Ulla Mil Hosp, Dept Med Oncol, Madrid, Spain
[3] Parc Tauli Univ Hosp, Dept Mental Hlth, Sabadell, Catalunya, Spain
[4] Jaen Univ Hosp, Dept Med Oncol, Jaen, Andalucia, Spain
[5] Infanta Leonor Univ Hosp, Dept Med Oncol, Madrid, Spain
[6] Santa Creu & St Pau Univ Hosp, Dept Med Oncol, Barcelona, Catalunya, Spain
[7] Can Misses Hosp, Area Salud Ibiza Formentera ASEF, Dept Med Oncol, Ibiza, Illes Balears, Spain
[8] Elche Univ Gen Hosp, Dept Med Oncol, Elche, Comunitat Valen, Spain
[9] Univ Hosp Complex, Insular Materno Infantil Gran Canaria, Dept Med Oncol, Las Palmas Gran Canaria, Islas Canarias, Spain
[10] HM Delfos Hosp, Dept Med Oncol, Barcelona, Catalunya, Spain
[11] Virgen de La Arrixaca Univ Hosp, Dept Med Oncol, Murcia, Region De Murci, Spain
[12] Morales Meseguer Univ Gen Hosp, Dept Hematol & Med Oncol, Murcia, Region De Murci, Spain
[13] HM Sanchinarro Hosp Ctr Integral Oncol Clara Camp, Dept Med Oncol, Madrid, Spain
[14] Lozano Blesa Univ Clin Hosp, Dept Med Oncol, Zaragoza, Spain
[15] INCLIVA Biomed Res Inst, Dept Med Oncol, Comunitat Valenciana, Spain
[16] Inst Salud Carlos III, CIBERONC, Madrid, Spain
[17] Elda Gen Hosp, Dept Med Oncol, Elda, Comunitat Valen, Spain
[18] Virgen de las Nieves Univ Hosp, Dept Med Oncol, Granada, Andalucia, Spain
[19] Dr Josep Trueta Univ Hosp, Inst Catala Oncol ICO, Dept Med Oncol, Girona, Catalunya, Spain
[20] Univ Hosp Complex Ourense CHUO, Dept Med Oncol, Orense, Galicia, Spain
[21] Vall dHebron Univ Hosp & Inst Oncol VHIO, Dept Med Oncol, Vall dHebron Hosp Campus, Barcelona, Catalunya, Spain
[22] Univ Hosp Complex Navarra, Dept Med Oncol, Navarra, Spain
关键词
professional burnout; young oncologists; residents; cancer care; COVID-19; PROFESSIONAL BURNOUT;
D O I
10.1016/j.esmoop.2021.100215
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Background: Young oncologists are at particular risk of professional burnout, and this could have a significant impact on their health and care of their patients. The coronavirus disease 2019 (COVID-19) pandemic has forced rapid changes in professionals' jobs and training, with the consequent physical and psychological effects. We aimed to characterize burnout levels and determinants in young oncologists, and the effects of the pandemic on their training and health. Methods: Two online surveys were conducted among oncology residents and young oncology specialists in Spain. The first addressed professional burnout and its determinants before the COVID-19 pandemic, while the second analyzed the impact of the pandemic on health care organization, training, and physical and psychological health in the same population. Results: In total, 243 respondents completed the first survey, and 263 the second; 25.1% reported significant levels of professional burnout. Burnout was more common among medical oncology residents (28.2%), mainly in their second year of training. It was significantly associated with a poor workelife balance, inadequate vacation time, and the burnout score. Nearly three-quarters of respondents (72%) were reassigned to COVID-19 care and 84.3% of residents missed part of their training rotations. Overall, 17.2% of this population reported that they had contracted COVID-19, 37.3% had scores indicating anxiety, and 30.4% moderate to severe depression. Almost a quarter of young oncologists (23.3%) had doubts about their medical vocation. Conclusions: Burnout affects a considerable number of young oncologists. The COVID-19 pandemic has had a profound impact on causes of burnout, making it even more necessary to periodically monitor it to define appropriate detection and prevention strategies.
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页数:8
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