Optimising motivation and reducing burnout for radiation oncology trainees: A framework using self‐determination theory

Poulsen, Michael; Poulsen, Anne A.

doi:10.1111/1754-9485.12725

Cited by 10 publications

(20 citation statements)

References 40 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Although this census did not specifically deal with this subject, questions about sources of stress and the value of mentoring are related to this area. There is now information on the prevalence and measures to reduce burnout and emphasis which is beyond the scope of the census …”

Section: Discussionmentioning

confidence: 99%

Faculty of Radiation Oncology 2018 workforce census

et al. 2019

View full text Add to dashboard Cite

Introduction This paper reports the key findings of the Faculty of Radiation Oncology 2018 workforce census and compares results with previous studies. Methods The census was conducted in mid‐2018 with distribution to all radiation oncologists and trainees listed on the college database in Australia, New Zealand, Singapore and overseas. There were new questions about hours spent on multidisciplinary meetings (MDTS), leadership positions held, management of inpatients, hypofractionation, stereotactic body radiation therapy (SBRT), income type and gynae‐oncology work for radiation oncologists. Trainees were asked about time spent on planning and contouring. Results The overall response rate was 69.9% with 67.7% of radiation oncologists and 77.9% of trainees responding. There were 514 radiation oncologists with 60% male and a mean age of 49 years (median = 46 years, range 31–91). The majority of respondents were Caucasian (57.7%) and from New South Wales (29.4%). Sixty‐one per cent were subspecialists with breast, SBRT and urological cancers, the most popular areas of interest, and 56% held leadership positions. The majority worked in the public sector (55.7%), but 31.7% worked solely in the private sector with an average working week of 43.4 hours (h) (median = 44, range 2–110). Radiation oncologists spent an average of 3.6 h on MDTS (median = 4 h), 2.2h (median = 2 h) on simulation and 8 h (median = 5 h) on contouring per week. They averaged 245 new patients (median = 250, range 30–695) and 25 inpatients (median = 20) per year. Hypofractionation was used for radical treatment of breast (75%) and prostate cancer (49%). Radiation oncologists were mainly remunerated with a fixed income (53%) with 40% having some incentive‐based income. There were 140 trainees with an equal male and female distribution. The large majority (88%) were satisfied with their career and network (83%). Most trainees worked between 36 and 55h per week with 15% having no protected time. Most trainees spent less than 5 hours on planning each week and job availability remained a major concern (90%). Conclusions The radiation oncologist numbers have increased significantly, but unemployment remains low. Many parameters remain similar to the 2014 census, but new information has been obtained on special interest areas, leadership positions, gynae‐oncology, inpatients, hypofractionation use, remuneration and contouring. Trainee numbers remain stable with an increased percentage satisfied with their career with much less concern about oversupply. Protected time remains an issue with contouring time and teaching emerging as a potential issue.

show abstract

Section: Discussionmentioning

confidence: 99%

Faculty of Radiation Oncology 2018 workforce census

et al. 2019

View full text Add to dashboard Cite

show abstract

“…In this edition, Michael and Anne Poulsen have written a very interesting and relevant article about burnout …”

mentioning

confidence: 99%

“…Indeed, in radiation oncology, there are now studies that have shown burnout prevalence in academic chairs of radiation oncology, residency program directors, radiation oncologists and trainees. This is why Michael Poulsen's article is important as it is the next step . Its’ focus is specifically on radiation oncology trainees.…”

mentioning

confidence: 99%

“…He has comprehensively made suggestions at the Faculty, organization and individual level . It would seem that most work could be done at the organization or institution level.…”

mentioning

confidence: 99%

“…It also has trainee representatives at most College Committees including Faculty Council. However, the next step might be interventional workshops, online educational resources and committees devoting some time to this subject as Poulsen suggests . Indeed, the Poulsens have already demonstrated the effectiveness of a 1‐day interventional workshop for radiation oncology professionals .…”

mentioning

confidence: 99%

See 2 more Smart Citations

Are we suffering from burnout and if so what next?

Leung¹

2018

J Med Imag Rad Onc

View full text Add to dashboard Cite

Burnout in oncology: Magnitude, risk factors and screening among professionals from Middle East and North Africa (BOMENA study)

et al. 2021

View full text Add to dashboard Cite

Background Burnout (BO) among oncology professionals (OP) is increasingly being recognized. Early recognition and intervention can positively affect the quality of care and patient safety. This study investigated the prevalence, work and lifestyle factors affecting BO among OPs in the Middle East and North Africa (MENA). Methods An online survey was conducted among MENA OPs between 10 February and 15 March 2020, using the validated Maslach Burnout Inventory of emotional exhaustion (EE), depersonalization (DP) and personal accomplishment (PA), including questions regarding demography/work‐related factors and attitudes towards oncology. Data were analysed to measure BO prevalence and risk factors and explore a screening question for BO. Results Of 1054 respondents, 1017 participants (64% medical oncologists, 77% aged less than 45 years, 55% female, 74% married, 67% with children and 40% practiced a hobby) were eligible. The BO prevalence was 68% with high levels of EE and DP (35% and 57% of participants, respectively) and low PA scores (49%). BO was significantly associated with age less than 44 years, administrative work greater than 25% per day and the thought of quitting oncology (TQ). Practising a hobby, enjoying oncology communication and appreciating oncology work–life balance were associated with a reduced BO score and prevalence. North African countries reported the highest BO prevalence. Lack of BO education/support was identified among 72% of participants and TQ‐predicted burnout in 77%. Conclusions This is the largest BO study in MENA. The BO prevalence was high and several modifiable risk factors were identified, requiring urgent action. TQ is a simple and reliable screening tool for BO.

show abstract

Optimising motivation and reducing burnout for radiation oncology trainees: A framework using self‐determination theory

Cited by 10 publications

References 40 publications

Faculty of Radiation Oncology 2018 workforce census

Faculty of Radiation Oncology 2018 workforce census

Are we suffering from burnout and if so what next?

Burnout in oncology: Magnitude, risk factors and screening among professionals from Middle East and North Africa (BOMENA study)

Contact Info

Product

Resources

About