Burnout and career satisfaction among US oncologists

Tait D. Shanafelt, William J. Gradishar, Michael Kosty, Daniel Satele, Helen Chew, Leora Horn, Ben Clark, Amy E. Hanley, Quyen Chu, John Pippen, Jeff A Sloan, Marilyn Raymond

Research output: Contribution to journalArticle

95 Citations (Scopus)

Abstract

Purpose: To evaluate the personal and professional characteristics associated with career satisfaction and burnout among US oncologists. Methods: Between October 2012 and March 2013, the American Society of Clinical Oncology conducted a survey of US oncologists evaluating burnout and career satisfaction. The survey sample included equal numbers of men and women and represented all career stages. Results: Of 2,998 oncologists contacted, 1,490 (49.7%) returned surveys (median age of respondents, 52 years; 49.6% women). Among the 1,117 oncologists (37.3% of overall sample) who completed full-length surveys, 377 (33.8%) were in academic practice (AP) and 482 (43.2%) in private practice (PP), with the remainder in other settings. Oncologists worked an average of 57.6 hours per week (AP, 58.6 hours per week; PP, 62.9 hours per week) and saw a mean of 52 outpatients per week. Overall, 484 oncologists (44.7%) were burned out on the emotional exhaustion and/or depersonalization domain of Maslach Burnout Inventory (AP, 45.9%; PP, 50.5%; P = .18). Hours per week devoted to direct patient care was the dominant professional predictor of burnout for both PP and AP oncologists on univariable and multivariable analyses. Although a majority of oncologists were satisfied with their career (82.5%) and specialty (80.4%) choices, both measures of career satisfaction were lower for those in PP relative to AP (all P < .006). Conclusion: Overall career satisfaction is high among US oncologists, albeit lower for those in PP relative to AP. Burnout rates among oncologists seem similar to those described in recent studies of US physicians in general. Those oncologists who devote the greatest amount of their professional time to patient care seem to be at greatest risk for burnout.

Original languageEnglish (US)
Pages (from-to)678-686
Number of pages9
JournalJournal of Clinical Oncology
Volume32
Issue number7
DOIs
StatePublished - Mar 1 2014

Fingerprint

Private Practice
Patient Care
Professional Burnout
Oncologists
Depersonalization
Outpatients
Surveys and Questionnaires
Physicians
Equipment and Supplies

ASJC Scopus subject areas

  • Cancer Research
  • Oncology
  • Medicine(all)

Cite this

Shanafelt, T. D., Gradishar, W. J., Kosty, M., Satele, D., Chew, H., Horn, L., ... Raymond, M. (2014). Burnout and career satisfaction among US oncologists. Journal of Clinical Oncology, 32(7), 678-686. https://doi.org/10.1200/JCO.2013.51.8480

Burnout and career satisfaction among US oncologists. / Shanafelt, Tait D.; Gradishar, William J.; Kosty, Michael; Satele, Daniel; Chew, Helen; Horn, Leora; Clark, Ben; Hanley, Amy E.; Chu, Quyen; Pippen, John; Sloan, Jeff A; Raymond, Marilyn.

In: Journal of Clinical Oncology, Vol. 32, No. 7, 01.03.2014, p. 678-686.

Research output: Contribution to journalArticle

Shanafelt, TD, Gradishar, WJ, Kosty, M, Satele, D, Chew, H, Horn, L, Clark, B, Hanley, AE, Chu, Q, Pippen, J, Sloan, JA & Raymond, M 2014, 'Burnout and career satisfaction among US oncologists', Journal of Clinical Oncology, vol. 32, no. 7, pp. 678-686. https://doi.org/10.1200/JCO.2013.51.8480
Shanafelt TD, Gradishar WJ, Kosty M, Satele D, Chew H, Horn L et al. Burnout and career satisfaction among US oncologists. Journal of Clinical Oncology. 2014 Mar 1;32(7):678-686. https://doi.org/10.1200/JCO.2013.51.8480
Shanafelt, Tait D. ; Gradishar, William J. ; Kosty, Michael ; Satele, Daniel ; Chew, Helen ; Horn, Leora ; Clark, Ben ; Hanley, Amy E. ; Chu, Quyen ; Pippen, John ; Sloan, Jeff A ; Raymond, Marilyn. / Burnout and career satisfaction among US oncologists. In: Journal of Clinical Oncology. 2014 ; Vol. 32, No. 7. pp. 678-686.
@article{98c6b831b08a485fa0003f844637617f,
title = "Burnout and career satisfaction among US oncologists",
abstract = "Purpose: To evaluate the personal and professional characteristics associated with career satisfaction and burnout among US oncologists. Methods: Between October 2012 and March 2013, the American Society of Clinical Oncology conducted a survey of US oncologists evaluating burnout and career satisfaction. The survey sample included equal numbers of men and women and represented all career stages. Results: Of 2,998 oncologists contacted, 1,490 (49.7{\%}) returned surveys (median age of respondents, 52 years; 49.6{\%} women). Among the 1,117 oncologists (37.3{\%} of overall sample) who completed full-length surveys, 377 (33.8{\%}) were in academic practice (AP) and 482 (43.2{\%}) in private practice (PP), with the remainder in other settings. Oncologists worked an average of 57.6 hours per week (AP, 58.6 hours per week; PP, 62.9 hours per week) and saw a mean of 52 outpatients per week. Overall, 484 oncologists (44.7{\%}) were burned out on the emotional exhaustion and/or depersonalization domain of Maslach Burnout Inventory (AP, 45.9{\%}; PP, 50.5{\%}; P = .18). Hours per week devoted to direct patient care was the dominant professional predictor of burnout for both PP and AP oncologists on univariable and multivariable analyses. Although a majority of oncologists were satisfied with their career (82.5{\%}) and specialty (80.4{\%}) choices, both measures of career satisfaction were lower for those in PP relative to AP (all P < .006). Conclusion: Overall career satisfaction is high among US oncologists, albeit lower for those in PP relative to AP. Burnout rates among oncologists seem similar to those described in recent studies of US physicians in general. Those oncologists who devote the greatest amount of their professional time to patient care seem to be at greatest risk for burnout.",
author = "Shanafelt, {Tait D.} and Gradishar, {William J.} and Michael Kosty and Daniel Satele and Helen Chew and Leora Horn and Ben Clark and Hanley, {Amy E.} and Quyen Chu and John Pippen and Sloan, {Jeff A} and Marilyn Raymond",
year = "2014",
month = "3",
day = "1",
doi = "10.1200/JCO.2013.51.8480",
language = "English (US)",
volume = "32",
pages = "678--686",
journal = "Journal of Clinical Oncology",
issn = "0732-183X",
publisher = "American Society of Clinical Oncology",
number = "7",

}

TY - JOUR

T1 - Burnout and career satisfaction among US oncologists

AU - Shanafelt, Tait D.

AU - Gradishar, William J.

AU - Kosty, Michael

AU - Satele, Daniel

AU - Chew, Helen

AU - Horn, Leora

AU - Clark, Ben

AU - Hanley, Amy E.

AU - Chu, Quyen

AU - Pippen, John

AU - Sloan, Jeff A

AU - Raymond, Marilyn

PY - 2014/3/1

Y1 - 2014/3/1

N2 - Purpose: To evaluate the personal and professional characteristics associated with career satisfaction and burnout among US oncologists. Methods: Between October 2012 and March 2013, the American Society of Clinical Oncology conducted a survey of US oncologists evaluating burnout and career satisfaction. The survey sample included equal numbers of men and women and represented all career stages. Results: Of 2,998 oncologists contacted, 1,490 (49.7%) returned surveys (median age of respondents, 52 years; 49.6% women). Among the 1,117 oncologists (37.3% of overall sample) who completed full-length surveys, 377 (33.8%) were in academic practice (AP) and 482 (43.2%) in private practice (PP), with the remainder in other settings. Oncologists worked an average of 57.6 hours per week (AP, 58.6 hours per week; PP, 62.9 hours per week) and saw a mean of 52 outpatients per week. Overall, 484 oncologists (44.7%) were burned out on the emotional exhaustion and/or depersonalization domain of Maslach Burnout Inventory (AP, 45.9%; PP, 50.5%; P = .18). Hours per week devoted to direct patient care was the dominant professional predictor of burnout for both PP and AP oncologists on univariable and multivariable analyses. Although a majority of oncologists were satisfied with their career (82.5%) and specialty (80.4%) choices, both measures of career satisfaction were lower for those in PP relative to AP (all P < .006). Conclusion: Overall career satisfaction is high among US oncologists, albeit lower for those in PP relative to AP. Burnout rates among oncologists seem similar to those described in recent studies of US physicians in general. Those oncologists who devote the greatest amount of their professional time to patient care seem to be at greatest risk for burnout.

AB - Purpose: To evaluate the personal and professional characteristics associated with career satisfaction and burnout among US oncologists. Methods: Between October 2012 and March 2013, the American Society of Clinical Oncology conducted a survey of US oncologists evaluating burnout and career satisfaction. The survey sample included equal numbers of men and women and represented all career stages. Results: Of 2,998 oncologists contacted, 1,490 (49.7%) returned surveys (median age of respondents, 52 years; 49.6% women). Among the 1,117 oncologists (37.3% of overall sample) who completed full-length surveys, 377 (33.8%) were in academic practice (AP) and 482 (43.2%) in private practice (PP), with the remainder in other settings. Oncologists worked an average of 57.6 hours per week (AP, 58.6 hours per week; PP, 62.9 hours per week) and saw a mean of 52 outpatients per week. Overall, 484 oncologists (44.7%) were burned out on the emotional exhaustion and/or depersonalization domain of Maslach Burnout Inventory (AP, 45.9%; PP, 50.5%; P = .18). Hours per week devoted to direct patient care was the dominant professional predictor of burnout for both PP and AP oncologists on univariable and multivariable analyses. Although a majority of oncologists were satisfied with their career (82.5%) and specialty (80.4%) choices, both measures of career satisfaction were lower for those in PP relative to AP (all P < .006). Conclusion: Overall career satisfaction is high among US oncologists, albeit lower for those in PP relative to AP. Burnout rates among oncologists seem similar to those described in recent studies of US physicians in general. Those oncologists who devote the greatest amount of their professional time to patient care seem to be at greatest risk for burnout.

UR - http://www.scopus.com/inward/record.url?scp=84898820697&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84898820697&partnerID=8YFLogxK

U2 - 10.1200/JCO.2013.51.8480

DO - 10.1200/JCO.2013.51.8480

M3 - Article

VL - 32

SP - 678

EP - 686

JO - Journal of Clinical Oncology

JF - Journal of Clinical Oncology

SN - 0732-183X

IS - 7

ER -