“Burnout in Medical Oncology Fellows: a Prospective Multicenter Cohort Study in Brazilian Institutions” (original) (raw)

Abstract

Burnout syndrome is a common occurrence among oncologists. Doctors enrolled in residency programs in clinical oncology are exposed to similar risk factors; however, few data are available in this population. This study assessed the occurrence of burnout and associated factors among first-year residents at Brazilian institutions. The present prospective, multicenter, cohort study was conducted with doctors enrolled in residency programs in clinical oncology at Brazilian institutions affiliated with the public health system. The participants answered a sociodemographic questionnaire, the Maslach Burnout Inventory (MBI), Lipp’s Stress Inventory, and the Beck Depression Inventory (BDI), upon admission to the program and 6 and 12 months later. Of 37 eligible residency programs in 2009, 11 (30.6 %) agreed to participate in the study. Fifty-four residents, representing 100 % of new admissions to the participating institutions, were included. Most of the participants met the criteria for severe burnout upon admission to the residency programs (emotional exhaustion in 49.0 % and depersonalization in 64.7 %). The scores on MBI domains emotional exhaustion and depersonalization increased significantly (p < 0.01) during the first year of residency, and the prevalence of burnout increased to 88 % at the end of that first year. The present study found a high prevalence of burnout among doctors enrolled in residency programs in clinical oncology at Brazilian institutions. A large fraction of the participants met the criteria for burnout syndrome upon admission to the program, which suggests that the problem began during the course of the previous residency program in internal medicine.

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References

  1. Maslach C, Jackson SE, Leiter MP (1996) Maslach Burnout Inventory Manual, 3rd edn. Mind Garden, Palo Alto
    Google Scholar
  2. Ramirez AJ, Graham J, Richards MA, Cull A, Gregory WM, Leaning MS, Snashall DC, Timothy AR (1995) Burnout and psychiatric disorder among cancer clinicians. Br J Cancer 71(6):1263–1269
    Article CAS PubMed PubMed Central Google Scholar
  3. Felton JS (1998) Burnout as a clinical entity—its importance in health care workers. Occup Med (Lond) 48(4):237–250
    Article CAS Google Scholar
  4. Maslach C, Schaufeli WB, Leiter MP (2001) Job burnout. Annu Rev Psychol 52:397–422
    Article CAS PubMed Google Scholar
  5. Mingote Adán JC, Moreno Jiménez B, Gálvez Herrer M (2004) Burnout and the health of the medical professionals: review and preventive options. Med Clin (Barc) 123(7):265–270
    Article Google Scholar
  6. Whippen DA, Canellos GP (1991) Burnout syndrome in the practice of oncology: results of a random survey of 1,000 oncologists. J Clin Oncol 9(10):1916–1920
    CAS PubMed Google Scholar
  7. Trufelli DC, Bensi CG, Garcia JB, Narahara JL, Abrão MN, Diniz RW, Miranda Vda C, Soares HP, Del Giglio A (2008) Burnout in cancer professionals: a systematic review and meta-analysis. Eur J Cancer Care (Engl) 17(6):524–531. doi:10.1111/j.1365-2354.2008.00927.x
    CAS Google Scholar
  8. Shanafelt TD, Gradishar WJ, Kosty M, Satele D, Chew H, Horn L, Clark B, Hanley AE, Chu Q, Pippen J, Sloan J, Raymond M (2014) Burnout and career satisfaction among US oncologists. J Clin Oncol 32(7):678–686. doi:10.1200/JCO.2013.51.8480
    Article PubMed PubMed Central Google Scholar
  9. Glasberg J, Horiuti L, Novais MA, Canavezzi AZ, da Miranda Costa V, Chicoli FA, Gonçalves MS, Bensi CG, del Giglio A (2007) Prevalence of the burnout syndrome among Brazilian medical oncologists. Rev Assoc Med Bras 53(1):85–89
    Article PubMed Google Scholar
  10. Shanafelt TD, Bradley KA, Wipf JE, Back AL (2002) Burnout and self-reported patient care in an internal medicine residency program. Ann Intern Med 136(5):358–367
    Article PubMed Google Scholar
  11. Dyrbye LN, West CP, Satele D, Boone S, Tan L, Sloan J, Shanafelt TD (2014) Burnout among U.S. medical students, residents, and early career physicians relative to the general U.S. population. Acad Med 89(3):443–451. doi:10.1097/ACM.0000000000000134
    Article PubMed Google Scholar
  12. Fahrenkopf AM, Sectish TC, Barger LK, Sharek PJ, Lewin D, Chiang VW, Edwards S, Wiedermann BL, Landrigan CP (2008) Rates of medication errors among depressed and burnt out residents: prospective cohort study. BMJ 336(7642):488–491. doi:10.1136/bmj.39469.763218.BE
    Article PubMed PubMed Central Google Scholar
  13. West CP, Huschka MM, Novotny PJ, Sloan JA, Kolars JC, Habermann TM, Shanafelt TD (2006) Association of perceived medical errors with resident distress and empathy: a prospective longitudinal study. JAMA 296(9):1071–1078
    Article CAS PubMed Google Scholar
  14. McCray LW, Cronholm PF, Bogner HR, Gallo JJ, Neill RA (2008) Resident physician burnout: is there hope? Fam Med 40(9):626–632
    PubMed PubMed Central Google Scholar
  15. Gonz Aacute Lez-Aacute Vila G, Bello-Villalobos H (2014) Burnout effect on academic progress of Oncology medical residents. Rev Med Inst Mex Seguro Soc 52(4):468–473
    Google Scholar
  16. Blanchard P, Truchot D, Albiges-Sauvin L, Dewas S, Pointreau Y, Rodrigues M, Xhaard A, Loriot Y, Giraud P, Soria JC, Kantor G (2010) Prevalence and causes of burnout amongst oncology residents: a comprehensive nationwide cross-sectional study. Eur J Cancer 46(15):2708–2715. doi:10.1016/j.ejca.2010.05.014
    Article CAS PubMed Google Scholar
  17. Grunfeld E, Zitzelsberger L, Coristine M, Whelan TJ, Aspelund F, Evans WK (2005) Job stress and job satisfaction of cancer care workers. Psychooncology 14(1):61–69
    Article PubMed Google Scholar
  18. Gorenstein C, Andrade L (1996) Validation of a Portuguese version of the Beck Depression Inventory and the State-Trait Anxiety Inventory in Brazilian subjects. Braz J Med Biol Res 29(4):453–457
    CAS PubMed Google Scholar
  19. Lipp ME (2000) Manual do Inventário de Sintomas de stress para Adultos de Lipp (ISSL) [Manual for Lipp’s Inventory of Stress Symptoms in Adults]. Casa do Psicólogo, São Paulo, pp 11–39
    Google Scholar
  20. Benson S, Sammour T, Neuhaus SJ, Findlay B, Hill AG (2009) Burnout in Australasian younger fellows. ANZ J Surg 79(9):590–597. doi:10.1111/j.1445-2197.2009.05012.x
    Article PubMed Google Scholar
  21. Thomas NK (2004) Resident burnout. JAMA 292(23):2880–2889
    Article CAS PubMed Google Scholar
  22. Haas JS, Cook EF, Puopolo AL, Burstin HR, Cleary PD, Brennan TA (2000) Is the professional satisfaction of general internists associated with patient satisfaction? J Gen Intern Med 15(2):122–128
    Article CAS PubMed PubMed Central Google Scholar

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Financial Support

Department of Oncology and Hematology, ABC Foundation School of Medicine (Academic founding without profit intentions).

Conflict of Interest

The corresponding author (Daniel I G Cubero) has full control of all primary data and he agrees to allow the journal to review the data if requested. The authors have no conflicts of interest to declare.

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Authors and Affiliations

  1. Department of Oncology and Hematology, ABC Foundation School of Medicine, 821 Av Principe de Gales, Anexo 3, Santo André, SP, 09060-650, Brazil
    Daniel I. G. Cubero & Auro del Giglio
  2. Sírio Libanês Hospital, 91 Rua Dona Adma Jafet - Bela, 01308-050, São Paulo, Brazil
    Renata Rego Lins Fumis
  3. School of Public Health, University of São Paulo, 715 Av. Dr. Arnaldo, 01255-000, São Paulo, Brazil
    Thiago Hérick de Sá
  4. AC Camargo Hospital, 211 Rua Professor Antônio Prudente, 01509-010, São Paulo, Brazil
    Aldo Dettino
  5. UNICAMP, State University of Campinas, 126 R. Tessália Vieira de Camargo, FCM 9, 13083-887, Campinas, Brazil
    Felipe Osório Costa
  6. Arnaldo Vieira de Carvalho Cancer Institute, 66 Largo do Arouche, 01219-011, São Paulo, Brazil
    Brigitte M. R. H. Adam Van Eyll
  7. Amaral Carvalho Foundation, 122 Rua das Palmeiras, n.122, 17210-120, Jaú, Brazil
    Carlos Beato
  8. Ribeirão Preto School of Medicine, 3900 Av. Bandeirantes, 14048-900, Ribeirão Preto, Brazil
    Fernanda Maris Peria
  9. Saint Raphael Hospital, 619 Alameda das Samambaias, casa 50, 41650-230, Salvador, Brazil
    Augusto Mota
  10. São José do Rio Preto School of Medicine, 1118 Rua Presciliano Pinto, 15025-100, São José do Rio Preto, Brazil
    José Altino
  11. Clinical Hospital of Porto Alegre, 2350 Rua Ramiro Barcelos, Prédio 21- 2° andar, 90035-903, Porto Alegre, Brazil
    Sérgio Jobim Azevedo
  12. Cancer Institute of Ceará, R. Papi Júnior, 60351-010, Fortaleza, Brazil
    Duílio Reis da Rocha Filho
  13. Santa Izabel Hospital, 500 Praça Conselheiro Almeida Couto, 40050-410, Salvador, Brazil
    Melba Moura & Álvaro Edson Ramos Lessa

Authors

  1. Daniel I. G. Cubero
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  2. Renata Rego Lins Fumis
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  3. Thiago Hérick de Sá
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  4. Aldo Dettino
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  5. Felipe Osório Costa
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  6. Brigitte M. R. H. Adam Van Eyll
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  7. Carlos Beato
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  8. Fernanda Maris Peria
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  9. Augusto Mota
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  10. José Altino
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  11. Sérgio Jobim Azevedo
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  12. Duílio Reis da Rocha Filho
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  13. Melba Moura
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  14. Álvaro Edson Ramos Lessa
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  15. Auro del Giglio
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Corresponding author

Correspondence toDaniel I. G. Cubero.

Additional information

This article was translated from Portuguese to English by American Journal Experts. Previous presentations: 2013 Brazilian Society of Clinical Oncology Meeting in Brasilia - Brazil - Oral Presentation.

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Cubero, D.I.G., Fumis, R.R.L., de Sá, T.H. et al. “Burnout in Medical Oncology Fellows: a Prospective Multicenter Cohort Study in Brazilian Institutions”.J Canc Educ 31, 582–587 (2016). https://doi.org/10.1007/s13187-015-0850-z

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