Formal wellness training of academic radiology leaders improves work-life conflict.

Academics Burnout Leadership Radiology Wellness

Journal

European radiology
ISSN: 1432-1084
Titre abrégé: Eur Radiol
Pays: Germany
ID NLM: 9114774

Informations de publication

Date de publication:
19 Apr 2024
Historique:
received: 30 12 2023
accepted: 12 03 2024
revised: 11 02 2024
medline: 19 4 2024
pubmed: 19 4 2024
entrez: 19 4 2024
Statut: aheadofprint

Résumé

To investigate the effect of formal leadership training of academic radiology leaders within an academic center on their own burnout and professional fulfillment. The study cohort was academic radiology leaders within one of the largest academic organizations of academic radiologists within the United States. All academic radiology leaders within the organization were electronically mailed a weblink to a confidential IRB-approved survey in April 2021. The survey included validated questions from the Stanford Professional Fulfillment Index (PFI), values alignment, teamwork, overload, and work-family conflict. Academic leaders were invited in May 2021 to participate in instructor-led formal training on leading wellness focusing on 5 core leadership skills - emotional intelligence, self-care, resilience support, demonstrating care, and managing burnout. An identical follow-up survey was electronically mailed 6 months after initial training in November 2021. The overall response rate of academic radiology leaders was 59% (19/32). For both measures, there was acceptable internal consistency (Cronbach's α = 0.63 for work exhaustion and α = 0.90 for fulfillment). There was a statistically significant improvement in work-family conflict (3.32 vs 2.86; p = 0.04). No statistically significant differences were identified for fulfillment, work exhaustion, alignment, work overload, and teamwork scores after training. Formal instruction in leading wellness improved work-life conflict for academic radiology leaders. There was no significant change in burnout, fulfillment nor organizational alignment of the leaders. Formal instruction in leading wellness raised awareness and improved work-life conflict in academic radiology leaders.

Identifiants

pubmed: 38639913
doi: 10.1007/s00330-024-10735-2
pii: 10.1007/s00330-024-10735-2
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

© 2024. The Author(s), under exclusive licence to European Society of Radiology.

Références

World Health Organization (2023) QD85 Burnout. World Health Organization. Available via https://icd.who.int/browse11/l-m/en#/http://id.who.int/icd/entity/129180281 . Accessed December 22, 2023
Ayyala RS, Ahmed FS, Ruzal-Shapiro C, Taylor GA (2019) Prevalence of burnout among pediatric radiologists. J Am Coll Radiol 16:518–522
doi: 10.1016/j.jacr.2018.08.016 pubmed: 30340998
Parikh JR, Sun J, Mainiero MB (2020) Prevalence of burnout in breast imaging radiologists. J Breast Imaging 2:112–118
doi: 10.1093/jbi/wbz091 pubmed: 38424894
Eisenberg RL, Sotman TE, Czum JM, Montner SM, Meyer CA (2021) Prevalence of burnout among cardiothoracic radiologists. J Thorac Imaging 36:57–64
doi: 10.1097/RTI.0000000000000540 pubmed: 32555005
Bundy JJ, Hage AN, Srinivasa RN et al (2020) Burnout among interventional radiologists. J Vasc Interv Radiol 31:607–613.e601
doi: 10.1016/j.jvir.2019.06.002 pubmed: 31345730
Higgins M, Nguyen MT, Kosowsky T et al (2021) Burnout, professional fulfillment, intention to leave, and sleep-related impairment among faculty radiologists in the United States: an epidemiologic study. J Am Coll Radiol 18:1359–1364
doi: 10.1016/j.jacr.2021.04.005 pubmed: 33964230
Parikh JR, Moore AV, Mead L, Bassett R, Rubin E (2023) Prevalence of burnout of radiologists in private practice. J Am Coll Rad 20:712–718
doi: 10.1016/j.jacr.2023.01.007
Oreskovich MR, Shanafelt T, Dyrbye LN et al (2015) The prevalence of substance use disorders in American physicians. Am J Addict 24:30–38
doi: 10.1111/ajad.12173 pubmed: 25823633
Brown SD, Goske MJ, Johnson CM (2009) Beyond substance abuse: stress, burnout, and depression as causes of physician impairment and disruptive behavior. J Am Coll Radiol 6:479–485
doi: 10.1016/j.jacr.2008.11.029 pubmed: 19560063
Dewa CS, Loong D, Bonato S, Trojanowski L (2017) The relationship between physician burnout and quality of healthcare in terms of safety and acceptability: a systematic review. BMJ Open 7:e015141
doi: 10.1136/bmjopen-2016-015141 pubmed: 28637730 pmcid: 5734243
Garcia CL, Abreu LC, Ramos JLS et al (2019) Influence of burnout on patient safety: systematic review and meta-analysis. Medicina (Kaunas) 55:553
doi: 10.3390/medicina55090553 pubmed: 31480365
Parikh JR, Wolfman D, Bender CE, Arleo E (2020) Radiologist burnout according to surveyed radiology practice leaders. J Am Coll Radiol 17:78–81
doi: 10.1016/j.jacr.2019.07.008 pubmed: 31398308
Parikh JR, Bender CE (2021) How radiology leaders can address burnout. J Am Coll Radiol 18:679–684
doi: 10.1016/j.jacr.2020.12.005 pubmed: 33958083
Swensen S, Kabcenell A, Shanafelt T (2016) Physician-organization collaboration reduces physician burnout and promotes engagement: The Mayo Clinic Experience. J Healthc Manag 61:105–127
pubmed: 27111930
Lexa FJ, Parikh JR (2023) Leadership: causing and curing burnout in radiology. J Am Coll Radiol 20:500–502
doi: 10.1016/j.jacr.2023.03.002 pubmed: 36914082
Shanafelt TD, Makowski MS, Wang H et al (2020) Association of burnout, professional fulfillment, and self-care practices of physician leaders with their independently rated leadership effectiveness. JAMA Netw Open 3:e207961
doi: 10.1001/jamanetworkopen.2020.7961 pubmed: 32543700 pmcid: 7298612
Mete M, Goldman C, Shanafelt T, Marchalik D (2022) Impact of leadership behaviour on physician well-being, burnout, professional fulfilment and intent to leave: a multicentre cross-sectional survey study. BMJ Open 12:e057554
doi: 10.1136/bmjopen-2021-057554 pubmed: 36691255 pmcid: 9171269
Parikh JR, Cavanaugh KJ (2023) Formal wellness training of academic radiology leaders and improved teamwork scores of their faculty. J Am Coll Radiol 20:510–512
doi: 10.1016/j.jacr.2023.03.008 pubmed: 36948409
Trockel M, Bohman B, Lesure E et al (2018) A brief instrument to assess both burnout and professional fulfillment in physicians: reliability and validity, including correlation with self-reported medical errors, in a sample of resident and practicing physicians. Acad Psychiatry 42:11–24
doi: 10.1007/s40596-017-0849-3 pubmed: 29196982
National Academy of Medicine (2021) Stanford Professional Fulfillment Index. National Academy of Sciences. Available via https://nam.edu/valid-reliable-survey-instruments-measure-burnout-well-work-related-dimensions/ . Accessed July 4, 2022
Scientist Wellness Survey (2019) Stanford University Medical Center and Stanford School of Medicine, Stanford University Medical Center and Stanford School of Medicine. Copyright 2019. All rights reserved
Shanafelt TD, Wang H, Leonard M et al (2021) Assessment of the association of leadership behaviors of supervising physicians with personal-organizational values alignment among staff physicians. JAMA Netw Open 4:e2035622
doi: 10.1001/jamanetworkopen.2020.35622 pubmed: 33560424 pmcid: 7873777
Trockel M, Hamidi M, Murphy ML, de Vries PP, Bohman B (2016) The 2016 physician wellness survey results: Stanford University Hospital and Lucile Packard Children’s Hospital Medical Staff Stanford Medicine, WellMD Center. Available via https://centerformsc.org/wp-content/uploads/2017/11/2016-Stanford-Physician-Wellness-Survey-Report.pdf . Accessed September 11, 2021
Zajac S, Woods A, Tannenbaum S, Salas E, Holladay CL (2021) Overcoming challenges to teamwork in healthcare: a team effectiveness framework and evidence-based guidance. Front Commun 6:606445
doi: 10.3389/fcomm.2021.606445
Carlson DS, Kacmar KM, Williams LJ (2000) Construction and initial validation of a multidemensional measure of work–family conflict. J Vocat Behav 56:249–276
doi: 10.1006/jvbe.1999.1713
Greenhaus JH, Beutell NJ (1985) Sources and conflict between work and family roles. Acad Manag Rev 10:76–88
doi: 10.2307/258214
Greenhaus JH, Bedeian AG, Mossholder KW (1987) Work experiences, job performance, and feelings of personal and family well-being. J Vocat Behav 31:200–215
doi: 10.1016/0001-8791(87)90057-1
Matulevicius SA, Kho KA, Reisch J, Yin H (2021) Academic medicine faculty perceptions of work-life balance before and since the COVID-19 pandemic. JAMA Netw Open 4:e2113539
doi: 10.1001/jamanetworkopen.2021.13539 pubmed: 34129021 pmcid: 8207238
Ganeshan D, Wei W, Yang W (2019) Burnout in chairs of academic radiology departments in the United States. Acad Radiol 26:1378–1384
doi: 10.1016/j.acra.2018.12.006 pubmed: 30638976
Maslach C, Leiter MP (2017) New insights into burnout and health care: strategies for improving civility and alleviating burnout. Med Teach 39:160–163
doi: 10.1080/0142159X.2016.1248918 pubmed: 27841065
Shanafelt TD, West CP, Sloan JA et al (2009) Career fit and burnout among academic faculty. Arch Intern Med 169:990–995
doi: 10.1001/archinternmed.2009.70 pubmed: 19468093
Karim SSA, Karim QA (2021) Omicron SARS-CoV-2 variant: a new chapter in the COVID-19 pandemic. Lancet 398:2126–2128
doi: 10.1016/S0140-6736(21)02758-6 pubmed: 34871545 pmcid: 8640673
Liu D, Cheng Y, Zhou H et al (2023) Early introduction and community transmission of SARS-CoV-2 Omicron Variant, New York, New York, USA. Emerg Infect Dis 29:371–380
doi: 10.3201/eid2902.220817 pubmed: 36692451 pmcid: 9881774
Shanafelt TD, West CP, Dyrbye LN et al (2022) Changes in burnout and satisfaction with work-life integration in physicians during the first 2 years of the COVID-19 Pandemic. Mayo Clin Proc 97:2248–2258
doi: 10.1016/j.mayocp.2022.09.002 pubmed: 36229269
Medverd JR, Dicks DL, Tang J et al (2012) Business of radiology 101: the state of radiology business practice and health care policy curricula at US radiology residency programs. J Am Coll Radiol 9:174–180.e171
doi: 10.1016/j.jacr.2011.09.011 pubmed: 22386163
Lynskey 3rd GE, Powell DK, Dixon RG, Silberzweig JE (2013) Radiation protection in interventional radiology: survey results of attitudes and use. J Vasc Interv Radiol 24:1547–1551.e1543
doi: 10.1016/j.jvir.2013.05.039 pubmed: 23876553
Zhang YC, Chandler AJ, Kagetsu NJ (2014) Technical compliance to standard guidelines for lumbar puncture and myelography: survey of academic neuroradiology attendings and fellows. Acad Radiol 21:612–616
doi: 10.1016/j.acra.2014.01.021 pubmed: 24703473

Auteurs

Jay R Parikh (JR)

Department of Breast Imaging, Division of Diagnostic Imaging, The University of Texas MD Anderson Cancer Center, 1155 Pressler St., Unit 1350, CPB 5.3208, Houston, TX, 77030, USA. jrparikh@mdanderson.org.

Katelyn J Cavanaugh (KJ)

Leadership Institute, The University of Texas MD Anderson Cancer Center, 7007 Bertner Avenue, Houston, TX, 77030, USA.

Classifications MeSH