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Prevalence of burnout in private practice radiology leaders

  • Jay R. Parikh
    Correspondence
    Corresponding author at: Division of Diagnostic Imaging, The University of Texas MD Anderson Cancer Center, 1155 Pressler St., Unit 1350, CPB 5.3208, Houston, TX 77030, USA.
    Affiliations
    Division of Diagnostic Imaging, The University of Texas MD Anderson Cancer Center, USA
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  • Author Footnotes
    1 Current Addresses: Arl Van Moore, MD, FACR: Strategic Radiology, Box 1418, Palmetto, FL, USA 34221.
    Arl Van Moore
    Footnotes
    1 Current Addresses: Arl Van Moore, MD, FACR: Strategic Radiology, Box 1418, Palmetto, FL, USA 34221.
    Affiliations
    Strategic Radiology, Palmetto, FL, USA
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  • Author Footnotes
    1 Current Addresses: Arl Van Moore, MD, FACR: Strategic Radiology, Box 1418, Palmetto, FL, USA 34221.
    Lisa Mead
    Footnotes
    1 Current Addresses: Arl Van Moore, MD, FACR: Strategic Radiology, Box 1418, Palmetto, FL, USA 34221.
    Affiliations
    Strategic Radiology, Palmetto, FL, USA
    Search for articles by this author
  • Author Footnotes
    2 Current Addresses: Roland L. Bassett, MS: Principal Biostatistician, Department of Biostatistics, The University of Texas MD Anderson Cancer Center, 1515 Holcombe Blvd, Houston, TX, USA 77030.
    Roland Bassett
    Footnotes
    2 Current Addresses: Roland L. Bassett, MS: Principal Biostatistician, Department of Biostatistics, The University of Texas MD Anderson Cancer Center, 1515 Holcombe Blvd, Houston, TX, USA 77030.
    Affiliations
    Department of Biostatistics, The University of Texas MD Anderson Cancer Center, USA
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  • Author Footnotes
    3 Current Addresses: Eric Rubin, MD, FACR: Southeast Radiology, 1 Medical Center Blvd, Upland, PA 19013.
    Eric Rubin
    Footnotes
    3 Current Addresses: Eric Rubin, MD, FACR: Southeast Radiology, 1 Medical Center Blvd, Upland, PA 19013.
    Affiliations
    Strategic Radiology, Palmetto, FL, USA
    Search for articles by this author
  • Author Footnotes
    1 Current Addresses: Arl Van Moore, MD, FACR: Strategic Radiology, Box 1418, Palmetto, FL, USA 34221.
    2 Current Addresses: Roland L. Bassett, MS: Principal Biostatistician, Department of Biostatistics, The University of Texas MD Anderson Cancer Center, 1515 Holcombe Blvd, Houston, TX, USA 77030.
    3 Current Addresses: Eric Rubin, MD, FACR: Southeast Radiology, 1 Medical Center Blvd, Upland, PA 19013.

      Highlights

      • The prevalence of professional fulfillment in private practice radiology leaders was 43%. The prevalence of burnout in private practice radiology practice leaders was 33%. The inverse correlation between professional fulfillment and burnout was highly significant.
      • The prevalence of burnout of private practice radiology leaders is similar to the prevalence of previously reported burnout of academic radiology chairs.
      • Our study suggests a disproportionately low number of female leaders in private practice radiology groups across United States.
      • Private practice radiology leaders are deploying variable strategies to help promote radiologist fulfillment and reduce burnout. Further research is needed to define best practices for practice leaders to promote radiologist wellness.

      Abstract

      Rationale and objectives

      To evaluate prevalence and demographic factors associated with both burnout and fulfillment of private practice radiologist leaders within the United States.

      Materials and methods

      The study cohort was the largest coalition of wholly radiologist owned, independently practicing radiology groups within the United States. Two designated leaders within each of the 30 radiology private practices within the organization Strategic Radiology were electronically mailed a weblink to a confidential IRB-approved survey in July 2021. Surveys included questions from the Stanford Professional Fulfillment Index, individual and practice demographics, and self-care.

      Results

      The overall response rate was 67% (40/60). Fulfillment and burnout scores were calculated from the individual questions, and radiologists were classified as being fulfilled or not and burned out or not based upon score cutoffs previously validated from the Stanford Professional Fulfillment Index (PFI). The overall professional fulfillment rate of staff was 43% and the overall burnout rate was 33%. (Cronbach's α = 0.90 for fulfillment and 0.91 for burnout). The inverse correlation between professional fulfillment and burnout was highly significant (r = −0.42, p = 0.007). No statistically significant association was seen between either burnout or fulfillment and age, gender, ethnicity, practice geography or practice size.

      Conclusion

      Utilizing the validated Stanford PFI for assessment, the prevalence of burnout in private practice radiologist leaders was 33%. The prevalence of professional fulfillment was 43%, with a mild inverse association between professional fulfillment and burnout.

      Summary

      In private practice leaders, the prevalence of burnout was 33% and the prevalence of professional fulfillment was 43%.

      Keywords

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      References

        • World Health Organization
        Qd85 burnout.
        • Maslach C.
        • Leiter M.P.
        New insights into burnout and health care: strategies for improving civility and alleviating burnout.
        Med Teach. 2017; 39: 160-163
        • Oreskovich M.R.
        • Shanafelt T.
        • Dyrbye L.N.
        • et al.
        The prevalence of substance use disorders in american physicians.
        Am J Addict. 2015; 24: 30-38
        • Oreskovich M.R.
        • Kaups K.L.
        • Balch C.M.
        • et al.
        Prevalence of alcohol use disorders among american surgeons.
        Arch Surg. 2012; 147: 168-174
        • Brown S.D.
        • Goske M.J.
        • Johnson C.M.
        Beyond substance abuse: stress, burnout, and depression as causes of physician impairment and disruptive behavior.
        J Am Coll Radiol. 2009; 6: 479-485
        • Sinsky C.A.
        • Dyrbye L.N.
        • West C.P.
        • Satele D.
        • Tutty M.
        • Shanafelt T.D.
        Professional satisfaction and the career plans of us physicians.
        Mayo Clin Proc. 2017; 92: 1625-1635
        • Higgins M.
        • Nguyen M.T.
        • Kosowsky T.
        • et al.
        Burnout, professional fulfillment, intention to leave, and sleep-related impairment among faculty radiologists in the United States: an epidemiologic study.
        J Am Coll Radiol. 2021; 18: 1359-1364
        • Shanafelt T.D.
        • Gradishar W.J.
        • Kosty M.
        • et al.
        Burnout and career satisfaction among us oncologists.
        J Clin Oncol. 2014; 32: 678-686
        • Dewa C.S.
        • Loong D.
        • Bonato S.
        • Trojanowski L.
        The relationship between physician burnout and quality of healthcare in terms of safety and acceptability: a systematic review.
        BMJ Open. 2017; 7e015141
        • Garcia C.L.
        • Abreu L.C.
        • Ramos J.L.S.
        • et al.
        Influence of burnout on patient safety: systematic review and meta-analysis.
        Medicina (Kaunas). 2019; 55
        • Shanafelt T.D.
        • West C.P.
        • Sinsky C.
        • et al.
        Changes in burnout and satisfaction with work-life integration in physicians and the general us working population between 2011 and 2017.
        Mayo Clin Proc. 2019; 94: 1681-1694
        • Giess C.S.
        • Ip I.K.
        • Cochon L.R.
        • et al.
        Predictors of self-reported burnout among radiology faculty at a large academic medical center.
        J Am Coll Radiol. 2020; 17: 1684-1691
        • Bundy J.J.
        • Hage A.N.
        • Srinivasa R.N.
        • et al.
        Burnout among interventional radiologists.
        J Vasc Interv Radiol. 2020; 31 (e1): 607-613
        • Eisenberg R.L.
        • Sotman T.E.
        • Czum J.M.
        • Montner S.M.
        • Meyer C.A.
        Prevalence of burnout among cardiothoracic radiologists.
        J Thorac Imaging. 2021; 36: 57-64
        • Parikh J.
        • Sun J.
        • Mainiero M.B.
        Prevalence of burnout in breast radiologists.
        J Breast Imaging. 2020; 2: 112-118
        • Ayyala R.S.
        • Ahmed F.S.
        • Ruzal-Shapiro C.
        • Taylor G.A.
        Prevalence of burnout among pediatric radiologists.
        J Am Coll Radiol. 2019; 16: 518-522
        • Chew F.S.
        • Mulcahy M.J.
        • Porrino J.A.
        • Mulcahy H.
        • Relyea-Chew A.
        Prevalence of burnout among musculoskeletal radiologists.
        Skeletal Radiol. 2017; 46: 497-506
        • Ganeshan D.
        • Wei W.
        • Yang W.
        Burnout in chairs of academic radiology departments in the United States.
        Acad Radiol. 2019; 26: 1378-1384
        • Shanafelt T.D.
        • Gorringe G.
        • Menaker R.
        • et al.
        Impact of organizational leadership on physician burnout and satisfaction.
        Mayo Clin Proc. 2015; 90: 432-440
        • Shanafelt T.D.
        • Makowski M.S.
        • Wang H.
        • et al.
        Association of burnout, professional fulfillment, and self-care practices of physician leaders with their independently rated leadership effectiveness.
        JAMA Netw Open. 2020; 3e207961
        • Bender C.E.
        • Bansal S.
        • Wolfman D.
        • Parikh J.R.
        2018 acr commission on human resources workforce survey.
        J Am Coll Radiol. 2019; 16: 508-512
        • Bender C.E.
        • Bansal S.
        • Wolfman D.
        • Parikh J.R.
        2019 acr commission on human resources workforce survey.
        J Am Coll Radiol. 2020; 17: 673-675
        • Sood A.
        • Sharma V.
        • Schroeder D.R.
        • Gorman B.
        Stress management and resiliency training (smart) program among department of radiology faculty: a pilot randomized clinical trial.
        Explore (NY). 2014; 10: 358-363
        • Katyal S.
        Diagnosing happiness: lessons from positive psychology.
        J Am Coll Radiol. 2018; 15: 1040-1044
        • Fishman M.D.C.
        • Reddy S.P.
        Coaching: a primer for the radiologist.
        J Am Coll Radiol. 2021; 18: 1192-1197
        • Dutton S.C.
        • Sze G.K.
        • Lund P.L.
        • Bluth E.I.
        Radiology practice environment: options, variations, and differences-a report of the acr commission on human resources.
        J Am Coll Radiol. 2014; 11: 352-358
        • Stern E.J.
        • Everett C.
        • Friedberg E.B.
        • et al.
        2017 acr annual meeting open-microphone session: navigating the landscape of changing practice models: private practice, corporate radiology, and enterprise systems.
        J Am Coll Radiol. 2017; 14: 1384-1387
        • Natesan R.
        • Yang W.T.
        • Tannir H.
        • Parikh J.
        Strategic expansion models in academic radiology.
        J Am Coll Radiol. 2016; 13: 329-334
        • Muroff L.R.
        Will venture capital-supported national entities change radiology from a specialty of independent owners to employed shift workers?.
        J Am Coll Radiol. 2021; 18: 792-794
        • Santavicca S.
        • Hughes D.R.
        • Fleishon H.B.
        • et al.
        Radiologist-practice separation: recent trends and characteristics.
        J Am Coll Radiol. 2021; 18: 580-589
        • Malhotra A.
        • Wu X.
        • Fleishon H.B.
        • et al.
        Initial impact of covid-19 on radiology practices: an acr/rbma survey.
        J Am Coll Radiol. 2020; 17: 1525-1531
        • Rosen M.P.
        • Norbash A.
        • Kruskal J.
        • Meltzer C.C.
        • Yee J.
        • Thrall J.
        Impact of coronavirus disease 2019 (covid-19) on the practice of clinical radiology.
        J Am Coll Radiol. 2020; 17: 1096-1100
        • Muroff L.R.
        Culture shift: an imperative for future survival.
        J Am Coll Radiol. 2013; 10: 93-98
        • Nicola G.N.
        • Rosenkrantz A.B.
        • Hirsch J.A.
        • Silva III, E.
        • Dreyer K.J.
        • Recht M.P.
        Expanding role of certified electronic health records technology in radiology: the macra mandate.
        J Am Coll Radiol. 2018; 15: 29-33
        • Sinsky C.
        • Colligan L.
        • Li L.
        • et al.
        Allocation of physician time in ambulatory practice: a time and motion study in 4 specialties.
        Ann Intern Med. 2016; 165: 753-760
        • Rao S.K.
        • Kimball A.B.
        • Lehrhoff S.R.
        • et al.
        The impact of administrative burden on academic physicians: results of a hospital-wide physician survey.
        Acad Med. 2017; 92: 237-243
        • Gardner R.L.
        • Cooper E.
        • Haskell J.
        • et al.
        Physician stress and burnout: the impact of health information technology.
        J Am Med Inform Assoc. 2019; 26: 106-114
        • Swensen S.
        • Kabcenell A.
        • Shanafelt T.
        Physician-organization collaboration reduces physician burnout and promotes engagement: the mayo clinic experience.
        J Healthc Manag. 2016; 61: 105-127
        • Oostra R.D.
        Physician leadership: a central strategy to transforming healthcare.
        Front Health Serv Manag. 2016; 32: 15-26
        • Scott J.
        The radiology manager as a servant leader.
        Radiol Manage. 2011; 33: 47-51
        • Wilson R.T.
        Servant leadership.
        Physician Exec. 1998; 24: 6-12
        • Parikh J.R.
        • Bender C.E.
        How radiology leaders can address burnout.
        J Am Coll Radiol. 2021; 18: 679-684
        • Mainiero M.B.
        • Parikh J.R.
        Recognizing and overcoming burnout in breast imaging.
        J Breast Imaging. 2019; 1: 60-63
        • Grimm L.J.
        • Ngo J.
        • Pisano E.D.
        • Yoon S.
        Men (and women) in academic radiology: how can we reduce the gender discrepancy?.
        AJR Am J Roentgenol. 2016; 206: 678-680
        • Hunt V.
        • Layton D.
        • Prince S.
        Why diversity matters.
        • Consul N.
        • Strax R.
        • DeBenedectis C.M.
        • Kagetsu N.J.
        Mitigating unconscious bias in recruitment and hiring.
        J Am Coll Radiol. 2021; 18: 769-773
        • Perry R.E.
        • Parikh J.R.
        Mentorship of junior radiologists in nonacademic radiology.
        Clin Imaging. 2020; 64: 7-10
        • Fleishon H.B.
        • Sherry C.
        • Van Moore Jr., A.
        The acr’s commitment to practice leadership.
        J Am Coll Radiol. 2010; 7: 829-830
        • Perry R.E.
        • Parikh J.R.
        Sponsorship: a proven strategy for promoting career advancement and diversity in radiology.
        J Am Coll Radiol. 2019; 16: 1102-1107
        • Shanafelt T.D.
        • West C.P.
        • Sloan J.A.
        • et al.
        Career fit and burnout among academic faculty.
        Arch Intern Med. 2009; 169: 990-995
        • Harolds J.A.
        • Parikh J.R.
        • Bluth E.I.
        • Dutton S.C.
        • Recht M.P.
        Burnout of radiologists: frequency, risk factors, and remedies: a report of the acr commission on human resources.
        J Am Coll Radiol. 2016; 13: 411-416
        • Chetlen A.L.
        • Chan T.L.
        • Ballard D.H.
        • et al.
        Addressing burnout in radiologists.
        Acad Radiol. 2019; 26: 526-533
        • Arleo E.K.
        • Parikh J.R.
        • Wolfman D.
        • Gridley D.
        • Bender C.
        • Bluth E.
        Utilization of the family and medical leave act in radiology practices according to the 2016 acr commission on human resources workforce survey.
        J Am Coll Radiol. 2016; 13: 1440-1446
        • Arleo E.K.
        • Wolfman D.
        • Parikh J.R.
        • Gridley D.
        • Bender C.
        • Bluth E.
        Comparison of utilization of the family and medical leave act in radiology practices between 2015 and 2016.
        AJR Am J Roentgenol. 2018; 211: 239-243