Burnout Among Radiology Residents: a Systematic Review and Meta-analysis

Overview

Journal Eur Radiol

Specialty Radiology

Date 2023 Aug 17

PMID 37589905

Authors

Ziqi Wan

Jieying Tang

Xiaoyin Bai

Yihan Cao

Dingding Zhang

Tong Su

Yangzhong Zhou

Lin Qiao

Kaini Shen

Luo Wang

Xinlun Tian

Jinglan Wang

Affiliations

Soon will be listed here.

Abstract

Objective: To analyze the prevalence of burnout among radiology residents.

Method: Five databases (PubMed, Web of Science, Embase, PsycINFO, and Scopus) were searched for studies reporting burnout in radiology residents for the period up to November 7, 2022.

Results: A total of 423 studies were identified, and eventually, 16 studies were selected for the qualitative analysis, of which 11 studies were used in the meta-analysis. There was a total of 2164 radiology residents. Six studies reported the prevalence of burnout but the data could not be pooled due to their inconsistent definitions of burnout. The mean scores of three burnout subscales indicated a moderate to high degree of severity: emotional exhaustion = 25.2 (95% CI, 22.1-28.3; I = 94.4%), depersonalization = 10.2 (95% CI, 8.5-11.9; I = 93.0%), and low perception of personal accomplishment = 32.9 (95% CI, 30.5-35.4; I = 94.4%). The pooled prevalence of high-degree emotional exhaustion was 49.9% (95% CI, 43.6-56.1%; I = 55.7%), high-degree depersonalization was 45.1% (95% CI, 38.3-52.0%; I = 63.2%), and high-degree diminished personal accomplishment was 58.2% (95% CI, 36.0-77.6%; I = 84.9%). The impact of the COVID-19 pandemic on radiology residents was not investigated. In addition, there are inconsistent findings on the effects of female sex, seniority, and social support on burnout.

Conclusions: About half of the radiology residents showed at least one of the three burnout manifestations (emotional exhaustion, depersonalization, and personal accomplishment), with a moderate to high degree of severity.

Clinical Relevance Statement: Such a high prevalence and severity of burnout among radiology residents warrant the attention of residency program directors.

Key Points: • Burnout, not uncommon among radiology residents, has not been effectively analyzed. • Nearly half of the radiology residents experience at least one of the three manifestations of burnout to a moderate to high degree. • The high prevalence and severe degree of burnout among radiology residents warrant the attention of residency program directors.

Citing Articles

The relationship between self-determination and burnout: Mental health outcomes in medical residents.

Mobarak H, Haddad C, Salameh P, Towair E, El Khoury-Malhame M, Chatila R PLoS One. 2024; 19(12):e0308897.

PMID: 39689122 PMC: 11651559. DOI: 10.1371/journal.pone.0308897.

The price of pressure: nationwide survey on lifestyle disturbances, occupational burnout and compromised perceived-competency among radiology residents in China.

Liu Z, Yao Q, Wang P, Shen L, Li H, Zhang J Front Public Health. 2024; 12:1472397.

PMID: 39507651 PMC: 11538024. DOI: 10.3389/fpubh.2024.1472397.

Work stress and competency among radiology residents: the mediating effect of resilience.

Shen L, Lu Y, He Y, Wang P, Chen Y, Li H Front Public Health. 2024; 12:1415351.

PMID: 39416928 PMC: 11479909. DOI: 10.3389/fpubh.2024.1415351.

Translating radiological research into practice-from discovery to clinical impact.

Smits M, Rockall A, Constantinescu S, Sardanelli F, Marti-Bonmati L Insights Imaging. 2024; 15(1):13.

PMID: 38228934 PMC: 10792138. DOI: 10.1186/s13244-023-01596-2.

References

Maslach C, Schaufeli W, Leiter M . Job burnout. Annu Rev Psychol. 2001; 52:397-422. DOI: 10.1146/annurev.psych.52.1.397. View

Ranasinghe P, Owusu J, Bertram A, Michtalik H, Yeh H, Cofrancesco Jr J . Depressive Symptoms and Burnout Among Medical Students: a Prospective Study. J Gen Intern Med. 2021; 37(1):64-69. PMC: 8739401. DOI: 10.1007/s11606-021-06765-x. View

West C, Dyrbye L, Shanafelt T . Physician burnout: contributors, consequences and solutions. J Intern Med. 2018; 283(6):516-529. DOI: 10.1111/joim.12752. View

Hodkinson A, Zhou A, Johnson J, Geraghty K, Riley R, Zhou A . Associations of physician burnout with career engagement and quality of patient care: systematic review and meta-analysis. BMJ. 2022; 378:e070442. PMC: 9472104. DOI: 10.1136/bmj-2022-070442. View

West C, Shanafelt T, Kolars J . Quality of life, burnout, educational debt, and medical knowledge among internal medicine residents. JAMA. 2011; 306(9):952-60. DOI: 10.1001/jama.2011.1247. View

Pulcrano M, Evans S, Sosin M . Quality of Life and Burnout Rates Across Surgical Specialties: A Systematic Review. JAMA Surg. 2016; 151(10):970-978. DOI: 10.1001/jamasurg.2016.1647. View

Hu Y, Ellis R, Hewitt D, Yang A, Cheung E, Moskowitz J . Discrimination, Abuse, Harassment, and Burnout in Surgical Residency Training. N Engl J Med. 2019; 381(18):1741-1752. PMC: 6907686. DOI: 10.1056/NEJMsa1903759. View

Guenette J, Smith S . Burnout: Prevalence and Associated Factors Among Radiology Residents in New England With Comparison Against United States Resident Physicians in Other Specialties. AJR Am J Roentgenol. 2017; 209(1):136-141. DOI: 10.2214/AJR.16.17541. View

Low Z, Yeo K, Sharma V, Leung G, McIntyre R, Guerrero A . Prevalence of Burnout in Medical and Surgical Residents: A Meta-Analysis. Int J Environ Res Public Health. 2019; 16(9). PMC: 6539366. DOI: 10.3390/ijerph16091479. View

10.

Woerner A, Beecham Chick J, Monroe E, Ingraham C, Pereira K, Lee E . Interventional Radiology in the Coronavirus Disease 2019 Pandemic: Impact on Practices and Wellbeing. Acad Radiol. 2021; 28(9):1209-1218. PMC: 8185184. DOI: 10.1016/j.acra.2021.05.025. View

11.

Robbins J, England E, Patel M, DeBenedectis C, Sarkany D, Heitkamp D . COVID-19 Impact on Well-Being and Education in Radiology Residencies: A Survey of the Association of Program Directors in Radiology. Acad Radiol. 2020; 27(8):1162-1172. PMC: 7293482. DOI: 10.1016/j.acra.2020.06.002. View

12.

Liberati A, Altman D, Tetzlaff J, Mulrow C, Gotzsche P, Ioannidis J . The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate healthcare interventions: explanation and elaboration. BMJ. 2009; 339:b2700. PMC: 2714672. DOI: 10.1136/bmj.b2700. View

13.

Hoy D, Brooks P, Woolf A, Blyth F, March L, Bain C . Assessing risk of bias in prevalence studies: modification of an existing tool and evidence of interrater agreement. J Clin Epidemiol. 2012; 65(9):934-9. DOI: 10.1016/j.jclinepi.2011.11.014. View

14.

Cheung M, Ho R, Lim Y, Mak A . Conducting a meta-analysis: basics and good practices. Int J Rheum Dis. 2012; 15(2):129-35. DOI: 10.1111/j.1756-185X.2012.01712.x. View

15.

Sterne J, Sutton A, Ioannidis J, Terrin N, Jones D, Lau J . Recommendations for examining and interpreting funnel plot asymmetry in meta-analyses of randomised controlled trials. BMJ. 2011; 343:d4002. DOI: 10.1136/bmj.d4002. View

16.

Le R, Sifrig B, Chesire D, Hernandez M, Kee-Sampson J, Matteo J . Comparative Analysis of Radiology Trainee Burnout Using the Maslach Burnout Inventory and Oldenburg Burnout Inventory. Acad Radiol. 2022; 30(5):991-997. DOI: 10.1016/j.acra.2022.08.016. View

17.

Higgins M, Siddiqui A, Kosowsky T, Unan L, Mete M, Rowe S . Burnout, Professional Fulfillment, Intention to Leave, and Sleep-Related Impairment among Radiology Trainees across the United States (US): A Multisite Epidemiologic Study. Acad Radiol. 2022; 29 Suppl 5:S118-S125. DOI: 10.1016/j.acra.2022.01.022. View

18.

Zha N, Neuheimer N, Patlas M . Etiology of Burnout in Canadian Radiologists and Trainees. Can Assoc Radiol J. 2020; 72(1):128-134. DOI: 10.1177/0846537120904452. View

19.

Sifrig B, Le R, Chesire D, Hernandez M, Kee-Sampson J, Meyer T . Exploration of the Relationship Between the Subcomponents of Burnout Throughout Radiology Training. J Am Coll Radiol. 2021; 18(5):647-653. DOI: 10.1016/j.jacr.2021.02.025. View

20.

Perry H, Naud S, Fishman M, Slanetz P . Longitudinal Resilience and Burnout in Radiology Residents. J Am Coll Radiol. 2021; 18(5):639-646. DOI: 10.1016/j.jacr.2021.01.022. View