caa a22 4500 445336803 CHVBK 20180317142758.0 cr unu---uuuuu 170323e20110501xx s 000 0 eng 10.1245/s10434-011-1623-5 doi (NATIONALLICENCE)springer-10.1245/s10434-011-1623-5 Cancer Surgeons' Distress and Well-being, II: Modifiable Factors and the Potential for Organizational Interventions [Elektronische Daten] [Rebecca Guest, Ray Baser, Yuelin Li, Peter Scardino, Arthur Brown, David Kissane] Purpose: We showed in a companion paper that the prevalence of burnout among surgical oncologists at a comprehensive cancer center was 42% and psychiatric morbidity 27%, and high quality of life (QOL) was absent for 54% of surgeons. Here we examine modifiable workplace factors and other stressors associated with burnout, psychiatric morbidity, and low QOL, together with interest in interventions to reduce distress and improve wellness. Methods: Study-specific questions important for morale, QOL, and stressors associated with burnout were included in an anonymous Internet-based survey distributed to the surgical faculty at Memorial Sloan-Kettering Cancer Center. Results: Among the 72 surgeons who responded (response rate of 73%), surgeons identified high stress from medical lawsuits, pressure to succeed in research, financial worries, negative attitudes to gender, and ability to cope with patients' suffering and death. Workplace features requiring greatest change were the reimbursement system, administrative support, and schedule. Work-life balance and relationship issues with spouse or partner caused high stress. Strongest correlations with distress were a desire to change communication with patients and the tension between the time devoted to work versus time available to be with family. Surgeons' preferences for interventions favored a fitness program, nutrition consultation, and increased socialization with colleagues, with less interest in interventions conventionally used to address psychological distress. Discussion: Several opportunities to intervene at the organizational level permit efforts to reduce burnout and improve QOL. Society of Surgical Oncology, 2011 Guest Rebecca Employee Health & Wellness Services, Department of Medicine, Memorial Sloan-Kettering Cancer Center, New York, NY, USA aut Baser Ray Department of Psychiatry & Behavioral Sciences, Memorial Sloan-Kettering Cancer Center, New York, NY, USA aut Li Yuelin Department of Psychiatry & Behavioral Sciences, Memorial Sloan-Kettering Cancer Center, New York, NY, USA aut Scardino Peter Department of Surgery, Memorial Sloan-Kettering Cancer Center, New York, NY, USA aut Brown Arthur Employee Health & Wellness Services, Department of Medicine, Memorial Sloan-Kettering Cancer Center, New York, NY, USA aut Kissane David Department of Psychiatry & Behavioral Sciences, Memorial Sloan-Kettering Cancer Center, New York, NY, USA aut Annals of Surgical Oncology Springer-Verlag 18/5(2011-05-01), 1236-1242 1068-9265 18:5<1236 2011 18 10434 https://doi.org/10.1245/s10434-011-1623-5 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1245/s10434-011-1623-5 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Guest Rebecca Employee Health & Wellness Services, Department of Medicine, Memorial Sloan-Kettering Cancer Center, New York, NY, USA aut NATIONALLICENCE 700 1- Baser Ray Department of Psychiatry & Behavioral Sciences, Memorial Sloan-Kettering Cancer Center, New York, NY, USA aut NATIONALLICENCE 700 1- Li Yuelin Department of Psychiatry & Behavioral Sciences, Memorial Sloan-Kettering Cancer Center, New York, NY, USA aut NATIONALLICENCE 700 1- Scardino Peter Department of Surgery, Memorial Sloan-Kettering Cancer Center, New York, NY, USA aut NATIONALLICENCE 700 1- Brown Arthur Employee Health & Wellness Services, Department of Medicine, Memorial Sloan-Kettering Cancer Center, New York, NY, USA aut NATIONALLICENCE 700 1- Kissane David Department of Psychiatry & Behavioral Sciences, Memorial Sloan-Kettering Cancer Center, New York, NY, USA aut NATIONALLICENCE 773 0- Annals of Surgical Oncology Springer-Verlag 18/5(2011-05-01), 1236-1242 1068-9265 18:5<1236 2011 18 10434 Metadata rights reserved Springer special CC-BY-NC licence nationallicence SWISSBIB 445336803 BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer