caa a22 4500 445336854 CHVBK 20180317142758.0 cr unu---uuuuu 170323e20110501xx s 000 0 eng 10.1245/s10434-011-1622-6 doi (NATIONALLICENCE)springer-10.1245/s10434-011-1622-6 Cancer Surgeons' Distress and Well-being, I: The Tension Between a Culture of Productivity and the Need for Self-Care [Elektronische Daten] [Rebecca Guest, Ray Baser, Yuelin Li, Peter Scardino, Arthur Brown, David Kissane] Background: Burnout is a prevalent and important occupational hazard among surgical oncologists. The well-being or distress experienced can have a significant effect on clinicians and their families, the quality of care provided to patients, and the success of the health care organization. Methods: We aimed to measure the prevalence of burnout, psychiatric morbidity, and quality of life using standardized measures; characterize associated features; and ascertain the surgical faculty's views on potential interventions and obstacles to change. Additional questions about service commitment to well-being, use of annual leave, and attitudes about weekend surgical practice were constructed to guide future targeted interventions. Results: Among the 72 surgeons who responded (response rate of 73%), we found that 42% of surgeons reported burnout and 27% psychiatric levels of distress, while 30% used alcohol and 13% used sleep medications as a possible means to cope. Only one third of surgeons reported high quality of life across physical, emotional, spiritual, and intellectual domains. Discussion: Compared to general surgical practices, cancer surgeons achieved more personal fulfillment and made less use of distancing methods to cope with their patients. Institutional culture contributes to the nonuse of available annual leave, attitudes about weekend operating schedules, and missed opportunities for the leadership to attend to surgeons' well-being. 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), 1229-1235 1068-9265 18:5<1229 2011 18 10434 https://doi.org/10.1245/s10434-011-1622-6 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1245/s10434-011-1622-6 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), 1229-1235 1068-9265 18:5<1229 2011 18 10434 Metadata rights reserved Springer special CC-BY-NC licence nationallicence SWISSBIB 445336803 BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer