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Longitudinal Resilience and Burnout in Radiology Residents
Affiliation:1. University of Vermont Medical Center, Larner College of Medicine at the University of Vermont, Burlington, Vermont;2. Co–Division Chief/Medical Director of Breast Imaging, University of Vermont Medical Center, Burlington, Vermont;3. Department of Mathematics and Statistics, University of Vermont, Burlington, Vermont;4. Boston Medical Center, Boston University School of Medicine, Boston, Massachusetts;5. Section Head, Breast Imaging, Boston Medical Center, Boston, Massachusetts;6. Vice Chair of Academic Affairs and Associate Program Director, Diagnostic Radiology Residency, Department of Radiology, Boston University Medical Center, Boston, Massachusetts;1. Professor of Radiology, Musculoskeletal Division, Taubman Center, Ann Arbor, Michigan;2. Vice Chair, Department of Radiology, University of Pittsburgh, Pittsburgh, Pennsylvania;3. Chief Medical Officer, The Radiology Leadership Institute, Reston, Virginia;4. Chair of the Commission on Leadership and Practice Development of the ACR, American College of Radiology, Reston, Virginia;1. Cresset Capital Management, Chicago, Illinois;2. Johns Hopkins Medicine, Department of Radiology and Radiological Science, Department of Oncology and Department of Surgery, Director of Diagnostic Imaging and Body CT, Johns Hopkins University School of Medicine, Baltimore, Maryland;3. Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins University School of Medicine, Baltimore, Maryland;1. Department of Radiology, University MD Anderson Cancer Center, Houston, Texas;2. Department of Radiology and Radiological Science, Johns Hopkins Medicine, Baltimore, Maryland;3. Department of Radiology, Mayo Clinic, Rochester, Minnesota;4. Weill Cornell Medicine, Weill Cornell Imaging, New York, New York;1. Director of Education, Center for Evidence-Based Imaging, Department of Radiology, Brigham and Women''s Hospital, Boston, Massachusetts;2. Harvard Medical School, Boston, Massachusetts;3. Chief Resident and Chief Fellow, Department of Radiology, Brigham and Women’s Hospital, Boston, Massachusetts;4. Director of Diversity, Equity, and Inclusion, Quality and Patient Safety Officer, Department of Radiology, Brigham and Women’s Hospital, Boston, Massachusetts;5. Chief Medical Officer, Department of Anesthesiology, Brigham and Women’s Hospital, Boston, Massachusetts;6. President of the Brigham and Women’s Physicians Organization, Department of Radiology, Brigham and Women’s Hospital, Boston, Massachusetts;7. Vice-Chair of Radiology, Brigham and Women’s Hospital, Boston, Massachusetts;1. Division of Radiology and Biomedical Imaging, Michigan State University College of Human Medicine, Grand Rapids, Michigan;2. Advanced Radiology Services, PC, Grand Rapids, Michigan;3. Department of Radiology, MD Anderson Cancer Center, Houston, Texas;4. Department of Radiology, Ochsner Clinic Foundation, New Orleans, Louisiana;5. The University of Queensland School of Medicine, Ochsner Clinical School, New Orleans, Louisiana;6. Sutter Cancer Centers, Radiation Oncology, Sacramento, California;7. Department of Radiology, New York University School of Medicine, New York, New York
Abstract:PurposeThe aims of this study were to determine resilience levels of radiology residents at the start of radiology residency, investigate changes in resilience and burnout during residency, and assess the relationship between resilience and burnout among radiology residents.MethodsDiagnostic radiology residents were invited to participate in online surveys from 2016 to 2019. Resilience was assessed using the Connor–Davidson Resilience Scale. Burnout was assessed using the Maslach Burnout Inventory–Human Services Survey. For each data set, genders’ scores were compared using either analysis of variance or Kruskal–Wallis tests. Pearson correlation coefficients were calculated to explore the correlations between resilience and burnout.ResultsWomen and men had no statistically significant difference among baseline resilience scores (P = .78). However, there was a statistically significant overall decrease in resilience scores among women (P = .002). Baseline Maslach Burnout Inventory–Human Services Survey scores indicated that residents began residency without frequent symptoms of burnout. There was no statistically significant temporal change across subjects among burnout scores in any scale (P ≥ .09 for all) or between women and men (P ≥ .37 for all interactions). However, among women, there was a statistically significant difference in depersonalization scores during training (P = .009). Additionally, higher resilience scores were associated with a greater sense of personal achievement (r = .52) and less emotional exhaustion (r = −.56) and depersonalization (r = −.59).ConclusionsThe results of this study demonstrate that gender differences in resilience and burnout occur during radiology residency and that resilience has a protective effect against experiencing symptoms of burnout. Radiology residency programs should consider building longitudinal resilience for all trainees, especially women.
Keywords:Resilience  burnout  diagnostic radiology residency  wellness  clinician well-being
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