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Best Practices: Burnout Is More Than Binary.

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Summary

Radiologist burnout is a growing concern, with prevalence rates varying widely (5-85%) based on the measurement tool used. Standardized instruments are crucial for accurate assessment and understanding burnout

Keywords:
Maslach Burnout Inventoryburnoutexhaustionmeta-analysissystematic review

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Area of Science:

  • Medical research
  • Occupational health
  • Psychiatry

Background:

  • Radiologist burnout is a significant and increasing problem.
  • It negatively impacts physician well-being, patient care, and health outcomes.
  • Accurate measurement of burnout is essential for understanding its scope.

Purpose of the Study:

  • To evaluate global radiologist burnout rates and dimensions.
  • To assess the impact of different validated instruments on reported prevalence.
  • To provide guidance on best practices for burnout characterization.

Main Methods:

  • Systematic review of 57 studies (1990-2023).
  • Meta-analysis of 43 studies using random-effects models.
  • Evaluation of burnout prevalence using various validated instruments, including the Maslach Burnout Inventory (MBI) and Stanford Professional Fulfillment Index.

Main Results:

  • Reported burnout prevalence ranged widely from 5% to 85%.
  • The Maslach Burnout Inventory (MBI) showed significant variation based on instrument version.
  • Pooled MBI subcategory prevalence: emotional exhaustion 54%, depersonalization 52%, low personal accomplishment 36%. Other instruments yielded less heterogeneous results (e.g., Stanford Professional Fulfillment Index 39%).

Conclusions:

  • Burnout prevalence in radiologists varies substantially depending on the assessment instrument.
  • Standardized instruments are needed for reliable prevalence assessment.
  • Multidimensional profiles are recommended to better characterize radiologist burnout and its changes over time.