An assessment of the professional fulfillment of oncology residency program directors

Many hematology-oncology pharmacists (HOPs) have already reported high burnout levels. Postgraduate year 2 oncology residency program directors (ORPDs) play an important role in combating attrition in HOPs but may be vulnerable to burnout with the high demands from clinical practice and residency program responsibilities. We surveyed ORPDs to assess what resources are provided in their role and their perceptions on well-being.

A 22-question survey was sent to ORPDs listed in the ASHP residency directory. ORPDs were asked about their program and their perceptions of workload and time requirements, and a one-time Stanford Professional Fulfillment Index (PFI) was performed to assess burnout. Descriptive statistics were used for demographics, resources, incentives, time requirements, and basic assessment of the PFI. Nonparametric measurements were used to assess correlations between program characteristics and potential impact on well-being endpoints.

The survey response rate was 46.0%. Of ORPDs, 74% felt that they spent at least 5 hours weekly on ORPD responsibilities and 68% felt that this was not enough time to manage them. Further, 51% felt that the ASHP standards did not provide enough time to cover responsibilities. In total, 70% of ORPDs had considered resigning within the last 12 months. The mean (SD) PFI score was 2.6 (0.6), and 35% of ORPDs reported high professional fulfillment. The mean (SD) burnout score was 1.5 (0.7), and 47% of ORPDs reported high burnout.

There are high levels of burnout among ORPDs and a high risk of attrition. Organizational support to assist ORPDs is essential.