State of Professional Well-Being, Satisfaction, and Career Plans Among US Oncologists in 2023
Caroline Schenkel, Laura A. Levit, M. Kelsey Kirkwood, Rebecca Spence, John M. Burke, Colleen M. Gallagher, Elizabeth Garrett‐Mayer, Molly McGinnis, James Morgante, Ray D. Page, Judith A. Paice, Eric D. Tetzlaff, Eric P. Winer, Fay J. Hlubocky, Tait D. Shanafelt
Abstract
PURPOSE Recent data suggest that the rate of burnout among oncologists has risen over time. In addition to the negative effect of burnout on individuals, widespread burnout may prevent the oncology workforce from meeting patient care needs. METHODS ASCO surveyed US-based oncologists in patient care roles about their professional well-being and satisfaction and the effect of both on their career plans. Burnout was assessed using measures of emotional exhaustion and depersonalization from the Maslach Burnout Inventory Human Services Survey. Data from the 2023 survey were compared with data from Shanafelt et al (JCO, 2014) collected about oncologist burnout/well-being in 2013. RESULTS In all, 328 responses to the 2023 survey were analyzed. Burnout was significantly higher compared with 2013, 45% in 2013 versus 59% in 2023 ( P < .01). In 2023, <25% of oncologists reported feeling satisfied with their work-life integration, compared with nearly 35% in 2013 ( P < .01). Burnout was significantly associated with being a caregiver in one’s personal life, being under age 50 years, and working more than 60 hours per week (all P < .05). Over 20% of respondents reported that it was likely or definite that they would reduce their clinical hours in the next 12 months. Additional practice/administrative support and reducing work hours were identified as potential solutions to improve job satisfaction. CONCLUSION Oncologists in 2023 are experiencing higher rates of burnout compared with a decade ago. System-based interventions to reduce burnout are necessary to maintaining an adequate workforce to provide care for current and future patients with cancer.