Evidence map›Paper›PMID 36925094›Full record

ArticleJournal of the American College of Radiology : JACR2023

Overcoming Burnout and Promoting Wellness in Radiation Oncology: A Report From the ACR Commission on Radiation Oncology.

Sara Beltràn Ponce, Christina J Small, Arya Amini, Candice Johnstone, Jay R Parikh, Seth A Rosenthal, Kilian E Salerno, Naomi R Schechter, William Small

Open access · greenAbstract read
In one paragraph

Article in Journal of the American College of Radiology : JACR, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
3.9field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 17 citations in OpenAlex.

  1. Article
  2. Burnout levels among radiation oncology residents in Spain: a cross-sectional survey.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2025
    Article
  3. Implementation Mapping to Identify Strategies to Increase Timely Postoperative Radiotherapy Initiation for Head/Neck Cancer.Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2025
    Article
  4. Article
  5. Article
  6. Article
  7. The prevalence of burnout in oncology professionals: an overview of systematic reviews with meta-analyses including more than 90 distinct studies.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 7 institutions in 1 country.

Sara Beltràn PonceDepartment of Radiation Oncology, The Medical College of Wisconsin, Milwaukee, Wisconsin and Chair, Society for Women in Radiation Oncology.
Christina J SmallDepartment of Radiation Oncology, The Medical College of Wisconsin, Milwaukee, Wisconsin, and Events and Outreach Chair, Society for Women in Radiation Oncology.
Arya AminiDepartment of Radiation Oncology, City of Hope National Medical Center, Duarte, California.
Candice JohnstoneMedical Director Radiation Oncology Froedtert West Bend Hospital, The Medical College of Wisconsin, Milwaukee, Wisconsin, Trustee of the American Registry of Radiologic Technologists, and President-elect, American Association of Women Radiologists.
Jay R ParikhProfessor of Radiology, Division of Diagnostic Imaging, The University of Texas MD Anderson Cancer Center, Houston, Texas.
Seth A RosenthalDepartment of Radiation Oncology, Sutter Medical Group, Sacramento, California.
Kilian E SalernoAssociate Research Physician, Clinical Director, Radiation Oncology Branch, National Cancer Institute, National Institutes of Health, Bethesda, Maryland.
Naomi R SchechterDepartment of Radiation Oncology, University of Southern California, Keck School of Medicine, Los Angeles, California, Chair, American College of Radiology Practice Parameters Committee Radiation Oncology, and Chair, American Society of Radiation Oncology Patient Safety Scientific Committee.
William SmallProfessor and Chairman, Department of Radiation Oncology, Stritch School of Medicine, and Director, Cardinal Bernardin Cancer Center, Loyola University Chicago, Maywood, Illinois, Chair, American College of Radiology Radiation Oncology Commission, and Executive Committee, American Joint Commission on Cancer. Electronic address: wmsmall@lumc.edu.
Medical College of Wisconsin · USAmerican Society for Radiation Oncology · USCity Of Hope National Medical Center · USLoyola University Chicago · USNational Institutes of Health · USSutter Medical Center · USThe University of Texas MD Anderson Cancer Center · US

Funding

Tumor Evolution and Metastasis ProgramP30CA016672 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI Scott Kopetz · 1985 to 2026
$290.8M
NCI NIH HHS P30 CA016672
6 · The paper itself

Abstract

Burnout, defined by the presence of emotional exhaustion, depersonalization, and decreased sense of personal accomplishment, impacts a significant portion of radiation oncologists. This has been exacerbated by the COVID-19 pandemic, is notably worse for women, and has been identified as an international concern. Key contributors to burnout within radiation oncology include inadequate clinical and administrative support, imbalanced personal and professional lives including time with family and for self-care, decreased job satisfaction secondary to increased electronic medical record and decreased patient time, unsupportive organizational culture, lack of transparency from leadership and inclusion in administrative decisions, emotionally intensive patient interactions, challenges within the radiation oncology workforce, financial security related to productivity-based compensation and increasing medical training-related debt, limited education on wellness, and fear of seeking mental health services due to stigma and potential negative impacts on the trajectory of one's career. Limited data exist to quantify the impacts of these factors on the overall levels of burnout within radiation oncology specifically, and additional efforts are needed to understand and address root causes of burnout within the field. Strategies should focus on improving the systems in which physicians work and providing the necessary skills and resources to thrive in high-stress, high-stakes work environments.

Indexed as

Burnout, ProfessionalCOVID-19Radiation OncologyBurnout, PsychologicalFemaleHumansJob SatisfactionPandemicsSurveys and QuestionnairesBurnoutradiation oncologystress

Identifiers

PMID36925094
PMCPMC10149602
OpenAlexW4324367815

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.