Feature
Paying it forward
Addressing trainee burnout in interventional radiology By Eric Cyphers; Venkatesh P. Krishnasamy, MD; Stephen P. Reis, MD, MBA
urnout describes the response to chronic emotional and interpersonal work-related stressors, exhibited through
feelings of exhaustion, cynicism and inefficacy.1
While the high prevalence of
burnout among faculty in interventional radiology has been previously described,2
burnout among trainees in
IR remains under discussed. Wellness efforts have been directed toward burnout among attending physicians in IR, as it is known that burnout in this population takes a substantial personal and professional toll and can negatively impact patient care.2
IRs-in-training dedicate a significant amount of time to improving the quality
34 IRQ | SPRING 2024
What causes burnout in IRs-in-training? A study by Bundy et al., consisting largely of attending IRs, found that 71.9% of respondents were burnt out.2 While burnout among IR trainees remains uncategorized, it may be similar to the 69% prevalence found among surgical trainees.3
of patient’s lives and play a key, and often primary, role in the coordination and delivery of patient care. As a result, ensuring trainee wellbeing should also be a priority.3
heavy work hours and identifying as female in the male-dominated IR space.2 However, IR residents and fellows can face unique contributions to burnout given their evolving level of clinical responsibility and lower hierarchical positions. IR training involves a complex combination of learning the specialty’s clinical and technical aspects as well as its underlying social values and norms. Trainees must rapidly adapt to new learning environments and navigate the hidden curricula associated with the social aspects of different services and preceptors.4
They must rise to the
challenge of intense work demands with limited control over their time management and work planning.5
In addition, trainees may have their first experiences with emotionally challenging cases, and must deal with the difficult nature of these cases without having the final say on treatment decisions.4
If they Some of the
factors significantly associated with burnout discussed by Bundy et al. may conceivably apply to trainees, such as
do not have the social support system to discuss these kinds of issues, it may lead to burnout—which, data shows, can lead to adverse patient care,5
potential
attrition from combined IR/DR programs and may normalize maladaptive attitudes later on in one’s career.
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