Job satisfaction, stress, and burnout among Canadian gynecologic oncologists

Objectives. (1) To provide a job description of Canadian gynecologic oncologists. (2) To assess job satisfaction and job stress, and measure the prevalence of burnout and psychological morbidity. Methods. A cross-sectional survey was mailed to all Canadian gynecologic oncologists in September 2002. Results. The job profile on Canadian gynecologic oncologists is predominantly clinical with a minor component of administration and to a less extent education or research. Clinically, 80% of the activity is focused on gynecologic cancer care. The majority of physicians (92%) are satisfied with their job, but there are clear concerns raised concerning systems issues in health care delivery. Approximately 26% of physicians are experiencing high stress, and this is strongly associated with emotional exhaustion and high depersonalization. Fourteen percent of Canadian gynecologic oncologists are actively looking for alternative jobs and 45% are trying to decrease the number of hours worked per week. When considering an alternate job, the most important factors are location, colleagues, and potential for personal growth. Conclusion. High stress and low personal accomplishment were seen in Canadian gynecologic oncologists. Organizations (i.e., hospitals) and health care funders have the opportunity to incorporate preventative strategies to keep this physician resource healthy. (C) 2004 Elsevier Inc. All rights reserved.