Original Investigation| Volume 30, ISSUE 6, P1024-1030, June 2023

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A Prospective Intervention to Reduce Burnout Among Academic Radiologists

Published:August 05, 2022DOI:


      • Key Finding: Despite numerous departmental initiatives intended to improve culture, workplace efficiency, work-life balance, and personal wellness, self-reported burnout among academic medical center radiologists showed no measurable improvement over time.
      • Importance: Physician and employee wellness embedded into institutional culture may be more effective than local departmental improvement initiatives.

      Rationale and Objectives

      Few studies have examined what constitutes effective interventions to reduce burnout among radiologists. We compared self-reported burnout among academic medical center radiologists before and after a series of departmental initiatives intended to increase wellbeing and professional satisfaction.

      Materials and Methods

      This Institutional Review Board-approved, prospective study took place 2017-2019 in a tertiary academic medical center. In pre- (2017) and post-intervention (2019) periods, we administered the previously-validated Stanford Physician Wellness Survey to faculty in our 11-division radiology department. Faculty rated their burnout level across 8 domains (professional fulfillment, emotional exhaustion, interpersonal disengagement, sleep difficulties, self-compassion, negative work impact on personal relations, organizational/personal values alignment, perceived quality of supervisory leadership). Between the two surveys, departmental initiatives focusing on culture, team building, work-life balance, and personal well-being were implemented (e.g., electronic medical record training, shorter work hours). Pre- and post-survey results were compared, using Whitney-Mann U test to calculate Z scores.


      Faculty members rated lower professional fulfillment (Z-3.04, p=0.002), higher emotional exhaustion (Z=2.52, p=0.012), increased sleep-related impairment (Z=2.38, p=0.012), and reduced organizational/personal values alignment (Z=-4.10, p<0.0001) between the two surveys. No significant differences were identified associated with interpersonal disengagement (Z=1.82, p=0.069), self-compassion (Z=1.39, p=0.164), negative impact of work on personal relationship (Z=0.89, p=0.372) and perceived supervisory leadership quality (Z=0.07, p=0.942).


      Despite numerous departmental initiatives intended to improve culture, workplace efficiency, work-life balance, and personal wellness, self-reported burnout was unchanged or worsened over time.Physician and employee wellness embedded into institutional culture maybe more effective than departmental improvement initiatives.

      Key Words

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        • West CP
        • Dyrbye LN
        • Shanafelt T.
        Physician burnout: contributors, consequences, and solutions.
        J Intern Med. 2018; 283: 516-529
        • Dyrbye L
        • Shanafelt T.
        A narrative review on burnout experienced by medical students and residents.
        Med Educ. 2016; 50: 132-149
        • Dyrbye LN
        • West CP
        • Satele D
        • et al.
        Burnout among US medical students, residents, and early career physicians relative to the general US population.
        Acad Med. 2014; 89: 51
        • West CP
        • Shanafelt TD
        • Kolars JC.
        Quality of life, burnout, educational debt, and medical knowledge among internal medicine residents.
        JAMA. 2011; 306: 952-960
        • Linzer M
        • Visser MR
        • Oort FJ
        • et al.
        Predicting and preventing physician burnout: results from the United States and the Netherlands.
        Am J Med. 2001; 111: 170-175
        • Ganeshan D
        • Wei W
        • Yang W.
        Burnout in Chairs of Academic Radiology Departments in the United States.
        Acad Radiol. 2019; 26: 1378-1384
        • Higgins M
        • Siddiqu AA
        • Kosawksy T
        • et al.
        Burnout, Professional Fulfillment, Intention to Leave, and Sleep-Related Impairment Among Radiology Trainees Across the United States (US): A Multisite Epidemiologic Study.
        Acad Radiol. 2022; 28: S118-S125
        • Ishak WW
        • Lederer S
        • Mandili C
        • et al.
        Burnout during residency training: a literature review.
        J Grad Med Educ. 2009; 1: 236-242
        • Block L
        • Wu AW
        • Feldman L
        • et al.
        Residency schedule, burnout and patient care among first year residents.
        Postgrad Med J. 2013; 89: 495-500
        • Hamidi MS
        • Bohman B
        • Sandborg C
        • et al.
        Estimating institutional physician turnover attributable to self-reported burnout and associated financial burden: a case study.
        BMC Health Serv Res. 2018; 18: 851
        • Giess CS
        • Ip IK
        • Cochon LR
        • et al.
        Predictors of self-reported burnout among radiology faculty at a large academic medical center.
        J Am Coll Radiol. 2020; 17: 1684-1691
        • Harolds JA
        • Parikh JR
        • Bluth EI
        • et al.
        Burnout of radiologist: frequency, risk factors, and remedies: a report of the ACR Commission on Human Resources.
        J Am Coll Radiol. 2016; 13: 411-416
        • Mendoza D
        • Bertino FJ.
        Why Radiology Residents Experience Burnout and How to Fix It.
        Acad Radiol. 2019; 26: 555-558
      1. The 2013 Stanford Wellness Survey. Available at: Accessed 30, 2021.

        • Trockel M
        • Bohman B
        • Lesure E
        • et al.
        A brief instrument to assess both burnout and professional fulfillment in physicians: reliability and validity, including correlation with self-reported medical errors, in a sample of resident and practicing physicians.
        Acad Psychiatry. 2018; 42: 11-24
        • Shaw JG
        • Winget M
        • Brown-Johnson C
        • et al.
        Primary care 2.0: A prospective evaluation of a novel model of advanced team care with expanded medical assistant support.
        Ann Fam Med. 2021; 19: 411-418
        • Clemons M
        • Mazzarello S
        • Pond G
        • et al.
        A prospective intervention to improve happiness and reduce burnout in oncologists.
        Support Care Cancer. 2019; 27: 1563-1572
        • Giess CS
        • Ip IK
        • Gupte A
        • et al.
        Self-reported burnout: comparison of radiologists to nonradiologists peers at a large academic medical center.
        Acad Radiol. 2020; 29: 277-283
        • Khaja MS
        • Contrella BN
        • Wilkins LR
        • et al.
        Issues Most Pressing to Early-Career Interventional Radiologists: Results of a Descriptive Survey.
        Acad Radiol. 2021;