ABSTRACT
Background In the wake of the COVID-19 pandemic and with increasing non-clinical demands on physician time and effort, the health care community is experiencing disproportionate rates of burnout. Oncologists, specifically, frequently endure challenging situations of caring for terminally ill patients who require emotional support along with intricate medical care. In response, various well-being initiatives for physicians have emerged, predominantly focusing on education or wellness opportunities. However, most these programs are institution-based and not accessible to the physician community as a whole. The effect of physical exercise, particularly team-based activity, on physician well-being and burnout has been postulated but not rigorously studied. We therefore seek to formally investigate whether team-based exercise programs can facilitate collective well-being by enabling physicians to address burnout collectively rather than individually. Methods This prospective study will involve the two-month voluntary team-based multi-sport competition, ACRO Race to the Summit, which will track total exercise minutes logged across various forms of physical activities during the racing period of January 1st, 2023- February 28th, 2023. A pre/post survey design will be used to investigate the potential impact of such collective activity on radiation oncology physician well-being. Included in both surveys, a set of 25 multiple-choice questions based on the validated Stanford Medicine well-being survey and the IPAQ (International Physical Activity Questionnaire) will focus on physical activity level and psychological and emotional well-being in the work place. The post-race survey will include additional questions meant to evaluate participants' perceived impact of the competition on these categories. Results Primary endpoints will assess change in pre- and post-survey metrics related to level of physical activity, and psychological and emotional well-being at work. Secondary endpoints will examine perceived value of team-based exercise in cultivating well-being. Discussion We anticipate that the results from this survey may inform commentary on the role of collective, inclusive exercise as a tool to combat physician burnout. Moreover, the study may provide insight into existing trends in physical activity, and psychological and emotional well-being in the radiation oncology community. Formation of and investment in non-institution, non-work related teams may prove to be a unique means of addressing burnout by strengthening a sense of community within the field as a whole.
ABSTRACT
The impact of the COVID-19 pandemic on the lives of radiation oncologists, from the attending to trainee level, has been multifactorial. One such notable shift has been the limitation of colleague interactions to Zoom-type calls for over two years. Moreover, work-related stress has significantly risen largely due to additional and increasingly complex patient management secondary to COVID-related precautions. As part of the run-up to the ACRO 2022 Annual Meeting, we initiated a friendly competition utilizing a social media-based cycling platform to promote physician well-being as part of #TOURdeACRO. The goal was to support both formation of new connections and strengthening of existing ones between colleagues. Team members were solicited via email, social media, the ACRO websites, and word of mouth. #TOURdeACRO occurred between 1/1/2022 and 2/28/2022. Team members competed based on the number of miles they completed using a social media-based cycling platform. Participants were asked to post their rides on social media platforms so that other Team Members could view the rides and offer positive encouragement. Interval updates were given to encourage friendly competition and reinforce continued investment of teammates in one another's progress. At the Annual meeting, all Team Members were given an official ACRO Racing Jersey to strengthen the unified team culture. A total of 7 female and 5 male team members participated, including3 resident physicians and 9 attending physicians. Female riders were significantly more productive than male riders, as evident by total combined mileage. The overall winner was determined on the last day of the #TOURdeACRO. The top three productive team members produced 1066 miles, 834 miles, and 787 miles over the two months. Eight riders reported significant increases in weekly and monthly mileage over their baseline in preceding months. A social media-based cycling platform was useful and effective in creating and fostering a team culture for a demographically diverse group of radiation oncology physicians. Moving forward, additional riders will be recruited and other social media-based platforms that involve exercise (other than cycling) will be explored to further strengthen this inclusive team environment to enhance physician well-being. [ FROM AUTHOR] Copyright of International Journal of Radiation Oncology, Biology, Physics is the property of Pergamon Press - An Imprint of Elsevier Science and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full . (Copyright applies to all s.)