Burnout in US hematologists and oncologists: impact of compensation models and advanced practice provider support.

Burnout is prevalent throughout medicine. Few large-scale studies have examined the impact of physician compensation or clinical support staff on burnout among hematologists and oncologists. In 2019, the American Society of Hematology conducted a practice survey of hematologists and oncologists in the AMA (American Medical Association) Masterfile; burnout was measured using a validated, single-item burnout instrument from the Physician Work-Life Study, while satisfaction was assessed in several domains using a 5-point Likert scale. The overall survey response rate was 25.2% (n = 631). Of 411 respondents with complete responses in the final analysis, 36.7% (n = 151) were from academic practices and 63.3% (n = 260) from community practices; 29.0% (n = 119) were female. Over one-third (36.5%; n = 150) reported burnout, while 12.0% (n = 50) had a high level of burnout. In weighted multivariate logistic regression models incorporating numerous variables, compensation plans based entirely on relative value unit (RVU) generation were significantly associated with high burnout among academic and community physicians, while the combination of RVU + salary compensation showed no significant association. Female gender was associated with high burnout among academic physicians. High advanced practice provider utilization was inversely associated with high burnout among community physicians. Distinct patterns of career dissatisfaction were observed between academic and community physicians. We propose that the implementation of compensation models not based entirely on clinical productivity increased support for women in academic medicine, and expansion of advanced practice provider support in community practices may address burnout among hematologists and oncologists.

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MedEdPORTAL is an online publication service provided at no charge by the Association of American Medical Colleges (AAMC). The intent is to promote collaboration and educational scholarship by helping educators publish and share educational resources. With MedEdPORTAL, users can quickly locate high-quality, peer-reviewed teaching materials in both the basic and clinical sciences. The existing MedEdPORTAL collection includes instructional and assessment materials to support the continuum of medical education (ie, undergraduate, graduate, and continuing medical education). The collection features resources designed to improve or enhance teaching and learning. During the past 2 years utilization of published resources and submissions to MedEdPORTAL have grown substantially. MedEdPORTAL currently averages 2 new submissions per day, with 1,000 individual submissions having been received for consideration for publication from educators representing countries around the globe. As of December 31, 2007, 45% of total submissions were accepted and published in MedEdPORTAL, 29% were accepted with revisions, and the remaining 26% were rejected and never published. More than 30 different countries access and utilize resources published and disseminated through MedEdPORTAL. The rapid growth of MedEdPORTAL suggests that it is meeting an important need for those in medical education. It is intended that MedEdPORTAL should continue to grow and eventually become the "one-stop shop" for publishing and locating high-quality, peer-reviewed educational resources that cover the continuum of medical education.