title: "Burnout in Medical Oncology Fellows: a Prospective Multicenter Cohort Study in Brazilian Institutions".
abstract: Burnout syndrome is a common occurrence among oncologists. Doctors enrolled in residency programs in clinical oncology are exposed to similar risk factors; however, few data are available in this population. This study assessed the occurrence of burnout and associated factors among first-year residents at Brazilian institutions. The present prospective, multicenter, cohort study was conducted with doctors enrolled in residency programs in clinical oncology at Brazilian institutions affiliated with the public health system. The participants answered a sociodemographic questionnaire, the Maslach Burnout Inventory (MBI), Lipp's Stress Inventory, and the Beck Depression Inventory (BDI), upon admission to the program and 6 and 12 months later. Of 37 eligible residency programs in 2009, 11 (30.6 %) agreed to participate in the study. Fifty-four residents, representing 100 % of new admissions to the participating institutions, were included. Most of the participants met the criteria for severe burnout upon admission to the residency programs (emotional exhaustion in 49.0 % and depersonalization in 64.7 %). The scores on MBI domains emotional exhaustion and depersonalization increased significantly (p < 0.01) during the first year of residency, and the prevalence of burnout increased to 88 % at the end of that first year. The present study found a high prevalence of burnout among doctors enrolled in residency programs in clinical oncology at Brazilian institutions. A large fraction of the participants met the criteria for burnout syndrome upon admission to the program, which suggests that the problem began during the course of the previous residency program in internal medicine.
authors.affiliation: Department of Oncology and Hematology, ABC Foundation School of Medicine, 821 Av Principe de Gales, Anexo 3, Santo André, SP, 09060-650, Brazil. danielcubero@uol.com.br.
authors.forename: Daniel I G
authors.initials: DI
authors.lastname: Cubero
authors.affiliation: Sírio Libanês Hospital, 91 Rua Dona Adma Jafet - Bela, 01308-050, São Paulo, Brazil.
authors.forename: Renata Rego Lins
authors.initials: RR
authors.lastname: Fumis
authors.affiliation: School of Public Health, University of São Paulo, 715 Av. Dr. Arnaldo, 01255-000, São Paulo, Brazil.
authors.forename: Thiago Hérick
authors.initials: TH
authors.lastname: de Sá
authors.affiliation: AC Camargo Hospital, 211 Rua Professor Antônio Prudente, 01509-010, São Paulo, Brazil.
authors.forename: Aldo
authors.initials: A
authors.lastname: Dettino
authors.affiliation: UNICAMP, State University of Campinas, 126 R. Tessália Vieira de Camargo, FCM 9, 13083-887, Campinas, Brazil.
authors.forename: Felipe Osório
authors.initials: FO
authors.lastname: Costa
authors.affiliation: Arnaldo Vieira de Carvalho Cancer Institute, 66 Largo do Arouche, 01219-011, São Paulo, Brazil.
authors.forename: Brigitte M R H Adam
authors.initials: BM
authors.lastname: Van Eyll
authors.affiliation: Amaral Carvalho Foundation, 122 Rua das Palmeiras, n.122, 17210-120, Jaú, Brazil.
authors.forename: Carlos
authors.initials: C
authors.lastname: Beato
authors.affiliation: Ribeirão Preto School of Medicine, 3900 Av. Bandeirantes, 14048-900, Ribeirão Preto, Brazil.
authors.forename: Fernanda Maris
authors.initials: FM
authors.lastname: Peria
authors.affiliation: Saint Raphael Hospital, 619 Alameda das Samambaias, casa 50, 41650-230, Salvador, Brazil.
authors.forename: Augusto
authors.initials: A
authors.lastname: Mota
authors.affiliation: São José do Rio Preto School of Medicine, 1118 Rua Presciliano Pinto, 15025-100, São José do Rio Preto, Brazil.
authors.forename: José
authors.initials: J
authors.lastname: Altino
authors.affiliation: Clinical Hospital of Porto Alegre, 2350 Rua Ramiro Barcelos, Prédio 21- 2° andar, 90035-903, Porto Alegre, Brazil.
authors.forename: Sérgio Jobim
authors.initials: SJ
authors.lastname: Azevedo
authors.affiliation: Cancer Institute of Ceará, R. Papi Júnior, 60351-010, Fortaleza, Brazil.
authors.forename: Duílio Reis
authors.initials: DR
authors.lastname: da Rocha Filho
authors.affiliation: Santa Izabel Hospital, 500 Praça Conselheiro Almeida Couto, 40050-410, Salvador, Brazil.
authors.forename: Melba
authors.initials: M
authors.lastname: Moura
authors.affiliation: Santa Izabel Hospital, 500 Praça Conselheiro Almeida Couto, 40050-410, Salvador, Brazil.
authors.forename: Álvaro Edson Ramos
authors.initials: ÁE
authors.lastname: Lessa
authors.affiliation: Department of Oncology and Hematology, ABC Foundation School of Medicine, 821 Av Principe de Gales, Anexo 3, Santo André, SP, 09060-650, Brazil.
authors.forename: Auro
authors.initials: A
authors.lastname: Del Giglio
mesh_terms: D000328:Adult; D001938:Brazil / Q000453:epidemiology; D002055:Burnout, Professional / Q000453:epidemiology / Q000523:psychology*; D003861:Depersonalization; D004644:Emotions; D005260:Female; D006801:Humans; D007396:Internship and Residency; D008297:Male; D008495:Medical Oncology / Q000193:education*; D010820:Physicians / Q000523:psychology*; D011446:Prospective Studies; D011795:Surveys and Questionnaires
keywords: Burnout; Cohort studies; Fellowship; Medical oncology; Prospective studies; Residency