PMID- 25049326
OWN - NLM
STAT- MEDLINE
DCOM- 20150209
LR  - 20220316
IS  - 1527-7755 (Electronic)
IS  - 0732-183X (Print)
IS  - 0732-183X (Linking)
VI  - 32
IP  - 27
DP  - 2014 Sep 20
TI  - Oncology fellows' career plans, expectations, and well-being: do fellows know 
      what they are getting into?
PG  - 2991-7
AB  - PURPOSE: To evaluate the career plans, professional expectations, and well-being 
      of oncology fellows compared with actual experiences of practicing oncologists. 
      METHODS: US oncology fellows taking the 2013 Medical Oncology In-Training 
      Examination (MedOnc ITE) were invited to participate in an optional 
      postexamination survey. The survey evaluated fellows' career plans and 
      professional expectations and measured burnout, quality of life (QOL), fatigue, 
      and satisfaction with work-life balance (WLB) using standardized instruments. 
      Fellows' professional expectations and well-being were compared with actual 
      experiences of US oncologists assessed simultaneously. RESULTS: Of the 1,637 
      oncology fellows in the United States, 1,373 (83.9%) took the 2013 MedOnc ITE. 
      Among these, 1,345 (97.9%) completed the postexamination survey. The frequency of 
      burnout among fellows decreased from 43.3% in year 1 to 31.7% in year 2 and 28.1% 
      in year 3 (P < .001). Overall, the rate of burnout among fellows and practicing 
      oncologists was similar (34.1% v. 33.7%; P = .86). With respect to other 
      dimensions of well-being, practicing oncologists had lower fatigue (P < .001) and 
      better overall QOL scores (P < .001) than fellows but were less satisfied with 
      WLB (P = .0031) and specialty choice (P < .001). Fellows' expectations regarding 
      future work hours were 5 to 6 hours per week fewer than oncologists' actual 
      reported work hours. Levels of burnout (P = .02) and educational debt (P < or 
      =.004) were inversely associated with ITE scores. Fellows with greater 
      educational debt were more likely to pursue private practice and less likely to 
      plan an academic career. CONCLUSION: Oncology fellows entering practice trade one 
      set of challenges for another. Unrealized expectations regarding work hours may 
      contribute to future professional dissatisfaction, burnout, and challenges with 
      WLB.
FAU - Shanafelt, Tait D
AU  - Shanafelt TD
FAU - Raymond, Marilyn
AU  - Raymond M
FAU - Horn, Leora
AU  - Horn L
FAU - Moynihan, Tim
AU  - Moynihan T
FAU - Collichio, Frances
AU  - Collichio F
FAU - Chew, Helen
AU  - Chew H
FAU - Kosty, Michael P
AU  - Kosty MP
FAU - Satele, Daniel
AU  - Satele D
FAU - Sloan, Jeff
AU  - Sloan J
FAU - Gradishar, William J
AU  - Gradishar WJ
LA  - eng
GR  - P30 CA015083/CA/NCI NIH HHS/United States
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PL  - United States
TA  - J Clin Oncol
JT  - Journal of clinical oncology : official journal of the American Society of 
      Clinical Oncology
JID - 8309333
SB  - IM
MH  - Adult
MH  - Burnout, Professional
MH  - *Career Choice
MH  - Education, Medical/economics
MH  - *Fellowships and Scholarships
MH  - Female
MH  - Humans
MH  - Male
MH  - *Medical Oncology
MH  - Physicians/economics/*statistics & numerical data/trends
MH  - Practice Patterns, Physicians'
MH  - *Quality of Life
MH  - Surveys and Questionnaires
MH  - United States
PMC - PMC4876315
COIS- Authors' disclosures of potential conflicts of interest and author contributions 
      are found at the end of this article.
EDAT- 2014/07/23 06:00
MHDA- 2015/02/11 06:00
PMCR- 2014/07/21
CRDT- 2014/07/23 06:00
PHST- 2014/07/23 06:00 [entrez]
PHST- 2014/07/23 06:00 [pubmed]
PHST- 2015/02/11 06:00 [medline]
PHST- 2014/07/21 00:00 [pmc-release]
AID - JCO.2014.56.2827 [pii]
AID - 62827 [pii]
AID - 10.1200/JCO.2014.56.2827 [doi]
PST - ppublish
SO  - J Clin Oncol. 2014 Sep 20;32(27):2991-7. doi: 10.1200/JCO.2014.56.2827.