Inpatient hematology-oncology rotation is associated with a decreased interest in pursuing an oncology career among internal medicine residents

Journal of Oncology Practice

Volumn 11, Issue 4, 2015, Pages 289-295

  McFarland, Daniel C ^a   Holland, Jimmie ^a   Holcombe, Randall F ^a  

^a MEMORIAL SLOAN KETTERING CANCER CENTER   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; ARTICLE; CAREER; COHORT ANALYSIS; COPING BEHAVIOR; DEMOGRAPHY; DISTRESS SYNDROME; DYING; EMPATHY; FEMALE; HEMATOLOGY; HUMAN; IMPACT OF EVENTS SCALE; INTERNIST; MALE; ONCOLOGY; ONCOLOGY WARD; QUESTIONNAIRE; RESIDENT; SPECIALIZATION; TEACHING ROUND; DEATH; DECISION MAKING; EDUCATION; HEALTH PERSONNEL ATTITUDE; HEMATOLOGIC NEOPLASMS; INTERNAL MEDICINE; MEDICAL EDUCATION; MENTAL STRESS; PSYCHOLOGY;

ADULT; ATTITUDE OF HEALTH PERSONNEL; CAREER CHOICE; DEATH; EMPATHY; FEMALE; HEMATOLOGIC NEOPLASMS; HEMATOLOGY; HUMANS; INTERNAL MEDICINE; INTERNSHIP AND RESIDENCY; MALE; MEDICAL ONCOLOGY; RESILIENCE, PSYCHOLOGICAL; STRESS, PSYCHOLOGICAL; SURVEYS AND QUESTIONNAIRES;

EID: 84937689882     PISSN: 15547477     EISSN: 1935469X     Source Type: Journal    
DOI: 10.1200/JOP.2015.003798     Document Type: Article

References (61)

1. Warren JL, Mariotto AB, Meekins A, et al: Current and future utilization of services from medical oncologists. J Clin Oncol 26:3242-3247, 2008
2. Holmes HM, Albrand G: Organizing the geriatrician/oncologist partnership: One size fits all? Practical solutions. Interdiscip Top Gerontol 38:132-138, 2013
3. Blinman PL, Grimison P, Barton MB, et al: The shortage of medical oncologists: The Australian Medical Oncologist Workforce Study. Med J Aust 196:58-61, 2012
4. Numasaki H, Shibuya H, Nishio M, et al: Japanese structure survey of radiation oncology in 2007 with special reference to designated cancer care hospitals. Strahlenther Onkol 187:167-174, 2011
5. Shanafelt TD, Raymond M, Kosty M, et al: Satisfaction with work-life balance and the career and retirement plans of US oncologists. J Clin Oncol 32:1127-1135, 2014
6. Shanafelt TD, Gradishar WJ, Kosty M, et al: Burnout and career satisfaction among US oncologists. J Clin Oncol 32:678-686, 2014
7. Yang W, Williams JH, Hogan PF, et al: Projected supply of and demand for oncologists and radiation oncologists through 2025: An aging, better-insured population will result in shortage. J Oncol Pract 10:39-45, 2014
8. Hussey DH, Sagerman RH, Halberg F, et al: Report of the 1997 SCAROP survey on resident training: Society of Chairmen of Academic Radiation Oncology Programs. Acad Radiol 7:176-183, 2000
9. Grosso LJ, Goode LD, Kimball HR, et al: The subspecialization rate of third year internal medicine residents from 1992 through 1998. Teach Learn Med 16:7-13, 2004
10. Loriot Y, Albiges-Sauvin L, Dionysopoulos D, et al: Why do residents choose the medical oncology specialty? Implications for future recruitment-Results of the 2007 French Association of Residents in Oncology (AERIO) Survey. Ann Oncol 21:161-165, 2010
11. Shereck E, Shenoy S, Pulsipher M, et al: Exposure of early pediatric trainees to blood and marrow transplantation leads to higher recruitment to the field. Biol Blood Marrow Transplant 19:1399-1402, 2013
12. Daniels VJ, Kassam N: Determinants of internal medicine residents' choice in the Canadian R4 fellowship match: A qualitative study. BMC Med Educ 11:44, 2011
13. Lorin S, Heffner J, Carson S: Attitudes and perceptions of internal medicine residents regarding pulmonary and critical care subspecialty training. Chest 127:630-636, 2005
14. Legrand SB, Heintz JB: Palliative medicine fellowship: A study of resident choices. J Pain Symptom Manage 43:558-568, 2012
15. Horn L, Tzanetos K, Thorpe K, et al: Factors associated with the subspecialty choices of internal medicine residents in Canada. BMC Med Educ 8:37, 2008
16. Benya RV: Why are internal medicine residents at university medical centers not pursuing fellowship training in gastroenterology? A survey analysis. Am J Gastroenterol 95:777-783, 2000
17. Borges NJ, Navarro AM, Grover A, et al: How, when, and why do physicians choose careers in academic medicine? A literature review. Acad Med 85:680-686, 2010
18. Straus SE, Straus C, Tzanetos K, et al: Career choice in academic medicine: Systematic review. J Gen Intern Med 21:1222-1229, 2006
19. Accreditation Council for Graduate Medical Education: ACGME Program Requirements for Graduate Medical Education in Internal Medicine. https://www.acgme.org/acgmeweb/Portals/0/PFAssets/2013-PR-FAQ-PIF/140-internal-medicine-07012013.pdf
20. Artiss KL, Levine AS: Doctor-patient relation in severe illness: A seminar for oncology fellows. N Engl J Med 288:1210-1214, 1973
21. Hendrie HC, Roeske NA, Lloyd C: Educating Competent and Humane Physicians. Bloomington, IN, Indiana University Press, 1990
22. McFarland DC, Kirkwood K, Maki RG: Stress and empathy among internal medicine trainees on an inpatient hematology-oncology ward. J Clin Oncol 32, 2014 (suppl; abstr 231)
23. Windle G, Bennett KM, Noyes J: A methodological review of resilience measurement scales. Health Qual Life Outcomes 9:8, 2011
24. Maguen S, Turcotte DM, Peterson AL, et al: Description of risk and resilience factors among military medical personnel before deployment to Iraq. Mil Med 173:1-9, 2008
25. Connor KM, Davidson JR: Development of a new resilience scale: The Connor-Davidson Resilience Scale (CD-RISC). Depress Anxiety 18:76-82, 2003
26. Connor KM, Davidson JR, Lee LC: Spirituality, resilience, and anger in survivors of violent trauma: A community survey. J Trauma Stress 16:487-494, 2003
27. Green KT, Hayward LC, Williams AM, et al: Examining the factor structure of the Connor-Davidson Resilience Scale (CD-RISC) in a post-9/11 U.S. military veteran sample. Assessment 21:443-451, 2014
28. Jung YE, Min JA, Shin AY, et al: The Korean version of the Connor-Davidson Resilience Scale: An extended validation. Stress Health 28:319-326, 2012
29. Jowkar B, Friborg O, Hjemdal O: Cross-cultural validation of the Resilience Scale for Adults (RSA) in Iran. Scand J Psychol [epub ahead of print on February 10, 2010]
30. Horowitz MJ, Wilner M, Alvarez W: Impact of events scale: A measure of subjective stress. Psychosom Med 41:209-218, 1979
31. Weiss DS, Marmar CD: The Impact of Events Scale-Revised, in Wilson JP, Keane TM (eds): Assessing Psychological Trauma and PTSD. New York, NY, Guilford Press, 1997, 399-411
32. Sundin EC, Horowitz MJ: Impact of Event Scale: Psychometric properties. Br J Psychiatry 180:205-209, 2002
33. Davis MH: Measuring individual differences in empathy: Evidence for a multidimensional approach. J Pers Soc Psychol 44:113-126, 1983
34. Davis MH: The effects of dispositional empathy on emotional reactions and helping: A multidimensional approach. J Pers Soc Psychol 51:167-184, 1983
35. Davis MH: A multidimensional approach to individual differences in empathy. JSAS Catalog of Selected Documents in Psychology 10:85, 1980
36. Davis MH, Hull JG, Young RD, et al: Emotional reactions to dramatic film stimuli: The influence of cognitive and emotional empathy. J Pers Soc Psychol 52:126-133, 1987
37. van der Horst K, Siegrist M, Orlow P, et al: Residents' reasons for specialty choice: Influence of gender, time, patient and career. Med Educ 44:595-602, 2010
38. Buddeberg-Fischer B, Klaghofer R, Abel T, et al: Swiss residents' speciality choices: Impact of gender, personality traits, career motivation and life goals. BMC Health Serv Res 6:137, 2006
39. van Tongeren-Alers M, van Esch M, Verdonk P, et al: Are new medical students' specialty preferences gendered? Related motivational factors at a Dutch medical school. Teach Learn Med 23:263-268, 2011
40. Fukuda Y, Harada T: Gender differences in specialty preference and mismatch with real needs in Japanese medical students. BMC Med Educ 10:15, 2010
41. Parshuram CS, Amaral AC, Ferguson ND, et al: Patient safety, resident well-being and continuity of care with different resident duty schedules in the intensive care unit: A randomized trial. CMAJ 187:321-329, 2015
42. Ripp JA, Bellini L, Fallar R, et al: The impact of duty hours restrictions on job burnout in internal medicine residents: A three-institution comparison study. Acad 90:494-499, 2015
43. Bellini LM, Baime M, Shea JA: Variation of mood and empathy during internship. JAMA 287:3143-3146, 2002
44. Bellini LM, Shea JA: Mood change and empathy decline persist during three years of internal medicine training. Acad Med 80:164-167, 2005
45. West CP, Huntington JL, Huschka MM, et al: A prospective study of the relationship between medical knowledge and professionalism among internal medicine residents. Acad Med 82:587-592, 2007
46. Sood A, Prasad K, Schroeder D, et al: Stress management and resilience training among Department of Medicine faculty: A pilot randomized clinical trial. J Gen Intern Med 26:858-861, 2011
47. West CP, Shanafelt TD: Physician well-being and professionalism. Minn Med 90:44-46, 2007
48. Shanafelt TD, West C, Zhao X, et al: Relationship between increased personal well-being and enhanced empathy among internal medicine residents. J Gen Intern Med 20:559-564, 2005
49. Thomas MR, Dyrbye LN, Huntington JL, et al: How do distress and well-being relate to medical student empathy? A multicenter study. J Gen Intern Med 22:177-183, 2007
50. Dyrbye LN, Shanafelt TD: Medical student distress: A call to action. Acad Med 86:801-803, 2011
51. Neumann M, Edelhäuser F, Tauschel D, et al: Empathy decline and its reasons: A systematic review of studies with medical students and residents. Acad Med 86:996-1009, 2011
52. Dyrbye LN, Massie FS Jr, Eacker A, et al: Relationship between burnout and professional conduct and attitudes among US medical students. JAMA 304:1173-1180, 2010
53. West CP, Shanafelt TD, Kolars JC: Quality of life, burnout, educational debt, and medical knowledge among internal medicine residents. JAMA 306:952-960, 2011
54. Hojat M, Vergare MJ, Maxwell K, et al: The devil is in the third year: A longitudinal study of erosion of empathy in medical school. Acad Med 84:1182-1191, 2009
55. Krasner MS, Epstein RM, Beckman H, et al: Association of an educational program in mindful communication with burnout, empathy, and attitudes among primary care physicians. JAMA 302:1284-1293, 2009
56. Stepien KA, Baernstein A: Educating for empathy: A review. J Gen Intern Med 21:524-530, 2006
57. Batt-Rawden SA, Chisolm MS, Anton B, et al: Teaching empathy to medical students: An updated, systematic review. Acad Med 88:1171-1177, 2013
58. Fins JJ, Nilson EG: An approach to educating residents about palliative care and clinical ethics. Acad Med 75:662-665, 2000
59. Reilly JM, Ring J: An end-of-life curriculum: Empowering the resident, patient, and family. J Palliat Med 7:55-62, 2004
60. Liao S, Amin A, Rucker L: An innovative, longitudinal program to teach residents about end-of-life care. Acad Med 79:752-757, 2004
61. Zoeller J, Sonnenreich P: A survey of oncology trends: The oncologist's perspective. P T 36:826-828, 2011