J Korean Med Sci.  2024 Feb;40(5):e21. 10.3346/jkms.2025.40.e21.

Evaluation of Burnout and Contributing Factors in Imaging Cardiologists in Korea

Affiliations
  • 1Biomedical Research Institute, Seoul National University Hospital, Seoul, Korea
  • 2Cardiovascular Center, Korea University Guro Hospital, Korea University College of Medicine, Seoul, Korea
  • 3Department of Internal Medicine, Yeungnam University Medical Center, Daegu, Korea
  • 4Department of Medical Education, Korea University College of Medicine, Seoul, Korea
  • 5Department of Internal Medicine, Severance Cardiovascular Hospital, Yonsei University College of Medicine, Seoul, Korea
  • 6Department of Internal Medicine, Soonchunhyang University Bucheon Hospital, Bucheon, Korea
  • 7Department of Internal Medicine, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Korea
  • 8Department of Internal Medicine, Korea University Anam Hospital, Seoul, Korea
  • 9Heart Vascular Stroke Institute, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea
  • 10Cardiovascular Center, Seoul National University Bundang Hospital, Seongnam, Korea
  • 11Department of Internal Medicine, Yongin Severance Hospital, Yonsei University College of Medicine, Yongin, Korea
  • 12Department of Internal Medicine, Myongji Hospital, Goyang, Korea
  • 13Department of Internal Medicine, Ilsan Paik Hospital, Inje University College of Medicine, Goyang, Korea
  • 14 Department of Cardiology in Internal Medicine, Chungnam National University Hospital, Chungnam National University School of Medicine, Daejeon, Korea

Abstract

Background
We aimed to examine the prevalence of burnout among imaging cardiologists in Korea and to identify its associated factors.
Methods
An online survey of imaging cardiologists affiliated with university hospitals in Korea was conducted using SurveyMonkey ® in November 2023. The validated Korean version of the Maslach Burnout Inventory-Human Service Survey was used to assess burnout across three dimensions: emotional exhaustion, depersonalization, and lack of personal accomplishment. Data on demographics, work environment factors, and job satisfaction were collected using structured questionnaires.
Results
A total of 128 imaging cardiologists (46.1% men; 76.6% aged ≤ 50 years) participated in the survey. Regarding workload, 74.2% of the respondents interpreted over 50 echocardiographic examinations daily, and 53.2% allocated > 5 of 10 working sessions per week to echocardiographic laboratory duties. Burnout levels were high, with a significant proportion of participants experiencing emotional exhaustion (28.1%), depersonalization (63.3%), and a lack of personal accomplishment (92.2%). Younger age (< 50 years) was correlated with higher emotional exhaustion risk, while more research time was protective against burnout in the depersonalization domain. Factors, such as being single, living with family, and specific job satisfaction facets, including uncontrollable workload and value mismatch, were associated with varying levels of burnout risk across different dimensions
Conclusion
Our study underscores the high burnout rates among Korean imaging cardiologists, attributed to factors such as the subjective environment and job satisfaction. Hence, evaluating and supporting cardiologists in terms of individual values and subjective factors are important to effectively prevent burnout..

Keyword

Burnout; Echocardiography Specialists; Job Satisfaction; Emotional Exhaustion; Depersonalization; Korea

Figure

  • Fig. 1 Prevalence of high burnout levels across three dimensions according to gender among imaging cardiologists in Korea. Burnout levels are categorized as high, moderate, or low based on defined thresholds for each dimension according to the Maslach Burnout Inventory-Human Service Survey. Higher scores (≥ 27) in emotional exhaustion and (≥ 10) depersonalization indicate a high level of burnout, while lower scores (≤ 33) in personal accomplishment suggest a high level of burnout.

  • Fig. 2 Proportion of imaging cardiologists experiencing high burnout across multiple dimensions. The Maslach Burnout Inventory-Human Service Survey assesses burnout across three dimensions: emotional exhaustion, depersonalization, and lack of personal accomplishment.

  • Fig. 3 Proportion of participants with high burnout levels across three dimensions by age groups.


Reference

1. Bridgeman PJ, Bridgeman MB, Barone J. Burnout syndrome among healthcare professionals. Am J Health Syst Pharm. 2018; 75(3):147–152. PMID: 29183877.
2. Jang ES, Park SM, Park YS, Lee JC, Kim N. Work-life conflict and its health effects on Korean gastroenterologists according to age and sex. Dig Dis Sci. 2020; 65(1):86–95. PMID: 31549335.
3. World Health Organization. International Classification of Diseases, 11th Revision (ICD-11). Geneva, Switzerland: World Health Organization;2019.
4. Maslach C, Schaufeli WB, Leiter MP. Job burnout. Annu Rev Psychol. 2001; 52(1):397–422. PMID: 11148311.
5. Lacy BE, Chan JL. Physician burnout: the hidden health care crisis. Clin Gastroenterol Hepatol. 2018; 16(3):311–317. PMID: 28669661.
6. Balch CM, Oreskovich MR, Dyrbye LN, Colaiano JM, Satele DV, Sloan JA, et al. Personal consequences of malpractice lawsuits on American surgeons. J Am Coll Surg. 2011; 213(5):657–667. PMID: 21890381.
7. Shanafelt TD, Balch CM, Bechamps G, Russell T, Dyrbye L, Satele D, et al. Burnout and medical errors among American surgeons. Ann Surg. 2010; 251(6):995–1000. PMID: 19934755.
8. Sharma G, Douglas PS, Hayes SN, Mehran R, Rzeszut A, Harrington RA, et al. Global prevalence and impact of hostility, discrimination, and harassment in the cardiology workplace. J Am Coll Cardiol. 2021; 77(19):2398–2409. PMID: 33985685.
9. Yates SW. Physician stress and burnout. Am J Med. 2020; 133(2):160–164. PMID: 31520624.
10. Cullen MW, Damp JB, Soukoulis V, Keating FK, Abudayyeh I, Auseon A, et al. Burnout and well-being among cardiology fellowship program directors. J Am Coll Cardiol. 2021; 78(17):1717–1726. PMID: 34674817.
11. Alexandrou M, Simsek B, Rempakos A, Kostantinis S, Karacsonyi J, Rangan BV, et al. Burnout in cardiology: a narrative review. J Invasive Cardiol. 2024; 36(5):
12. Simsek B, Rempakos A, Kostantinis S, Karacsonyi J, Rangan BV, Mastrodemos OC, et al. International psychological well-being survey of interventional cardiologists. JACC Cardiovasc Interv. 2023; 16(11):1401–1407. PMID: 37316149.
13. Dasgupta S, Dave I, McCracken CE, Mohl L, Sachdeva R, Border W. Burnout and work-life balance among pediatric cardiologists: a single center experience. Congenit Heart Dis. 2019; 14(3):350–355. PMID: 30506858.
14. Sharma G, Rao SJ, Douglas PS, Rzeszut A, Itchhaporia D, Wood MJ, et al. Prevalence and professional impact of mental health conditions among cardiologists. J Am Coll Cardiol. 2023; 81(6):574–586. PMID: 36585350.
15. Seo JH, Bae HO, Kim BJ, Huh S, Ahn YJ, Jung SS, et al. Burnout of faculty members of medical schools in Korea. J Korean Med Sci. 2022; 37(9):e74. PMID: 35257529.
16. Fernández-Villa de Rey-Salgado J, Curiel-Montes A, Abarca-Olivas J, González-López P, Borrás-Rocher F, González-Sánchez L, et al. Burnout in neurosurgery. World Neurosurg. 2024; 184:e586–e592. PMID: 38336209.
17. Gómez-Polo C, Casado AMM, Montero J. Burnout syndrome in dentists: work-related factors. J Dent. 2022; 121:104143. PMID: 35472454.
18. Hassankhani A, Amoukhteh M, Valizadeh P, Jannatdoust P, Ghadimi DJ, Sabeghi P, et al. A meta-analysis of burnout in radiology trainees and radiologists: insights from the Maslach Burnout Inventory. Acad Radiol. 2024; 31(3):1198–1216. PMID: 37980223.
19. Moukarzel A, Michelet P, Durand AC, Sebbane M, Bourgeois S, Markarian T, et al. Burnout syndrome among emergency department staff: prevalence and associated factors. BioMed Res Int. 2019; 2019:6462472. PMID: 30800675.
20. Rotenstein LS, Torre M, Ramos MA, Rosales RC, Guille C, Sen S, et al. Prevalence of burnout among physicians: a systematic review. JAMA. 2018; 320(11):1131–1150. PMID: 30326495.
21. Yu J, Lee S, Kim M, Lim K, Chang K, Chae S. Professional self-concept and burnout among medical school faculty in South Korea: a cross-sectional study. BMC Med Educ. 2019; 19(1):248. PMID: 31277637.
22. Joshi SS, Stankovic I, Demirkiran A, Haugaa K, Maurovich-Horvat P, Popescu BA, et al. EACVI survey on burnout amongst cardiac imaging specialists during the 2019 coronavirus disease pandemic. Eur Heart J Cardiovasc Imaging. 2022; 23(4):441–446. PMID: 35061874.
23. Koval ML. Medscape Cardiologist Lifestyle, Happiness & Burnout Report 2023. Newark, NJ, USA: Medscape;2023.
24. Mehta LS, Lewis SJ, Duvernoy CS, Rzeszut AK, Walsh MN, Harrington RA, et al. Burnout and career satisfaction among U.S. cardiologists. J Am Coll Cardiol. 2019; 73(25):3345–3348. PMID: 31248556.
25. Jung FU, Bodendieck E, Bleckwenn M, Hussenoeder FS, Luppa M, Riedel-Heller SG. Burnout, work engagement and work hours - how physicians’ decision to work less is associated with work-related factors. BMC Health Serv Res. 2023; 23(1):157. PMID: 36793035.
26. Ashraf F, Ahmad H, Shakeel M, Aftab S, Masood A. Mental health problems and psychological burnout in medical health practitioners: a study of associations and triadic comorbidity. Pak J Med Sci. 2019; 35(6):1558–1564. PMID: 31777493.
27. Dyrbye LN, Thomas MR, Massie FS, Power DV, Eacker A, Harper W, et al. Burnout and suicidal ideation among U.S. medical students. Ann Intern Med. 2008; 149(5):334–341. PMID: 18765703.
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