A Call to Action: Ethics Committee Roundtable Recommendations for Addressing Burnout and Moral Distress in Oncology

Author:

Hlubocky Fay J.1,Taylor Lynne P.2,Marron Jonathan M.3,Spence Rebecca A.4,McGinnis Molly M.4,Brown Richard F.5,McFarland Daniel C.6,Tetzlaff Eric D.7,Gallagher Colleen M.8,Rosenberg Abby R.9,Popp Beth10,Dragnev Konstantin11,Bosserman Linda D.12,Dudzinski Denise M.13,Smith Sonali1,Chatwal Monica14,Patel Manali I.15,Markham Merry J.16,Levit Kathryn17,Bruera Eduardo8,Epstein Ronald M.18,Brown Marie19,Back Anthony L.20,Shanafelt Tait D.21,Kamal Arif H.22

Affiliation:

1. University of Chicago Medicine, Chicago, IL

2. University of Washington Medical Center, Seattle, WA

3. Dana-Farber/Boston Children’s Hospital, Boston, MA

4. American Society of Clinical Oncology, Alexandria, VA

5. Virginia Commonwealth University, Richmond, VA

6. Memorial Sloan Kettering Cancer Center, New York, NY

7. Fox Chase Cancer Center, Philadelphia, PA

8. The University of Texas MD Anderson Cancer Center, Houston, TX

9. University of Washington School of Medicine, Department of Pediatrics, Seattle, WA

10. Icahn School of Medicine at Mount Sinai, New York, NY

11. Dartmouth-Hitchcock Medical Center, Lebanon, NH

12. City of Hope, Duarte, CA

13. University of Washington, Seattle, WA

14. H. Lee Moffitt Cancer Center, Tampa, FL

15. Stanford University School of Medicine, Stanford, CA

16. University of Florida, Gainesville, FL

17. Independent Consultant, Alexandria, VA

18. University of Rochester Medical Center, Rochester, NY

19. American Medical Association and Rush University, Chicago, IL

20. University of Washington Medicine, Seattle, WA

21. Stanford Medicine, Stanford, CA

22. Duke Cancer Center, Durham, NC

Abstract

Oncologist well-being is critical to initiating and maintaining the physician-patient relationship, yet many oncologists suffer from symptoms of burnout. Burnout has been linked to poor physical and mental health, as well as increased medical errors, patient dissatisfaction, and workforce attrition. In this Call to Action article, we discuss causes of and interventions for burnout and moral distress in oncology, highlight existing interventions, and provide recommendations for addressing burnout and improving well-being at the individual and organizational levels to deliver ethical, quality cancer care.

Publisher

American Society of Clinical Oncology (ASCO)

Subject

Oncology (nursing),Health Policy,Oncology

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