G Kantor

Publications (2)5.61 Total impact

• Article: Prevalence and causes of burnout amongst oncology residents: a comprehensive nationwide cross-sectional study.

  P Blanchard, D Truchot, L Albiges-Sauvin, S Dewas, Y Pointreau, M Rodrigues, A Xhaard, Y Loriot, P Giraud, J C Soria, G Kantor
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  ABSTRACT: Burnout syndrome occurs frequently amongst oncology healthcare workers. It has a detrimental effect on the patient-physician relationship. Little is known about the prevalence and causes of burnout amongst junior doctors in oncology. An anonymous questionnaire was sent out to every medical or radiation oncology or haematology resident in France (n=340). It included: demographical data, burnout level (Maslach Burnout Inventory), sources of stress, sense of equity at work, sources of support, and general health questions. Validated scales were used when available. Two reminder e-mails were sent to increase the response rate. Questionnaires were despatched during Spring 2009. The response rate was 60% (204/340). Emotional exhaustion (EE) and Depersonalisation (DP), the major components of burnout, were reported, respectively, by 26% (n=53) and 35% (n=72) of the residents. Burnout prevalence was 44% (n=89), defined as a severely abnormal level of either EE or DP. Eighteen percent of the residents (n=36) had severely abnormal levels of both EE and DP. The burnout level was not significantly different between the three specialties, but was higher amongst residents who do not feel adequately rewarded for their work (p<0.001). Burnout was associated with a lower perception of one's general health status (p<0.001) and the desire to quit Medicine or to change specialty (p<0.001). The burnout level is high amongst oncology residents. It probably discourages vocations for oncology. Interventions are needed and could include support groups, more intense coaching by senior physicians, training programmes on 'breaking bad news' and teaching of stress management skills.
  European journal of cancer (Oxford, England: 1990) 10/2010; 46(15):2708-15. · 4.12 Impact Factor
• Article: [Demography of radiation oncology residents in France in 2008: current situation and perspectives for the next three years].

  S Dewas, Y Pointreau, S Rivera, P Blanchard, C Vautravers, V Marchand, M A Mahe, J J Mazeron, G Kantor
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  ABSTRACT: Although a recent increase in number of young radiation oncologists in training has been observed during the past decade, the general demographic evolution of radiation oncologists covers partially future needs. During the seven past national annual courses, which were organised and supported by the Société française des jeunes radiothérapeutes oncologues (SFJRO), the Société française de radiothérapie oncologique (SFRO), the Collège national des enseignants de cancérologie (CNEC) and the Institut national du cancer (Inca), different types of surveys were realized in order to analyse demography, quality of training and motivations of French residents in radiation oncology. The latest results were collected during the last national course, which took place in March 2008. Seventy-five young French radiation oncologists ("internes des hopitaux" or residents) out of 110 participants who attended the national course and 75 questionnaires were analysed. Since 2002, the total number of residents increased regularly (50, 75, 103 and 109 residents respectively in 2000, 2005, 2007 and 2008). Men and women are presently 48.5% and 51.5% respectively. Qualitative analysis of practical and theoretical training was performed using a visual analogical scale from zero to 10. Scores of 56 and 61 were respectively observed. Other descriptions of local training in the different universities (clinical skills, clinical cases analysis, bibliography session...) are described. Finally, analysis of the motivations for choosing the radiation oncology speciality demonstrates common interests in both medical practice and technical aspects in oncology. Innovation, technology, imaging and research are also widely mentioned. Sixteen residents will finish their training by the end of 2008, 42 are expected in 2009 and 27 in 2010. Almost all residents believe that a postgraduate position is necessary to complete their training as assistant professor ("chefs de clinique-assistants des hôpitaux") in a university hospital or a cancer centre. Unfortunately, only 36 assistant professor positions are available in France, representing half of the need. Only 21 residents out of 104 already have a position as assistant professor. The availability of such a position remains undetermined for the rest of them. Despite the recent increase in the number of residents in radiation oncology in France, the need to create new assistant professor positions is crucial to assure quality of training for this both medical and technical speciality. Since 2002, the establishment of SFJRO has facilitated national links among residents, between residents and professors (CNEC), and between the French society (SFRO) and the European society (ESTRO).
  Cancer/Radiothérapie 04/2009; 13(3):153-60. · 1.49 Impact Factor