S1338
Interdisciplinary - Education in radiation oncology
ESTRO 206
Burnout and Emotional Distress Among Radiation Oncologist in Spain: A Nationwide Survey Andrés C Moreno Moya, Javier González Viguera, Héctor Pérez Montero, Marina Arangüena Peñacoba, Makarena Soledad Villalobos, Evelyn Martínez Pérez, Miriam Núñez Fernández, Milica Stefanovic, Olalla Santacruz González, Isabel Linares Galiana, Anna Maria Boladeras Inglada, Ferrán Guedea Edo, Margherita Moretti, Marc Ruiz Domínguez, Claudia Balcells Quintana, Laura Martín González, Pablo Araguas Mora, Daniel Victor Aguiar Santana, Maria Aranzazu Eraso Urién Radiation Oncology, Institut Català de Oncologia, Barcelona, Spain Purpose/Objective: Burnout syndrome, characterized by emotional exhaustion (EE), depersonalization (DP), and reduced personal accomplishment (PA), represents a critical psychosocial challenge in oncology. Radiation oncology professionals face sustained cognitive and emotional demands due to the precision required in treatments, complex decision-making, and constant exposure to patient suffering . Despite growing attention to physician well-being, data in Spanish radiation oncology remain scarce. This study aimed to evaluate the prevalence, psychological correlates, and occupational determinants Material/Methods: An anonymous nationwide online survey was distributed between July and October 2025 among members of the Spanish Society of Radiation Oncology (SEOR). The questionnaire included the Maslach Burnout Inventory–Human Services Survey (MBI-HSS) and the Hospital Anxiety and Depression Scale (HADS), along with items on demographics, workload, work climate, and self-care habits. Burnout was defined according to classical MBI cut-offs, distinguishing between strict (high EE and high DP) and broad (high EE or high DP or low PA) criteria. Descriptive and inferential analyses were performed using the Chi- square test, and the Mann–Whitney U test. Results: A total of 230 professionals participated, representing all Spanish autonomous communities and 72 cities. The median age was 41 years, women compromised 69.6% of the sample. Most respondents were attending physicians (87.4%) working in public hospitals (83.3%), with a median of five new weekly consultations (IQR 4–6). Mean MBI scores were EE = 26.7, DP = 7.5, and PA = 37.0. Based on standard thresholds, 48.7% reported high EE, 17.0% high DP, and 17.8% low PA. Overall, 14.3% met strict and 53.9% broad burnout criteria. Clinically significant anxiety (HADS-A > 10) and depression (HADS-D > 10) affected 28.4% and 21.7%, respectively. Residents showed significantly higher EE and lower PA compared to
program evaluation survey was administered immediately following completion of the program.
Results: From 2020–2024, in 5 cohorts, GOLD graduated 164 fellows from 47 countries and 117 completed all program evaluation metrics. Half (53%) of the participants were female and 37% were training in medical oncology, 24% in Surgical Oncology, 22% in Radiation Oncology and 18% in other disciplines. All participants would recommend GOLD to a colleague and felt that GOLD would help them build global cancer leadership capacity. Comparison of pre- and post-program leadership competencies showed a significant increase in participants’ mean change in confidence across 24 areas of leadership that correspond to the 4 domains of focus in GOLD (3.19 to 6.00; Δ 1.74; 95% CI: 0.2, 06; p<0.001). The perceived confidence in understanding the basics of economic and financing of cancer care had the greatest increase after completing the GOLD program (MD: 1.74, 95% CI: 1.42 to 2.06, P<0.001). Conclusion: The GOLD program demonstrates the effectiveness of inclusive, experiential leadership training in oncology. Future work involves adapting the program for delivery in other countries. Keywords: leadership, equity, health systems
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