S1363
Interdisciplinary - Global health
ESTRO 2026
Amandine Ruffier 10 , Florence Huguet 6,5 , Yasmine El Houat 11 1 Radiation Oncology, Centre François Baclesse, Caen, France. 2 French Society of Young Radiation Oncologists, SFJRO, Paris, France. 3 Radiation Oncology, Institut Gutave Roussy, Villejuif, France. 4 Radiation Oncology, Oncopole, Toulouse, France. 5 National Board Of Oncology Teachers, CNEC, Paris, France. 6 Radiation Oncology, Hopital Tenon, Paris, France. 7 Radiation Oncology, Centre Hospitalier Universitaire, Brest, France. 8 Radiation Oncology, Centre Hospitalier Universitaire, Bordeaux, France. 9 French Society of Radiation Oncology, SFRO, Paris, France. 10 Radiation Oncology, Centre Jean Bernard, Le Mans, France. 11 Radiation Oncology, Centre Hospitalier, Roanne, France Purpose/Objective: During radiation oncology (RO) residency, residents may encounter demanding clinical and emotional situations, such as managing complex patient cases, an increased risk of medical errors or financial difficulties. To date, no comprehensive instrument has been available to evaluate these aspects simultaneously. The aim of this study was to develop a monitoring tool assessing financial insecurity, burnout, and overall well-being among RO residents. Material/Methods: A national prospective study was conducted by the French Society of Young Radiation Oncologists (SFJRO), with the support of the French National College of Cancer Teachers (CNEC), and the French Society of Radiation Oncology (SFRO).The study included an 86- item questionnaire adressing three domains: financial situation, burnout and mental health, legal compliance and workplace discrimination.This survey is administered annually during the mandatory national radiation oncology courses attended by all residents Results: A total of 158 responses were obtained in 2024 and 197 in 2025. More than 25% of respondents reported receiving financial support, while approximately 50% experienced occasional financial difficulties. Over half declared additional income, which was associated with reduced spending on personal (60%), professional (35%), and health-related (20%) expenses. The major part considered their salary insufficient : 85% (2024), 87% (2025).Maslach Burnout Inventory (MBI) scores remained stable between the two years, showing low professional exhaustion (mean 11 in 2024 and 2025), moderate depersonalisation(6 in 2024; 7 in 2025), and low personal accomplishment (mean 29 in 2024 and 2025).No significant differences were found by gender or family status. Exhaustion and depersonalisation decreased with training seniority (first–third vs. fourth–fifth year: 13 vs. 10, p=0.037; 8 vs. 6, p=0.013). Personal accomplishment declined with age (31 vs. 27,
p=0.02 for <28 vs. >28 years).Follow-up by a mental health professional (psychiatrist or psychologist) was reported by 10–12% of residents, some expressing discomfort being treated by a colleague. Psychotropic use remained notable: sleeping pills (11–16%) and anxiolytics (13–21%), with rates exceeding those seen in formal clinical follow-up. Conclusion: This study represents the first longitudinal initiative to monitor the well-being of the French RO residents. Ongoing vigilance is required regarding depersonalization and satisfaction scores. Salary dissatisfaction appeared to significantly influence healthcare-related decisions. The frequency of psychiatric follow-up and psychotropic drug use highlights the need to implement preventive strategies within hospital departments and training institutions, as well as to strengthen community-based support initiatives. Extended follow-up will enable assessment of temporal trends and the effectiveness of preventive measures. Keywords: mental health, residency, financial insecurity Digital Poster 3270 Access Disparities to Sarcoma Radiotherapy Across Brazil: An Observational Analysis Vanessa F Bratti 1 , Silmara R Segala 2 , Daniel Del Rosso 3 , Gustavo A Viani 4 , Ana Carolina Chamamura 4 , Maria Thereza M Starling 5 , Arthur A Rosa 6 , Gustavo N Marta 7 , Samir A Hanna 7 , Cecilia F.P.M. Sousa 8 , Theodoros Tsakiridis 9 , Fabio L Cury 10 , Fabio Y Moraes 1 , Andre G Gouveia 11,12 1 Oncology, Queen's University, Kingston, ON, Canada. 2 Centre for Probe Development and Commercialization, McMaster University, Hamilton, ON, Canada. 3 Public Health, McMaster University, Hamilton, ON, Canada. 4 Radiation Oncology, Hospital da Clinicas, UNESP, Botucatu, Botucatu, Brazil. 5 Oncology, Madre Teresa, Belo Horizonte, Brazil. 6 Radiation Oncology, Hospital Santa Izabel, Salvador, Brazil. 7 Radiation Oncology, Sirio Libanes Hospital, São Paulo, Brazil. 8 Public Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, USA. 9 Oncology, McMaster University, Hamilton, ON, Canada. 10 Oncology, McGill University, Montreal, QB, Canada. 11 Radiation Oncology, BC Cancer, Prince George, BC, Canada. 12 Surgery, The University of British Columbia, Vancouver, BC, Canada Purpose/Objective: In Brazil, it is challenging to ensure equitable access to healthcare resources. This study assesses the inequalities in access to sarcoma radiotherapy, focusing on the travel distances patients must cover
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