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array:24 [ "pii" => "S2173510723000721" "issn" => "21735107" "doi" => "10.1016/j.rxeng.2021.09.013" "estado" => "S300" "fechaPublicacion" => "2023-07-01" "aid" => "1327" "copyright" => "SERAM" "copyrightAnyo" => "2021" "documento" => "article" "crossmark" => 1 "subdocumento" => "fla" "cita" => "Radiologia. 2023;65:307-14" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "Traduccion" => array:1 [ "es" => array:19 [ "pii" => "S0033833821001521" "issn" => "00338338" "doi" => "10.1016/j.rx.2021.09.001" "estado" => "S300" "fechaPublicacion" => "2023-07-01" "aid" => "1327" "copyright" => "SERAM" "documento" => "article" "crossmark" => 1 "subdocumento" => "fla" "cita" => "Radiologia. 2023;65:307-14" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "es" => array:13 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Original</span>" "titulo" => "Prevalencia del síndrome de desgaste en radiólogos españoles" "tienePdf" => "es" "tieneTextoCompleto" => "es" "tieneResumen" => array:2 [ 0 => "es" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "307" "paginaFinal" => "314" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Prevalence of burnout syndrome in Spanish radiologists" ] ] "contieneResumen" => array:2 [ "es" => true "en" => true ] "contieneTextoCompleto" => array:1 [ "es" => true ] "contienePdf" => array:1 [ "es" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0010" "etiqueta" => "Figura 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 1863 "Ancho" => 1500 "Tamanyo" => 94276 ] ] "descripcion" => array:1 [ "es" => "<p id="spar0060" class="elsevierStyleSimplePara elsevierViewall">Prevalencia del programa de docencia entre los encuestados con y sin síndrome de desgaste profesional (SPD).</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "A. Oprisan, E. Baettig-Arriagada, C. Baeza-Delgado, L. Martí-Bonmatí" "autores" => array:4 [ 0 => array:2 [ "nombre" => "A." "apellidos" => "Oprisan" ] 1 => array:2 [ "nombre" => "E." "apellidos" => "Baettig-Arriagada" ] 2 => array:2 [ "nombre" => "C." "apellidos" => "Baeza-Delgado" ] 3 => array:2 [ "nombre" => "L." "apellidos" => "Martí-Bonmatí" ] ] ] ] ] "idiomaDefecto" => "es" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S2173510723000721" "doi" => "10.1016/j.rxeng.2021.09.013" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173510723000721?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0033833821001521?idApp=UINPBA00004N" "url" => "/00338338/0000006500000004/v1_202306281242/S0033833821001521/v1_202306281242/es/main.assets" ] ] "itemSiguiente" => array:19 [ "pii" => "S2173510723000885" "issn" => "21735107" "doi" => "10.1016/j.rxeng.2023.07.001" "estado" => "S300" "fechaPublicacion" => "2023-07-01" "aid" => "1377" "copyright" => "SERAM" "documento" => "article" "crossmark" => 1 "subdocumento" => "fla" "cita" => "Radiologia. 2023;65:315-26" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "en" => array:13 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Original articles</span>" "titulo" => "How do we diagnose acute diverticulitis? Results of a national survey about the role of imaging techniques" "tienePdf" => "en" "tieneTextoCompleto" => "en" "tieneResumen" => array:2 [ 0 => "en" 1 => "es" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "315" "paginaFinal" => "326" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "¿Cómo diagnosticamos la diverticulitis aguda? Resultados de una encuesta nacional sobre el papel de las técnicas de imagen" ] ] "contieneResumen" => array:2 [ "en" => true "es" => true ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:8 [ "identificador" => "fig0025" "etiqueta" => "Figure 5" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr5.jpeg" "Alto" => 975 "Ancho" => 2925 "Tamanyo" => 124743 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0025" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">Reasons for the use of CT for the initial diagnosis of acute diverticulitis during working hours according to the type of organisation. Frequency of the reasons considered by those surveyed for the use of CT in the initial diagnosis of AD during working hours, according to whether it is a hospital organised by “organs and systems” or not.</p> <p id="spar0050" class="elsevierStyleSimplePara elsevierViewall">AD: acute diverticulitis; CT: computed tomography; D-OS: organ and system.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "N. Roson, A. Antolín, A. Torregrosa, S. Pedraza Gutiérrez, M. Lopez Cano, J.M. Badia" "autores" => array:6 [ 0 => array:2 [ "nombre" => "N." "apellidos" => "Roson" ] 1 => array:2 [ "nombre" => "A." "apellidos" => "Antolín" ] 2 => array:2 [ "nombre" => "A." "apellidos" => "Torregrosa" ] 3 => array:2 [ "nombre" => "S." "apellidos" => "Pedraza Gutiérrez" ] 4 => array:2 [ "nombre" => "M." "apellidos" => "Lopez Cano" ] 5 => array:2 [ "nombre" => "J.M." "apellidos" => "Badia" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0033833822000807" "doi" => "10.1016/j.rx.2022.02.009" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0033833822000807?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173510723000885?idApp=UINPBA00004N" "url" => "/21735107/0000006500000004/v1_202307280734/S2173510723000885/v1_202307280734/en/main.assets" ] "itemAnterior" => array:19 [ "pii" => "S2173510723000915" "issn" => "21735107" "doi" => "10.1016/j.rxeng.2023.07.002" "estado" => "S300" "fechaPublicacion" => "2023-07-01" "aid" => "1322" "copyright" => "SERAM" "documento" => "article" "crossmark" => 1 "subdocumento" => "fla" "cita" => "Radiologia. 2023;65:298-306" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "en" => array:13 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Original articles</span>" "titulo" => "Coronary computed tomography in emergencies: The importance of the radiologist’s experience" "tienePdf" => "en" "tieneTextoCompleto" => "en" "tieneResumen" => array:2 [ 0 => "en" 1 => "es" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "298" "paginaFinal" => "306" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Tomografía computarizada coronaria en urgencias: importancia de la experiencia del radiólogo" ] ] "contieneResumen" => array:2 [ "en" => true "es" => true ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:8 [ "identificador" => "fig0015" "etiqueta" => "Figure 3" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr3.jpeg" "Alto" => 688 "Ancho" => 750 "Tamanyo" => 42283 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0015" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Discrepancy between emergency care <span class="elsevierStyleItalic">staff</span> personnel. Computed tomography image performing a multiplanar reconstruction transversal to the axis of the vessel. We can identify a plaque with focus of calcification in the right circumflex (arrow). While one of the emergency care <span class="elsevierStyleItalic">staff</span> radiologists evaluated this plaque as stenosis 20% (CAD-RADS 1), their partner evaluated this finding as stenosis 30% (CAD-RADS 2). Most of the cases of discrepancy obtained among experienced personnel were of this type. Small variations in the percentage of stenosis assigned changed the CAD-RADS category to the immediately adjacent one.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "L. González-Campo, A. Vicente-Bártulos, A. Gaetano-Gil, P. Estelles-Lerga, I. Pecharromán-de las Heras, J. Zamora" "autores" => array:6 [ 0 => array:2 [ "nombre" => "L." "apellidos" => "González-Campo" ] 1 => array:2 [ "nombre" => "A." "apellidos" => "Vicente-Bártulos" ] 2 => array:2 [ "nombre" => "A." "apellidos" => "Gaetano-Gil" ] 3 => array:2 [ "nombre" => "P." "apellidos" => "Estelles-Lerga" ] 4 => array:2 [ "nombre" => "I." "apellidos" => "Pecharromán-de las Heras" ] 5 => array:2 [ "nombre" => "J." "apellidos" => "Zamora" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0033833821001296" "doi" => "10.1016/j.rx.2021.07.008" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0033833821001296?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173510723000915?idApp=UINPBA00004N" "url" => "/21735107/0000006500000004/v1_202307280734/S2173510723000915/v1_202307280734/en/main.assets" ] "en" => array:20 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Original articles</span>" "titulo" => "Prevalence of burnout syndrome in Spanish radiologists" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "307" "paginaFinal" => "314" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "A. Oprisan, E. Baettig-Arriagada, C. Baeza-Delgado, L. Martí-Bonmatí" "autores" => array:4 [ 0 => array:4 [ "nombre" => "A." "apellidos" => "Oprisan" "email" => array:1 [ 0 => "oprisan.anca@gmail.com" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "*" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "E." "apellidos" => "Baettig-Arriagada" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 2 => array:3 [ "nombre" => "C." "apellidos" => "Baeza-Delgado" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 3 => array:3 [ "nombre" => "L." "apellidos" => "Martí-Bonmatí" "referencia" => array:3 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] 2 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff0015" ] ] ] ] "afiliaciones" => array:3 [ 0 => array:3 [ "entidad" => "Área Clínica de Imagen Médica, Hospital Universitario y Politécnico La Fe, Valencia, Spain" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Grupo de Investigación Biomédica en Imagen (GIBI230), Instituto de Investigación Sanitaria La Fe, Valencia, Spain" "etiqueta" => "b" "identificador" => "aff0010" ] 2 => array:3 [ "entidad" => "Académico de Número de la Real Academia Nacional de Medicina de España, Spain" "etiqueta" => "c" "identificador" => "aff0015" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Prevalencia del síndrome de desgaste en radiólogos españoles" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:8 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 1864 "Ancho" => 1501 "Tamanyo" => 121754 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0010" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Prevalence of training programme at workplace of respondents with and without burnout.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0065">Introduction</span><p id="par0005" class="elsevierStylePara elsevierViewall">Occupational burnout was first described in 1975 by Freudenberger.<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> A year later, Maslach and Jackson<a class="elsevierStyleCrossRefs" href="#bib0010"><span class="elsevierStyleSup">2,3</span></a> defined the phenomenon as emotional overload, emphasizing three main dimensions: emotional exhaustion, depersonalisation, and feelings of low personal accomplishment. These factors formed the basis of the most widely used global assessment instrument to date: the <span class="elsevierStyleItalic">Maslach Burnout Inventory</span> (MBI).<a class="elsevierStyleCrossRefs" href="#bib0010"><span class="elsevierStyleSup">2–4</span></a> A variant of this questionnaire, the <span class="elsevierStyleItalic">Maslach Burnout Inventory Human Services Survey</span> (MBI-HSS), was created in 1981 specifically for professionals working in health and human services and has gained broad international acceptance.</p><p id="par0010" class="elsevierStylePara elsevierViewall">Occupational burnout has been the subject of much discussion in healthcare systems around the world and has gained increasing attention in recent years due to its high prevalence among healthcare professionals. It commonly involves an inability to relax, apathy towards work, occupational isolation, and most importantly, lower levels of quality and satisfaction at work.</p><p id="par0015" class="elsevierStylePara elsevierViewall">Medical professionals work in emotionally stressful environments and the nature of their work entails high levels of responsibility. When these conditions persist over an extended period of time or are exacerbated by other circumstances, they can lead to psychological issues among healthcare staff. The IT and technological boom has brought about new and increasingly complex diagnostic and therapeutic radiology tests which have led to a notable increase in radiologists’ workloads and the attendant responsibility, which, in turn, raises the risk of this pathology among this group of professionals.<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">6</span></a></p><p id="par0020" class="elsevierStylePara elsevierViewall">Several studies in various countries have studied the prevalence and nature of occupational burnout among medical professionals.<a class="elsevierStyleCrossRefs" href="#bib0035"><span class="elsevierStyleSup">7–10</span></a> A recent study in the United States ranked the prevalence of burnout among healthcare staff, placing radiologists in seventh position out of a total of 20 specialities. It revealed that 46% of radiologists suffer from the phenomenon.<a class="elsevierStyleCrossRef" href="#bib0055"><span class="elsevierStyleSup">11</span></a> A comprehensive Spanish literature search failed to uncover any studies that have researched burnout among radiologists working in Spain.</p><p id="par0025" class="elsevierStylePara elsevierViewall">This paper analyses the prevalence and severity of occupational burnout as revealed through a questionnaire put to a group of radiologists in Spain. Secondary aims of this article are to identify factors which could trigger or accentuate the problem so as to guide the design and implementation of preventive and corrective measures. This, in turn, could lower the stress associated with the issue and potentially improve work-based performance and job satisfaction among radiologists.</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0070">Material and methodology</span><p id="par0030" class="elsevierStylePara elsevierViewall">A cross-sectional, observational, descriptive and analytical study was carried out with an anonymous online questionnaire, designed using Google Forms ® (Google LLC, Alphabet Inc., Mountain View, California, USA) It was sent out to practising and trainee radiologists in Spain and completion was entirely voluntary. The questionnaire was disseminated as widely as possible through several different channels of communication and was available for seven months (from January to June 2019). To be more precise, a direct link to the questionnaire was sent by email, WhatsApp, Twitter and Facebook along with a request for collaboration and to share the survey as widely as possible among the branches and affiliates of Spain’s radiology societies. It is not known how many radiologists and radiology trainees received the request.</p><p id="par0035" class="elsevierStylePara elsevierViewall">Prior to filling out the questionnaire, participants were informed that their involvement was completely voluntary, any data provided would only be used for research purposes, and personal data would remain anonymous at all times. The only inclusion criterion to determine the validity of a response was completion of the MBI-HSS questionnaire. Any questions left completely or partially unanswered were excluded.</p><p id="par0040" class="elsevierStylePara elsevierViewall">The questionnaire consisted of three main parts (Appendix B, Annex 1). A qualitative survey assessed the level of occupational burnout using the MBI-HSS questionnaire.<a class="elsevierStyleCrossRefs" href="#bib0025"><span class="elsevierStyleSup">5,12,13</span></a></p><p id="par0045" class="elsevierStylePara elsevierViewall">It also included a set of questions for identifying possible risk factors that may require intervention. The MBI-HSS questionnaire comprised 22 items divided into three main sections: emotional exhaustion was assessed by nine items, depersonalisation by five and feelings of low personal accomplishment by eight. Participants had to grade each item according to a scale that indicated how often they experienced each situation at work. The scale ranged from zero (‘never’) to six (‘every day’). The final scores from each section were obtained by adding together the scores of all items in the section. The three sections were then classified into three grades (low, medium and high) according to cut-off points which were taken from those previously established in the literature,<a class="elsevierStyleCrossRefs" href="#bib0020"><span class="elsevierStyleSup">4,5,14</span></a> as shown in <a class="elsevierStyleCrossRef" href="#tbl0005">Table 1</a>. A professional was considered to be suffering from occupational burnout if they scored highly for emotional exhaustion (≥27), in addition to a high value for depersonalisation (≥10) and/or low value for feelings of personal accomplishment (≤33).</p><elsevierMultimedia ident="tbl0005"></elsevierMultimedia><p id="par0050" class="elsevierStylePara elsevierViewall">The second part of the questionnaire comprised 13 general questions about aspects related to the sociodemographic, socioeconomic, and occupational environment of the participant (Appendix B Annex 1). This section focused on the working conditions of radiologists, recognising that they have changed significantly over the past decade, primarily due to the IT and technological boom which has completely transformed the radiological working environment. The questions in the third part focus on radiologists’ perceptions and opinions regarding possible causes of stress and factors that could improve their work situation (Appendix B Annex 1).</p><p id="par0055" class="elsevierStylePara elsevierViewall">A database generated from the responses to the questionnaire was used to regroup the variables and levels, homogenise the data, and analyse the coherence of the responses. It was then used for the numerical and visual descriptive analysis of the variable. Later, the database was also used to carry out different statistical analyses. The chi-square test of independence was used to analyse the association of different nominal categorical variables with both the burnout and non-burnout groups. The following correlation coefficients were used to analyse the correlation with the presence of burnout: the phi coefficient for two binary nominal categorical variables; Cramér’s V for nominal categorical variables that have more than two levels; Kendall’s tau for ordinal categorical variables, and the point-biserial correlation coefficient for continuous variables. The two sample Z test of proportions was used to analyse differences between the different groups within a variable (such as speciality, autonomous community, and gender), as well as differences in responses given with regard to causes of stress and improvements to morale among those suffering from burnout. In all the aforementioned statistical tests, a p-value of less than 0.5 was considered statistically significant. Lastly, the Odds Ratio (OR) was used to analyse risk and protective factors. In this case, any factor whose OR did not include 1 within the 95% confidence interval (CI)—meaning that prevalence for the condition or factor analysed is the same for the high risk group as for the low risk group—was considered statistically significant.</p><p id="par0060" class="elsevierStylePara elsevierViewall">The following software was used for data processing and statistical analysis: Spyder (v4.1.4) and Jupyter Notebook (v6.0.3) with Python version 3.8.3 and the Pandas (v1.0.5), NumPy (v1.18.5), SciPy (v1.5.0) and Matplotlib (v3.2.2) packages.</p></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0075">Results</span><p id="par0065" class="elsevierStylePara elsevierViewall">A total of 226 radiologists completed the online form in the seven-month period between January and July 2019. Gender distribution was even (52% men and 48% women) and the mean age was 41 years [standard deviation (SD) 11 years, ranging from 25 to 68 years]. Half of the participating radiologists (50%) were from the Valencia region, followed by Catalunya (9%), Madrid (8%) and Galicia (7%). Ninety-three percent of respondents worked in the public sector with the private sector being the least represented. A significant number of participants (62%) worked in tertiary care settings, followed by secondary care (17%), primary care (13%), private centres (7%) and specialist centres (2%). More than 86% of radiologists work on-call shifts with most working between three and six on-call shifts a month (52%). Radiology trainees comprised 23% of the sample. When broken down into subspecialities, general radiologists made up the largest proportion of the sample, constituting 23% of respondents, followed by abdominal radiologists (13%) and musculoskeletal specialists (8%). All these sociodemographic characteristics can be found in <a class="elsevierStyleCrossRef" href="#tbl0010">Table 2</a>.</p><elsevierMultimedia ident="tbl0010"></elsevierMultimedia><p id="par0070" class="elsevierStylePara elsevierViewall">The MBI-HSS questionnaire revealed an overall prevalence of 34% for occupational burnout (76 of the 226 participant radiologists matched the burnout criteria) (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>). The scores for each subscale included in this questionnaire are shown in <a class="elsevierStyleCrossRef" href="#tbl0015">Table 3</a>.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="tbl0015"></elsevierMultimedia><p id="par0075" class="elsevierStylePara elsevierViewall">No statistical association was identified between occupational burnout and any specific radiology subspeciality (<span class="elsevierStyleItalic">p</span> = 0.167).</p><p id="par0080" class="elsevierStylePara elsevierViewall">Neither was any correlation identified between the occupational burnout group (+OBG) and wages (<span class="elsevierStyleItalic">p</span> = 0.358).</p><p id="par0085" class="elsevierStylePara elsevierViewall">The only factor found to safeguard against occupational burnout was the workplace’s inclusion in a training programme (OR 0.44; 95% CI of 0.21–0.93, <span class="elsevierStyleItalic">p</span> = 0.033) (<a class="elsevierStyleCrossRef" href="#fig0010">Fig. 2</a>).</p><elsevierMultimedia ident="fig0010"></elsevierMultimedia><p id="par0090" class="elsevierStylePara elsevierViewall">There were no significant associations between occupational burnout and age (<span class="elsevierStyleItalic">p</span> = 0.18), gender (<span class="elsevierStyleItalic">p</span> = 0.276), number of years worked (<span class="elsevierStyleItalic">p</span> = 0.802), number of on-call shifts (<span class="elsevierStyleItalic">p</span> = 0.275), wage (<span class="elsevierStyleItalic">p</span> = 0.358), type of hospital (<span class="elsevierStyleItalic">p</span> = 0.682), overtime worked (<span class="elsevierStyleItalic">p</span> = 0.826) or incentives (<span class="elsevierStyleItalic">p</span> = 0.078).</p><p id="par0095" class="elsevierStylePara elsevierViewall">The main causes for improvement in morale reported in the + OBG that differed significantly in comparison with the -OBG included: organisational improvements in service (+OBG 98.7% vs. −OBG 91.7%, 7.0; 95% CI of 1.8–12.12; <span class="elsevierStyleItalic">p</span> = 0.03), reduced number of studies assigned to each professional (+OBG 81.% vs. −OBG 63.4%, 17.7; 95% CI of 5.77–29.63; <span class="elsevierStyleItalic">p</span> = 0.005) and reduced number of on-call shifts (+OBG 75.0% vs. −OBG 55.1%, 19.9; 95% CI of 6.82–32.89; <span class="elsevierStyleItalic">p</span> = 0.03).</p><p id="par0100" class="elsevierStylePara elsevierViewall">Improvements in communication skills comprised a significantly more prevalent cause for improvement in morale among the -−OBG (+OBG 53.4% vs. −OBG 72.3%, −18.9; 95% CI of</p><p id="par0105" class="elsevierStylePara elsevierViewall">−32.53 to −5.3; <span class="elsevierStyleItalic">p</span> = 0.006). There were no other causes for improvement in morale, or of stress, found to be more prevalent in the −OBG in comparison with the +OBG.</p><p id="par0110" class="elsevierStylePara elsevierViewall">The following causes for improvement in morale were more prevalent, but with no statistical significance, in the + OBG: more people assigned to each activity (+OBG 87.5% vs. −OBG 76.9%, 10.6; 95% CI of 0.28–20.87; <span class="elsevierStyleItalic">p</span> = 0.06), fostering of teamwork (+OBG 83.8% vs. −OBG 83.5%, 0.3; 95% CI of −10.01–10.69; <span class="elsevierStyleItalic">p</span> = 0.98) and daily workload established for each professional (+OBG 81.9% vs. −OBG 70.4%, 11.5; 95% CI of −0.11–23.15; <span class="elsevierStyleItalic">p</span> = .06)</p><p id="par0115" class="elsevierStylePara elsevierViewall">The following causes of stress were identified in both groups with no significant differences between them: IT/computer issues (+OBG 79.4% vs. -OBG 79.3%, 0.1; 95% CI of −11.64–11.95; <span class="elsevierStyleItalic">p</span> = 0.96), sense of lack of control over work (+OBG 87.3% vs. −OBG 78.4%, 8.9; 95% CI of −1.66–19.5; <span class="elsevierStyleItalic">p</span> = 0.12) and dissatisfaction with wages (+OBG 57.4% vs. −OBG 50.0%, 7.4; 95% CI of −7.51–22.22; <span class="elsevierStyleItalic">p</span> = 0.34).</p><p id="par0120" class="elsevierStylePara elsevierViewall">The following causes of stress were significantly more prevalent in the + OBG: chaotic work that causes exhaustion (+OBG 89.6% vs. -OBG 54.9%, 34.7; 95% CI of 23.3–46.13; <span class="elsevierStyleItalic">p</span> = 0.001), emergency on-call shifts (+OBG 77.4% vs. −OBG 58.2%, 19.2; 95% CI of 7.24–35.58; <span class="elsevierStyleItalic">p</span> = 0.007), large number of students assigned each day (+OBG 75.0% vs. −OBG 54.0%, 21.0; 95% CI of 7.66–34.27; <span class="elsevierStyleItalic">p</span> = 0.002) and not enough time with family (+OBG 70.2% vs. OBG 48.8%, 21.4; 95% CI of 7.24–35.58; <span class="elsevierStyleItalic">p</span> = 0.003).</p></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0080">Discussion</span><p id="par0125" class="elsevierStylePara elsevierViewall">Almost a third of the radiologists who responded to the survey suffer from occupational burnout. It should be noted that those who work in a centre involved in a training programme are more protected against the phenomenon. Morale among radiologists can be improved by improving the service organisation, reducing workloads, and assigning fewer on-call shifts. The most prevalent causes of stress are chaotic working conditions, on-call shifts, heavy workloads, and a lack of time to spend with one’s family.</p><p id="par0130" class="elsevierStylePara elsevierViewall">The Ganeshan study in the United States<a class="elsevierStyleCrossRef" href="#bib0075"><span class="elsevierStyleSup">15</span></a> obtained similar results and revealed that 29% of radiologists matched the criteria of occupational burnout. The researchers identified several stress factors in the workplace such as heavy workloads, the inability to strike a work-life balance, concerns over not attaining a higher academic rank, lack of autonomy at work, lack of recognition by other specialists or patients, and worries over litigation or allegations of negligence. In Canada, 72% of radiologists and radiology trainees experienced at least one symptom of occupational burnout.<a class="elsevierStyleCrossRef" href="#bib0080"><span class="elsevierStyleSup">16</span></a> Other recent studies among musculoskeletal radiologists and neuroradiologists demonstrated that up to 80% of respondents presented high levels in one or more dimensions of occupational burnout.<a class="elsevierStyleCrossRefs" href="#bib0085"><span class="elsevierStyleSup">17,18</span></a></p><p id="par0135" class="elsevierStylePara elsevierViewall">Likewise, our study revealed that in the burnt-out group, most participants highlighted on-call shifts, chaotic working conditions, the high volume of studies assigned to them each day, and the fact that their job did not leave them enough time to spend with their families as the main stress factors.</p><p id="par0140" class="elsevierStylePara elsevierViewall">Similarly, radiology trainees experience greater levels of occupational burnout than their counterparts from other specialities. A recent meta-analysis, which included only the articles that used the MBI questionnaire, revealed that radiology trainees are in the top three disciplines to experience demotivation, together with those specialising in neurology and general surgery.<a class="elsevierStyleCrossRef" href="#bib0040"><span class="elsevierStyleSup">8</span></a> It has been suggested that this is related to the isolated nature of radiology practice, the central role of imaging in diagnoses, and the need to be familiar with many different diseases as a factor of exhaustion, especially during on-call shifts at the beginning of the training programme.<a class="elsevierStyleCrossRef" href="#bib0095"><span class="elsevierStyleSup">19</span></a> Another consideration is how the breadth of knowledge required in very little time at the start of the training programme may increase the perception of exhaustion among trainees due to their inexperience in managing and diagnosing unknown conditions.<a class="elsevierStyleCrossRef" href="#bib0100"><span class="elsevierStyleSup">20</span></a> Trainee wages are relatively low with a current base salary of EUR 1,100 and this, when coupled with generally high costs of living adds another layer of stress for radiology trainees.</p><p id="par0145" class="elsevierStylePara elsevierViewall">More than half of the respondents stated that they are strongly dissatisfied with current wage levels. Medscape carried out a questionnaire that revealed that all healthcare salaries in Spain are significantly lower than their European counterparts, even equating to 42% less than salaries in Germany or the UK.<a class="elsevierStyleCrossRef" href="#bib0105"><span class="elsevierStyleSup">21</span></a> The Spanish Health Ministry acknowledged as much when it published a report setting out average wages.<a class="elsevierStyleCrossRef" href="#bib0110"><span class="elsevierStyleSup">22</span></a> Yet, the literature suggests that one of the best ways to prevent and treat occupational burnout is to find the right combination of work-life balance and financial expectations without compromising family or the quality of one’s work.<a class="elsevierStyleCrossRefs" href="#bib0030"><span class="elsevierStyleSup">6,23</span></a></p><p id="par0150" class="elsevierStylePara elsevierViewall">The only factor we have identified as safeguarding against occupational burnout is the centre’s involvement in a training programme. It may be that this reduces the sense of isolation<a class="elsevierStyleCrossRefs" href="#bib0030"><span class="elsevierStyleSup">6,24</span></a> or because the trainees might help with administrative tasks that can take up a lot of the radiologist’s time.<a class="elsevierStyleCrossRefs" href="#bib0125"><span class="elsevierStyleSup">25–27</span></a> However, it should also be noted that other studies have found that work-based teaching can decrease radiologists’ productivity by up to 30–50%.<a class="elsevierStyleCrossRef" href="#bib0140"><span class="elsevierStyleSup">28</span></a></p><p id="par0155" class="elsevierStylePara elsevierViewall">Research on predisposing factors also finds that radiologists who work a greater number of night shifts may be exposed to a higher risk of burnout,<a class="elsevierStyleCrossRefs" href="#bib0145"><span class="elsevierStyleSup">29,30</span></a> as sleep deprivation impairs connectivity and processing within brain structures, in turn leading to emotional dysregulation.<a class="elsevierStyleCrossRef" href="#bib0155"><span class="elsevierStyleSup">31</span></a> Insufficient sleep also results in a reduced ability to sustain attention and can therefore affect image interpretation and report writing, with a consequent increase in medical errors.<a class="elsevierStyleCrossRefs" href="#bib0160"><span class="elsevierStyleSup">32,33</span></a> Improvements in the organisation of the service, a decrease in the number of on-call shifts, and the number of studies assigned to each professional have also been reported to help improve morale.</p><p id="par0160" class="elsevierStylePara elsevierViewall">Several studies have reported that heavy workloads in radiology are one of the main sources of work-related stress.<a class="elsevierStyleCrossRefs" href="#bib0030"><span class="elsevierStyleSup">6,17,30,34</span></a><span class="elsevierStyleSup">,</span><a class="elsevierStyleCrossRef" href="#bib0175"><span class="elsevierStyleSup">35</span></a> In our sample, the + OBG considers the high number of studies assigned each day to be a source of stress and emphasizes that a reduction in this number could improve morale. This factor may stem from the significant workload increase in radiology over the last 30 years due to the massification of digital studies stored in Picture Archiving and Communications Systems (PACS). Today, imaging often needs to be analysed in conjunction with large amounts of data, and with voice recognition and desktop publishing software. This is in addition to the general increase in the number of studies to be read by radiologists.<a class="elsevierStyleCrossRefs" href="#bib0145"><span class="elsevierStyleSup">29,34</span></a></p><p id="par0165" class="elsevierStylePara elsevierViewall">Bhargavan observed a 70.3% increase in annual relative value units (RVUs) per FTE (full-time equivalent) radiologist from 1991–92 to 2006–07.<a class="elsevierStyleCrossRef" href="#bib0170"><span class="elsevierStyleSup">34</span></a> Another study carried out in the UK between 2007 and 2010 which analysed the number of CT images evaluated, noted a 49–75% increase during those years.<a class="elsevierStyleCrossRef" href="#bib0125"><span class="elsevierStyleSup">25</span></a> In our research, 80% of respondents stated that they have problems with their computers and IT systems and sense a lack of control over their own work. These results are worrying and this problem is likely to escalate in the future.</p><p id="par0170" class="elsevierStylePara elsevierViewall">Other factors that contribute to the perception of a heavy workload include prolonged working hours with greater responsibilities outside normal hours, less time assigned to report writing,<a class="elsevierStyleCrossRef" href="#bib0145"><span class="elsevierStyleSup">29</span></a> conflicting demands on time (clinical, academic, administrative) and insufficient staff to carry out routine tasks.<a class="elsevierStyleCrossRef" href="#bib0175"><span class="elsevierStyleSup">35</span></a></p><p id="par0175" class="elsevierStylePara elsevierViewall">Although there were no statistically significant differences between men and women in our study, our literature search revealed a strong association with gender and an increase in occupational burnout rates in radiology. Women are much more likely to experience burnout than men.<a class="elsevierStyleCrossRefs" href="#bib0085"><span class="elsevierStyleSup">17,36</span></a> Our results may be due to the emancipation of women in medical roles in recent years in a healthcare culture where workplace equality has been in place for many years and where women commonly hold positions of leadership and responsibility. Likewise, the dual role of mother-partner and doctor has changed in recent years and it is now much more common for the partner to share the household work.</p><p id="par0180" class="elsevierStylePara elsevierViewall">While our study did not find a correlation between occupational burnout and the age of the radiologist or the years worked, it has been noted that the prevalence of burnout reduces with age and after more years worked as a radiologist.<a class="elsevierStyleCrossRef" href="#bib0075"><span class="elsevierStyleSup">15</span></a> This discrepancy may be explained by the fact that after a certain number of years, a radiologist can obtain a position which allows them to better control their working hours and activities. Furthermore, their care-based responsibilities at home may now be reduced and they are likely to be in a better financial position or may have developed more skills for dealing with and preventing occupational burnout. It is also possible that the prevalence and severity of occupational burnout negatively affects the longest-serving professionals and so radiologists suffering from occupational burnout may have left the profession, leaving only those who have not burned out to the same degree.<a class="elsevierStyleCrossRef" href="#bib0185"><span class="elsevierStyleSup">37</span></a></p><p id="par0185" class="elsevierStylePara elsevierViewall">One of the main limitations of this research lies in the fact that there is no precise figure for the number of radiologists in Spain. In 2019, the Spanish Society of Radiologists (SERAM) had 6,000 members. A total of 226 radiologists answered our questionnaire and if we consider that they are likely members of SERAM, this still only accounts for 4%. Our small sample size should be considered a significant limitation as it does not guarantee that the results can be extrapolated. Another limitation of our questionnaire is that there may be differences in the response rate between radiologists in the +OBG and −OBG. It seems plausible that radiologists suffering from occupational burnout may have been more drawn to responding to the questionnaire, thus leading to bias. It is also possible that other professional, personal or family-related stress factors can contribute to the exhaustion felt by radiologists.</p><p id="par0190" class="elsevierStylePara elsevierViewall">After reviewing the results of our survey, it strikes us that there may be other work-based and external factors that our study has not envisaged. Among the work-based factors that could contribute to exhaustion, but which were not taken into account are: the increase in the number of studies assigned to each radiologist, the complexity involved in each study, and the time spent on other administrative tasks and/or interruptions. The radiologist’s home and personal environment should also be taken into consideration as this could be an important protective or risk factor, depending on individual circumstances.</p></span><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0085">Conclusions</span><p id="par0195" class="elsevierStylePara elsevierViewall">This article describes the impact of occupational burnout among radiologists in Spain. A high prevalence of burnout was detected among our respondents (34%).</p><p id="par0200" class="elsevierStylePara elsevierViewall">While the available evidence is limited in terms of its applicability in the design of effective interventions to improve this situation, this paper lays down guidelines which can be used to develop care and prevention programmes for this phenomenon among radiologists in Spain.</p><p id="par0205" class="elsevierStylePara elsevierViewall">The findings suggest that if changes were made to certain aspects of working conditions identified in this research, strategies could be developed to promote high-quality work and thus prevent the occurrence of burnout. Meanwhile, encouraging certain emotional and communicative skills fosters a healthier working environment that can enhance employee wellbeing.</p><p id="par0210" class="elsevierStylePara elsevierViewall">This study paves the way for future research into the early identification of risk factors that can predispose a professional to burnout or alleviate it when burnout has taken hold.</p></span><span id="sec0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0090">Authors</span><p id="par0215" class="elsevierStylePara elsevierViewall">Research coordinators: AO, EBA.</p><p id="par0220" class="elsevierStylePara elsevierViewall">Development of study concept: AO, EBA, CBD, LMB.</p><p id="par0225" class="elsevierStylePara elsevierViewall">Study design: AO, EBA, CBD, LMB.</p><p id="par0230" class="elsevierStylePara elsevierViewall">Data collection: AO, EBA, LMB.</p><p id="par0235" class="elsevierStylePara elsevierViewall">Data analysis and interpretation: AO, EBA, CBD, LMB.</p><p id="par0240" class="elsevierStylePara elsevierViewall">Data processing: AO, EBA, CBD, LMB.</p><p id="par0245" class="elsevierStylePara elsevierViewall">Literature search: AO, EBA, LMB.</p><p id="par0250" class="elsevierStylePara elsevierViewall">Writing of article: AO, EBA, CBD, LMB.</p><p id="par0255" class="elsevierStylePara elsevierViewall">Critical review of the manuscript with intellectually relevant contributions: AO, EBA, CBD, LMB.</p><p id="par0260" class="elsevierStylePara elsevierViewall">Approval of the final version: AO, EBA, CBD, LMB.</p></span><span id="sec0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0095">Funding</span><p id="par0265" class="elsevierStylePara elsevierViewall">This research has not received funding support from public sector agencies, the business sector or any non-profit organisations.</p></span><span id="sec0040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0100">Conflicts of interest</span><p id="par0270" class="elsevierStylePara elsevierViewall">The authors declare that they have no conflicts of interest</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:13 [ 0 => array:3 [ "identificador" => "xres1940224" "titulo" => "Abstract" "secciones" => array:4 [ 0 => array:2 [ "identificador" => "abst0005" "titulo" => "Background and aims" ] 1 => array:2 [ "identificador" => "abst0010" "titulo" => "Material and methods" ] 2 => array:2 [ "identificador" => "abst0015" "titulo" => "Results" ] 3 => array:2 [ "identificador" => "abst0020" "titulo" => "Conclusions" ] ] ] 1 => array:2 [ "identificador" => "xpalclavsec1671850" "titulo" => "Keywords" ] 2 => array:3 [ "identificador" => "xres1940225" "titulo" => "Resumen" "secciones" => array:4 [ 0 => array:2 [ "identificador" => "abst0025" "titulo" => "Antecedentes y objetivo" ] 1 => array:2 [ "identificador" => "abst0030" "titulo" => "Material y métodos" ] 2 => array:2 [ "identificador" => "abst0035" "titulo" => "Resultados" ] 3 => array:2 [ "identificador" => "abst0040" "titulo" => "Conclusiones" ] ] ] 3 => array:2 [ "identificador" => "xpalclavsec1671851" "titulo" => "Palabras clave" ] 4 => array:2 [ "identificador" => "sec0005" "titulo" => "Introduction" ] 5 => array:2 [ "identificador" => "sec0010" "titulo" => "Material and methodology" ] 6 => array:2 [ "identificador" => "sec0015" "titulo" => "Results" ] 7 => array:2 [ "identificador" => "sec0020" "titulo" => "Discussion" ] 8 => array:2 [ "identificador" => "sec0025" "titulo" => "Conclusions" ] 9 => array:2 [ "identificador" => "sec0030" "titulo" => "Authors" ] 10 => array:2 [ "identificador" => "sec0035" "titulo" => "Funding" ] 11 => array:2 [ "identificador" => "sec0040" "titulo" => "Conflicts of interest" ] 12 => array:1 [ "titulo" => "References" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2021-02-07" "fechaAceptado" => "2021-09-07" "PalabrasClave" => array:2 [ "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec1671850" "palabras" => array:5 [ 0 => "Emotional exhaustion" 1 => "Depersonalization" 2 => "Radiologists" 3 => "Personal fulfillment" 4 => "Burnout syndrome" ] ] ] "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec1671851" "palabras" => array:5 [ 0 => "Agotamiento emocional" 1 => "Despersonalización" 2 => "Radiólogos" 3 => "Realización personal" 4 => "Síndrome de desgaste profesional" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "en" => array:3 [ "titulo" => "Abstract" "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Background and aims</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">The primary objective was to analyze the prevalence and degree of professional burnout in radiologists in Spain. Secondary objectives were to identify possible factors that increase or decrease the risk of burnout to enable preventive and corrective measures, decrease the stress associated with this condition, and thereby increase radiologists’ performance and satisfaction at work.</p></span> <span id="abst0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Material and methods</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">This cross-sectional observational study used a voluntary, anonymous online survey of attending radiologists and residents through Google Forms®. The survey was structured into three sections: a qualitative assessment of the degree of professional burnout with the Maslach Burnout Inventory Human Services Survey (MBI-HSS), a series of sociodemographic and work-related questions, and a final section centered on possible causes of stress and improvements to the working environment.</p><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">The results of the survey were analyzed statistically to determine which variables were associated with burnout syndrome as well as to identify possible risk factors and protective factors.</p></span> <span id="abst0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0020">Results</span><p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">After disseminating the survey through social networks and email contacts, we received a total of 226 responses (175 from attending radiologists and 51 from residents; 52% men; mean age, 41 ± 11 years; age range, 25–68). The prevalence of the syndrome was 33%, without significant differences between attending radiologists and residents. No risk factors associated with burnout were identified. Teaching in the workplace was the only protective factor.</p></span> <span id="abst0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0025">Conclusions</span><p id="spar0050" class="elsevierStyleSimplePara elsevierViewall">One-third of the respondents had burnout syndrome. Because the consequences of this syndrome can affect professionals’ personal life and their ability to do their jobs, early detection and intervention should be prioritized.</p></span>" "secciones" => array:4 [ 0 => array:2 [ "identificador" => "abst0005" "titulo" => "Background and aims" ] 1 => array:2 [ "identificador" => "abst0010" "titulo" => "Material and methods" ] 2 => array:2 [ "identificador" => "abst0015" "titulo" => "Results" ] 3 => array:2 [ "identificador" => "abst0020" "titulo" => "Conclusions" ] ] ] "es" => array:3 [ "titulo" => "Resumen" "resumen" => "<span id="abst0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0035">Antecedentes y objetivo</span><p id="spar0055" class="elsevierStyleSimplePara elsevierViewall">Analizar la prevalencia y grado del síndrome de desgaste profesional entre radiólogos en España. Como objetivos secundarios se pretende identificar sus posibles factores desencadenantes y atenuantes para implementar intervenciones preventivas y correctivas, disminuyendo el estrés asociado y aumentando el rendimiento y la satisfacción laboral de los radiólogos.</p></span> <span id="abst0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0040">Material y métodos</span><p id="spar0060" class="elsevierStyleSimplePara elsevierViewall">Estudio transversal y observacional realizado mediante una encuesta en línea, anónima y voluntaria, desarrollada a través de formularios de Google® y dirigida a radiólogos especialistas y en formación. La encuesta se estructura en tres apartados: una valoración cualitativa del grado del síndrome de desgaste profesional a través del <span class="elsevierStyleItalic">Maslach Burnout Inventory Human Services Survey</span> (MBI-HSS), el segundo constituido por una serie de preguntas sociodemográficas y laborales, y el último apartado centrado en las posibles causas de estrés y de mejora en el entorno laboral.</p><p id="spar0065" class="elsevierStyleSimplePara elsevierViewall">Los resultados de la encuesta se analizaron estadísticamente para determinar la asociación entre las variables y el síndrome, así como para determinar posibles factores de riesgo y protectores.</p></span> <span id="abst0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0045">Resultados</span><p id="spar0070" class="elsevierStyleSimplePara elsevierViewall">Tras difundir la encuesta en redes sociales y correo electrónico se recibieron un total de 226 respuestas (175 de especialistas y 51 de residentes). La media de edad fue 41 años (desviación estándar de 11 años, rango de 25 a 68), sin predominancia de género (52% hombres). La prevalencia del síndrome fue del 33%, sin diferencias significativas entre adjuntos y residentes. No se han identificado factores de riesgo que se asocien con el desgaste profesional. Tener docencia en el lugar de trabajo fue el único factor de protección.</p></span> <span id="abst0040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0050">Conclusiones</span><p id="spar0075" class="elsevierStyleSimplePara elsevierViewall">Un tercio de los radiólogos que han contestado padecen síndrome de desgaste profesional. Dado que las consecuencias de este síndrome pueden afectar al entorno personal y al desempeño laboral del profesional, debería priorizarse su identificación temprana e implementarse una intervención adecuada.</p></span>" "secciones" => array:4 [ 0 => array:2 [ "identificador" => "abst0025" "titulo" => "Antecedentes y objetivo" ] 1 => array:2 [ "identificador" => "abst0030" "titulo" => "Material y métodos" ] 2 => array:2 [ "identificador" => "abst0035" "titulo" => "Resultados" ] 3 => array:2 [ "identificador" => "abst0040" "titulo" => "Conclusiones" ] ] ] ] "apendice" => array:1 [ 0 => array:1 [ "seccion" => array:1 [ 0 => array:4 [ "apendice" => "<p id="par0280" class="elsevierStylePara elsevierViewall">The following is Supplementary data to this article:<elsevierMultimedia ident="upi0005"></elsevierMultimedia></p>" "etiqueta" => "Appendix A" "titulo" => "Supplementary data" "identificador" => "sec0050" ] ] ] ] "multimedia" => array:6 [ 0 => array:8 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1292 "Ancho" => 1427 "Tamanyo" => 89878 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Prevalence of occupational burnout among respondents (n = 226).</p>" ] ] 1 => array:8 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 1864 "Ancho" => 1501 "Tamanyo" => 121754 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0010" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Prevalence of training programme at workplace of respondents with and without burnout.</p>" ] ] 2 => array:8 [ "identificador" => "tbl0005" "etiqueta" => "Table 1" "tipo" => "MULTIMEDIATABLA" "mostrarFloat" => true "mostrarDisplay" => false "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0015" "detalle" => "Table " "rol" => "short" ] ] "tabla" => array:1 [ "tablatextoimagen" => array:1 [ 0 => array:2 [ "tabla" => array:1 [ 0 => """ <table border="0" frame="\n \t\t\t\t\tvoid\n \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td" title="\n \t\t\t\t\ttable-head\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t" scope="col" style="border-bottom: 2px solid black"> \t\t\t\t\t\t\n \t\t\t\t\t\t</th><th class="td" title="\n \t\t\t\t\ttable-head\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Low \t\t\t\t\t\t\n \t\t\t\t\t\t</th><th class="td" title="\n \t\t\t\t\ttable-head\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Moderate \t\t\t\t\t\t\n \t\t\t\t\t\t</th><th class="td" title="\n \t\t\t\t\ttable-head\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t" scope="col" style="border-bottom: 2px solid black">High \t\t\t\t\t\t\n \t\t\t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Emotional exhaustion (0–54 points) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">0–18 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">19–26 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">≥27 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Depersonalisation (0–30 points) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">0–6 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">7–9 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">≥10 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Personal accomplishment (0–48 points) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">0–33 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">34–39 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">≥40 \t\t\t\t\t\t\n \t\t\t\t</td></tr></tbody></table> """ ] "imagenFichero" => array:1 [ 0 => "xTab3232268.png" ] ] ] ] "descripcion" => array:1 [ "en" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Scoring as per MBI-HSS questionnaire dimensions.</p>" ] ] 3 => array:8 [ "identificador" => "tbl0010" "etiqueta" => "Table 2" "tipo" => "MULTIMEDIATABLA" "mostrarFloat" => true "mostrarDisplay" => false "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0020" "detalle" => "Table " "rol" => "short" ] ] "tabla" => array:2 [ "tablatextoimagen" => array:1 [ 0 => array:2 [ "tabla" => array:1 [ 0 => """ <table border="0" frame="\n \t\t\t\t\tvoid\n \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td" title="\n \t\t\t\t\ttable-head\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t" scope="col" style="border-bottom: 2px solid black"> \t\t\t\t\t\t\n \t\t\t\t\t\t</th><th class="td" title="\n \t\t\t\t\ttable-head\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Respondents (n = 226) (%)<a class="elsevierStyleCrossRef" href="#tblfn0005"><span class="elsevierStyleSup">a</span></a> \t\t\t\t\t\t\n \t\t\t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead colgroup " colspan="2" align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"><span class="elsevierStyleItalic">Gender</span></td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Men \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">118 (52.4%) \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Women \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">107 (47.5%) \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Age (μ ± SD) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">41.1 ± 11.42 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_colgroup " colspan="2" align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead colgroup " colspan="2" align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"><span class="elsevierStyleItalic">Autonomous community</span></td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Valencian community \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">110 (49.5%) \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Catalunya \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">19 (8.6%) \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Madrid community \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">18 (8.1%) \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Galicia \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">16 (7.2%) \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Others \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">63 (26.6%) \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_colgroup " colspan="2" align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead colgroup " colspan="2" align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"><span class="elsevierStyleItalic">Work centre</span></td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Tertiary \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">138 (61.9%) \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Secondary \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">37 (16.6%) \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Primary \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">28 (12.6%) \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Private hospital \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">16 (7.2%) \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Speciality centre \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">4 (1.7%) \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_colgroup " colspan="2" align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead colgroup " colspan="2" align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"><span class="elsevierStyleItalic">Years worked</span></td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>0–4 years \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">77 (34.2%) \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>5–9 years \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">32 (14.1%) \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>10–19 years \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">48 (21.2%) \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>20–29 years \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">44 (19.5%) \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>>30 years \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">24 (11%) \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_colgroup " colspan="2" align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead colgroup " colspan="2" align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"><span class="elsevierStyleItalic">Imaging subspeciality</span></td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>General \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">52 (23.3%) \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Trainee \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">51 (22.9%) \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Abdominal \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">29 (13.0%) \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Musculoskeletal \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">18 (8.1%) \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Interventional \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">15 (6.7%) \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Women’s imaging \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">15 (6.7%) \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Head and neck \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">15 (6.7%) \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Cardiothoracic \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">14 (6.3%) \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Paediatric \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">8 (3.6%) \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Emergency \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">5 (2.2%) \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Oncologic \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">1 (0.5%) \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_colgroup " colspan="2" align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead colgroup " colspan="2" align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"><span class="elsevierStyleItalic">On-call shifts</span></td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>No \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">30 (13.5%) \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Fewer than 3 shifts \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">57 (25.7%) \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Between 3 and 6 shifts \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">115 (52.1%) \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>More than 6 shifts \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">19 (8.6%) \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_colgroup " colspan="2" align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead colgroup " colspan="2" align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"><span class="elsevierStyleItalic">Salary</span></td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Less than EUR 25,000 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">43 (19.3%) \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Between EUR 25,000 and 45,000 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">59 (26.5%) \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>More than EUR 45,000 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">121 (54.2%) \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_colgroup " colspan="2" align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead colgroup " colspan="2" align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"><span class="elsevierStyleItalic">Incentives</span></td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Yes \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">93 (41.2%) \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>No \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">133 (58.8%) \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_colgroup " colspan="2" align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead colgroup " colspan="2" align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"><span class="elsevierStyleItalic">Teaching</span></td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Yes \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">192 (84.9%) \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>No \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">34 (15.1%) \t\t\t\t\t\t\n \t\t\t\t</td></tr></tbody></table> """ ] "imagenFichero" => array:1 [ 0 => "xTab3232269.png" ] ] ] "notaPie" => array:1 [ 0 => array:3 [ "identificador" => "tblfn0005" "etiqueta" => "a" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Percentage of total number of valid responses for each variable.</p>" ] ] ] "descripcion" => array:1 [ "en" => "<p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Sociodemographic characteristics of the sample.</p>" ] ] 4 => array:8 [ "identificador" => "tbl0015" "etiqueta" => "Table 3" "tipo" => "MULTIMEDIATABLA" "mostrarFloat" => true "mostrarDisplay" => false "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0025" "detalle" => "Table " "rol" => "short" ] ] "tabla" => array:1 [ "tablatextoimagen" => array:1 [ 0 => array:2 [ "tabla" => array:1 [ 0 => """ <table border="0" frame="\n \t\t\t\t\tvoid\n \t\t\t\t" class=""><tbody title="tbody"><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"><span class="elsevierStyleItalic">Emotional exhaustion (mean ± SD)</span> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">24.2 ± 10.9 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"><span class="elsevierStyleItalic">Depersonalisation (mean ± SD)</span> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">9.53 ± 6.12 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"><span class="elsevierStyleItalic">Personal accomplishment (mean ± SD)</span> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">32.6 ± 8.51 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead colgroup " colspan="2" align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"><span class="elsevierStyleItalic">High levels of emotional exhaustion (n; %)</span></td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>No \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">140 (61.9%) \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Yes \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">86 (38.1%) \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_colgroup " colspan="2" align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead colgroup " colspan="2" align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"><span class="elsevierStyleItalic">High levels of depersonalisation (n; %)</span></td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>No \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">124 (54.9%) \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Yes \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">102 (45.1%) \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_colgroup " colspan="2" align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead colgroup " colspan="2" align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"><span class="elsevierStyleItalic">Low level of personal accomplishment (n; %)</span></td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>No \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">115 (50.9%) \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Yes \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">111 (49.1%) \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_colgroup " colspan="2" align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead colgroup " colspan="2" align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"><span class="elsevierStyleItalic">Occupational burnout</span></td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>No \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">150 (66.4%) \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Yes \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">76 (33.6%) \t\t\t\t\t\t\n \t\t\t\t</td></tr></tbody></table> """ ] "imagenFichero" => array:1 [ 0 => "xTab3232270.png" ] ] ] ] "descripcion" => array:1 [ "en" => "<p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Results of different dimensions that determine occupational burnout among burnout sufferers.</p>" ] ] 5 => array:5 [ "identificador" => "upi0005" "tipo" => "MULTIMEDIAECOMPONENTE" "mostrarFloat" => false "mostrarDisplay" => true "Ecomponente" => array:2 [ "fichero" => "mmc1.doc" "ficheroTamanyo" => 85409 ] ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:37 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "The staff burn-out syndrome in alternative institutions." 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