Lifetime in Radiation Oncology: Wisdom from Retired Physicians.

Abstract

Radiation oncology is a demanding yet deeply rewarding field, with physicians navigating complex clinical decisions in dynamic environments. Existent literature has focused on the challenges and stressors of the profession; however, less attention has been given to the perspective of these who have completed their careers. This study explores the reflections of retired radiation oncologists, highlighting the aspects of their work that brought fulfillment and meaning over time. Semistructured interviews were conducted with 14 retired radiation oncologists, transcribed verbatim, and analyzed using NVivo 12 to identify these aspects. We employed content and thematic analysis procedures to guide our data analysis by: (1) disassembling data into codes; (2) grouping codes into themes; and 3) interpretating emerging themes. Four main themes were identified in regard to their experiences: "A Good Profession," "Highly Stressful," "Impact on Quality of Life In and Out of the Workplace," and "Retirement." Additionally, we examined variations in experiences based on gender differences and international training. Overall, participants described their career as fulfilling, emphasizing profound satisfaction through patient care and discussed protective factors that helped achieve a high quality of life including mentorship and a strong sense of purpose. At the same time, participants acknowledged challenges faced in this career, such as the high levels of stress that are attributed to evolving technology, administrative burden, and the emotional toll of patient care. A lack of a structured professional support system was noted as an area for improvement, with mentorship identified as particularly valuable. Although retirement decisions were often influenced by personal considerations, these stressors also played a role for some. This study suggests that fostering mentorship opportunities and strategies for maintaining career satisfaction can help sustain well-being throughout a radiation oncology career. By understanding the perspective of retired physicians, we can better support the next generation in finding long-term fulfillment in the field.