Burnout in Pediatric Nephrology Fellows and Faculty: Lessons From the Sustainable Pediatric Nephrology Workforce Project (SUPERPOWER)

被引:4
|
作者
Halbach, Susan M. [1 ,2 ]
Pillutla, Kartik [3 ]
Seo-Mayer, Patricia [4 ]
Schwartz, Alan [5 ,6 ,7 ]
Weidemann, Darcy [8 ,9 ]
Mahan, John D. [10 ]
机构
[1] Seattle Childrens Hosp, Div Nephrobgy, Seattle, WA 98105 USA
[2] Univ Washington, Dept Pediat, Seattle, WA 98195 USA
[3] Univ Texas Austin, Dell Med Sch, Dept Pediat, Austin, TX 78712 USA
[4] Inova Childrens Hosp, Div Nephrol, Falls Church, VA USA
[5] Univ Illinois, Dept Med Educ, Chicago, IL USA
[6] Univ Illinois, Dept Pediat, Chicago, IL USA
[7] Assoc Pediat Program Directors, Mclean, VA USA
[8] Childrens Mercy Kansas City, Div Nephrobgy, Kansas City, MO USA
[9] Univ Missouri, Sch Med, Dept Pediat, Kansas City, MO 64108 USA
[10] Ohio State Univ, Nationwide Childrens Hosp, Div Nephrol & Hypertens, Columbus, OH 43210 USA
来源
FRONTIERS IN PEDIATRICS | 2022年 / 10卷
关键词
workforce; burnout; pediatric nephrology; fellow; faculty; LEADERSHIP; IMPACT;
D O I
10.3389/fped.2022.849370
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Physician well-being is an important contributor to both job satisfaction and patient outcomes. Rates of burnout among physicians vary by specialty, ranging from 35 to 70%. Among pediatric residents, longitudinal data demonstrates consistent rates of burnout around 50-60%, although little is known about burnout among pediatric subspecialty fellows. Specifically, the degree of burnout among pediatric nephrologists remains unknown, as does the impact faculty burnout may have on trainee burnout. We sought to evaluate prevalence and predictors of burnout among US pediatric nephrology fellows and faculty, and assess for interactions between groups. In this multi-center pilot survey of all United States pediatric nephrology training programs from February to April 2020, burnout was assessed through abbreviated Maslach Burnout Inventory and predictors were explored through survey items devoted to demographic, personal characteristics, and job and career satisfaction questions. A total of 30/34 available fellows and 86/102 faculty from 11 institutions completed the survey (overall response rate 85%). The prevalence of burnout was 13% among fellows and 16% among faculty. Demographic (age, gender, year of training, faculty rank, marital status) and program factors (fellowship size, faculty size, current block/rotation, vacation or weekend off timing) were not significantly associated with burnout. Faculty and fellows with burnout reported significantly lower quality of life (5.3 vs. 7.9, p < 0.05), higher perceived stress (2.4 vs. 1.4, p < 0.05) and lower satisfaction with career choice (66 vs. 22%) and work life balance (28 vs. 0%), compared to those without burnout (p < 0.05 for all). Other important factors positively associated with burnout included lower institutional support for wellness programs and lower satisfaction with both colleague and faculty support. Larger studies are needed to explore if burnout is truly less prevalent among pediatric nephrology fellows and faculty compared to pediatric residents and graduate physicians. A larger sample size is also necessary to determine whether any interactions exist between the faculty and trainee roles in the developments of burnout. Future studies should also explore how to promote well-being through addressing key factors such as overall learning/working environment, stress reduction, and building personal resilience.
引用
收藏
页数:6
相关论文
共 11 条
  • [1] The global pediatric nephrology workforce: a survey of the International Pediatric Nephrology Association
    Glenn, Dorey
    Ocegueda, Sophie
    Nazareth, Meaghan
    Zhong, Yi
    Weinstein, Adam
    Primack, William
    Cochat, Pierre
    Ferris, Maria
    BMC NEPHROLOGY, 2016, 17
  • [2] The global pediatric nephrology workforce: a survey of the International Pediatric Nephrology Association
    Dorey Glenn
    Sophie Ocegueda
    Meaghan Nazareth
    Yi Zhong
    Adam Weinstein
    William Primack
    Pierre Cochat
    Maria Ferris
    BMC Nephrology, 17
  • [3] Case-Based Education at the 2009 Pediatric Nephrology Fellows Conference
    Mahan, John D.
    Ferris, Maria E.
    RENAL FAILURE, 2010, 32 (01) : 14 - 20
  • [4] Lessons from 20 years of leading a pediatric nephrology program
    Chan, JCM
    NEPHRON, 1998, 78 (04): : 378 - 388
  • [5] The US Pediatric Nephrology Workforce: A Report Commissioned by the American Academy of Pediatrics
    Primack, William A.
    Meyers, Kevin E.
    Kirkwood, Suzanne J.
    Ruch-Ross, Holly S.
    Radabaugh, Carrie L.
    Greenbaum, Larry A.
    AMERICAN JOURNAL OF KIDNEY DISEASES, 2015, 66 (01) : 33 - 39
  • [6] Responding to the workforce crisis: consensus recommendations from the Second Workforce Summit of the American Society of Pediatric Nephrology
    Soranno, Danielle E.
    Amaral, Sandra
    Ashoor, Isa
    Atkinson, Meredith A.
    Barletta, Gina-Marie
    Braun, Michael C.
    Carlson, Joann
    Carter, Caitlin
    Chua, Annabelle
    Dharnidharka, Vikas R.
    Drake, Keri
    Erkan, Elif
    Feig, Dan
    Goldstein, Stuart L.
    Hains, David
    Harshman, Lyndsay A.
    Ingulli, Elizabeth
    Kula, Alexander J.
    Leonard, Mary
    Mannemuddhu, Sudha
    Menon, Shina
    Modi, Zubin J.
    Moxey-Mims, Marva
    Nada, Arwa
    Norwood, Victoria
    Starr, Michelle C.
    Verghese, Priya S.
    Weidemann, Darcy
    Weinstein, Adam
    Smith, Jodi
    PEDIATRIC NEPHROLOGY, 2024, 39 (12) : 3609 - 3619
  • [7] Pediatric Nephrology Workforce and Access of Children with Kidney Failure to Transplantation in the United States
    Rojas, Gabriela Accetta
    Mcculloch, Charles E.
    Copeland, Timothy P.
    Whelan, Adrian M.
    Bicki, Alexandra C.
    Giang, Sophia
    Grimes, Barbara A.
    Ku, Elaine
    JOURNAL OF THE AMERICAN SOCIETY OF NEPHROLOGY, 2024,
  • [8] Transition of care from pediatric to adult nephrology post-renal transplant: a review
    Sreenivas, Adithya
    Salgia, Eleina
    Harish, Nikhil
    Raina, Rupesh
    TRANSLATIONAL PEDIATRICS, 2024, 13 (09) : 1641 - 1651
  • [9] Burnout and long COVID among the UK nephrology workforce: results from a national survey investigating the impact of COVID-19 on working lives
    Selvaskandan, Haresh
    Nimmo, Ailish
    Savino, Manuela
    Afuwape, Sarah
    Brand, Sarah
    Graham-Brown, Matthew
    Medcalf, James
    Cockwell, Paul
    Beckwith, Hannah
    CLINICAL KIDNEY JOURNAL, 2022, 15 (03) : 517 - 526
  • [10] Omentectomy reduces the need for peritoneal dialysis catheter revision in children: a study from the Pediatric Nephrology Research Consortium
    Meredith P. Schuh
    Edward Nehus
    Chunyan Liu
    Abdulla Ehlayel
    Stephanie Clark
    Aftab Chishti
    Alcia Delaney Edwards-Richards
    Elif Erkan
    Stephanie Jernigan
    Margret Kamel
    Kera Luckritz
    Bliss Magella
    Asif Mansuri
    Amy C. Wilson
    Donna J. Claes
    Pediatric Nephrology, 2021, 36 : 3953 - 3959