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Patel R, Foster T. Longitudinal assessment of physician wellness during the COVID-19 pandemic. Psychiatry Res 2022; 316:114739. [PMID: 35917651 PMCID: PMC9323205 DOI: 10.1016/j.psychres.2022.114739] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/21/2021] [Revised: 07/20/2022] [Accepted: 07/21/2022] [Indexed: 11/17/2022]
Abstract
Physician wellness was greatly impacted during the COVID-19 pandemic. Busy clinical services, personal safety concerns, changing guidelines, and compassion fatigue weighed on physicians. Although studies have examined physician wellness, few have studied how it changed over time. A survey about wellness was distributed to 299 physicians at Ascension St. Vincent Hospital-Indianapolis March 2020, July 2020, November 2020, and March 2021. Physicians also free-texted about their well-being during the pandemic. Participation rates over the four time periods averaged 22.23%. Responses were compared among the time periods using Pearson Chi-Square and Fisher's Exact Tests. Six wellness factors (anxiety, worry about becoming ill, worry about infecting family, worry about caring for children, concern about personal finances) were reported as worse after the pandemic began, but statistically significantly improved over the course of the study. In contrast, seven wellness measures (increased issues with depression, frustration, hopelessness, fatigue, dread going to work, worry about missing work, worry about caring for family), that also worsened after the pandemic began, did not statistically improve over time. Physician wellness was impacted by the pandemic; however, not all measures followed the same course over time. Longitudinal assessments of wellness can help inform programs to best support physicians.
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Affiliation(s)
- Rita Patel
- Ascension Peyton Manning Children's Hospital, Pediatrics.
| | - Todd Foster
- Ascension-St. Vincent Hospital-Indianapolis, Graduate Medical Education
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Lewis-de Los Angeles CP, Lewis-de Los Angeles W, Kamath S, Heinly A, Elliott S, Daniels TE, Watts DJ. Differences in Work-Life Experiences of Physicians by Parenting Status, Gender, and Training Level During the COVID-19 Pandemic. RHODE ISLAND MEDICAL JOURNAL (2013) 2022; 105:63-67. [PMID: 35476741 PMCID: PMC11215836] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Subscribe] [Scholar Register] [Indexed: 06/14/2023]
Abstract
BACKGROUND The COVID-19 pandemic has presented new challenges for physicians, and physician-parents specifically. Few studies have focused on work-life changes in this population. The present study investigated work-life changes in a group of physicians during the first six months of the COVID-19 pandemic. METHODS A survey was distributed electronically to physicians affiliated with a U.S. medical school inquiring about experiences during the first six months of the COVID-19 pandemic (March 2020 to September 2020). RESULTS In logistic regression models adjusted for age, significantly more female physician- parents reported increased burnout, increased time with kids, and increased fear of going to work compared to male physician-parents. Around 1 in 2 attendings reported burnout, regardless of parenting status. CONCLUSION While high rates of burnout were found across all groups in this study, differences were found by gender and parenting status. Further research is needed to understand burnout during the COVID-19 pandemic and to support physician-parents.
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Affiliation(s)
- C Paula Lewis-de Los Angeles
- Department of Pediatrics, Hasbro Children's Hospital, Alpert Medical School of Brown University; Department of Psychiatry and Human Behavior, Alpert Medical School of Brown University, Providence, RI
| | | | - Shuba Kamath
- Department of Pediatrics, Hasbro Children's Hospital, Alpert Medical School of Brown University, Providence, RI
| | - Allison Heinly
- Department of Pediatrics, Hasbro Children's Hospital, Alpert Medical School of Brown University, Providence, RI
| | | | - Teresa E Daniels
- Department of Psychiatry and Human Behavior, Alpert Medical School of Brown University, Providence, RI
| | - D J Watts
- Department of Pediatrics, Hasbro Children's Hospital, Alpert Medical School of Brown University, Providence, RI
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Machut KZ, Kushnir A, Oji-Mmuo CN, Kataria-Hale J, Lingappan K, Kwon S, Dammann CE. Effect of Coronavirus Disease-2019 on the Workload of Neonatologists. J Pediatr 2022; 242:145-151.e1. [PMID: 34748740 PMCID: PMC8572527 DOI: 10.1016/j.jpeds.2021.11.002] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/23/2021] [Revised: 10/29/2021] [Accepted: 11/01/2021] [Indexed: 10/27/2022]
Abstract
OBJECTIVE To describe the impact of coronavirus disease-2019 (COVID-19) on the neonatology workforce, focusing on professional and domestic workloads. STUDY DESIGN We surveyed US neonatologists in December 2020 regarding the impact of COVID-19 on professional and domestic work during the pandemic. We estimated associations between changes in time spent on types of professional and domestic work and demographic variables with multivariable logistic regression analyses. RESULTS Two-thirds (67.6%) of the 758 participants were women. Higher proportions of women than men were in the younger age group (63.3% vs 29.3%), held no leadership position (61.4% vs 46.3%), had dependents at home (68.8% vs 56.3%), did not have a partner or other adult at home (10.6% vs 3.2%), and had an employed partner (88.1% vs 64.6%) (P < .01 for all). A higher proportion of women than men reported a decrease in time spent on scholarly work (35.0% vs 29.0%; P = .02) and career development (44.2% vs 34.9%; P < .01). A higher proportion of women than men reported spending more time caring for children (74.2% vs 55.8%; P < .01). Reduced time spent on career development was associated with younger age (aOR, 2.21; 95% CI, 1.20-4.08) and number of dependents (aOR, 1.21; 95% CI, 1.01-1.45). Women were more likely to report an increase in time spent time doing domestic work (aOR, 1.53; 95% CI, 1.07-2.19) and a reduction in time on self-care (aOR, 0.49; 95% CI, 0.29-0.81). CONCLUSIONS COVID-19 significantly impacts the neonatology workforce, disproportionately affecting younger, parent, and women physicians. Targeted interventions are needed to support postpandemic career recovery and advance physician contributions to the field.
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Affiliation(s)
- Kerri Z. Machut
- Department of Pediatrics, Feinberg School of Medicine, Northwestern University, Chicago, IL,Division of Neonatology, Ann & Robert H. Lurie Children's Hospital, Chicago, IL,Reprint requests: Kerri Z. Machut, MD, Division of Neonatology, Ann & Robert H. Lurie Children's Hospital of Chicago, 225 E Chicago Ave, #45, Chicago, IL 60611
| | - Alla Kushnir
- Department of Pediatrics, Cooper Children's Regional Hospital, Camden, NJ
| | | | | | - Krithika Lingappan
- Department of Pediatrics, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA,Division of Neonatology, Children's Hospital of Philadelphia, Philadelphia, PA
| | - Soyang Kwon
- Department of Pediatrics, Feinberg School of Medicine, Northwestern University, Chicago, IL,Division of Neonatology, Ann & Robert H. Lurie Children's Hospital, Chicago, IL
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Chumpitazi CE, Camp EA, Cuevas-Guaman M, Doughty C, Kancherla B, Lingappan K, Moran NE, Murray KO, Perez O, Shekerdemian LS, O'Connor TM. Vision 2020: How Caregiving and Work Productivity Outlook Shifted for Academic Pediatric Faculty. J Womens Health (Larchmt) 2022; 31:631-639. [DOI: 10.1089/jwh.2021.0555] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Affiliation(s)
- Corrie E. Chumpitazi
- Department of Pediatrics, Section of Emergency Medicine, Baylor College of Medicine, Houston, Texas, USA
| | - Elizabeth A. Camp
- Department of Pediatrics, Section of Emergency Medicine, Baylor College of Medicine, Houston, Texas, USA
| | - Milenka Cuevas-Guaman
- Department of Pediatrics, Section of Neonatology, Baylor College of Medicine, Houston, Texas, USA
| | - Cara Doughty
- Department of Pediatrics, Section of Emergency Medicine, Baylor College of Medicine, Houston, Texas, USA
| | - Binal Kancherla
- Department of Pediatrics, Section of Pulmonary Medicine, Baylor College of Medicine, Houston, Texas, USA
| | - Krithika Lingappan
- Department of Pediatrics, Section of Neonatology, Baylor College of Medicine, Houston, Texas, USA
| | - Nancy E. Moran
- USDA/ARS Children's Nutrition Research Center, Department of Pediatrics, Baylor College of Medicine, Houston, Texas, USA
| | - Kristy O. Murray
- Department of Pediatrics, Section of Tropical Medicine, Baylor College of Medicine, Houston, Texas, USA
| | - Oriana Perez
- USDA/ARS Children's Nutrition Research Center, Department of Pediatrics, Baylor College of Medicine, Houston, Texas, USA
| | - Lara S. Shekerdemian
- Department of Pediatrics, Section of Critical Care Medicine, Baylor College of Medicine, Houston, Texas, USA
| | - Teresia M. O'Connor
- USDA/ARS Children's Nutrition Research Center, Department of Pediatrics, Baylor College of Medicine, Houston, Texas, USA
- Department of Pediatrics, Section of Academic General Pediatrics, Baylor College of Medicine, Houston, Texas, USA
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Pitt MB, Klein MD. Parenting While Becoming a Pediatrician-An Area Ripe for Study and Improvement. Acad Pediatr 2021; 21:925-926. [PMID: 34022427 DOI: 10.1016/j.acap.2021.05.014] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/17/2021] [Accepted: 05/17/2021] [Indexed: 11/18/2022]
Affiliation(s)
- Michael B Pitt
- Department of Pediatrics, University of Minnesota School of Medicine & Masonic Children's Hospital (MB Pitt), Minneapolis, Minn.
| | - Melissa D Klein
- Division of General and Community Pediatrics, Cincinnati Children's Hospital Medical Center, University of Cincinnati College of Medicine (MD Klein), Cincinnati, Ohio
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