Experiences of a Health System’s Faculty, Staff, and Trainees’ Career Development, Work Culture, and Childcare Needs During the COVID-19 Pandemic

Delaney, Rebecca K.; Locke, Amy; Pershing, Mandy L.; Geist, Claudia; Clouse, Erin; Debbink, Michelle; Haaland, Benjamin; Tanner, Amy J; Anzai, Yoshimi; Fagerlin, Angela

doi:10.1001/jamanetworkopen.2021.3997

Cited by 67 publications

(71 citation statements)

References 13 publications

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“…Further, COVID-19 significantly increased the challenges of work-life balance for clinicians with children [ 24 ]. School-aged children transitioned to remote learning, and many day cares and after-school programs closed, creating a sudden need for clinician parents to source childcare.…”

Section: Discussionmentioning

confidence: 99%

Clinician Perspectives on Telemedicine: Observational Cross-sectional Study

Alkureishi¹,

Choo²,

Lenti³

et al. 2021

JMIR Hum Factors

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Background Since the COVID-19 pandemic onset, telemedicine has increased exponentially across numerous outpatient departments and specialties. Qualitative studies examining clinician telemedicine perspectives during the pandemic identified challenges with physical examination, workflow concerns, burnout, and reduced personal connection with patients. However, these studies only included a relatively small number of physicians or were limited to a single specialty, and few assessed perspectives on integrating trainees into workflows, an important area to address to support the clinical learning environment. As telemedicine use continues, it is necessary to understand a range of clinician perspectives. Objective This study aims to survey pediatric and adult medicine clinicians at the University of Chicago Medical Center to understand their telemedicine benefits and barriers, workflow impacts, and training and support needs. Methods In July 2020, we conducted an observational cross-sectional study of University of Chicago Medical Center faculty and advanced practice providers in the Department of Medicine (DOM) and Department of Pediatrics (DOP). Results The overall response rate was 39% (200/517; DOM: 135/325, 42%; DOP: 65/192, 34%); most respondents were physicians (DOM: 100/135, 74%; DOP: 51/65, 79%). One-third took longer to prepare for (65/200, 33%) and conduct (62/200, 32%) video visits compared to in-person visits. Male clinicians reported conducting a higher percentage of telemedicine visits by video than their female counterparts (P=.02), with no differences in the number of half-days per week providing direct outpatient care or supervising trainees. Further, clinicians who conducted a higher percentage of their telemedicine by video were less likely to feel overwhelmed (P=.02), with no difference in reported burnout. Female clinicians were “more overwhelmed” with video visits compared to males (41/130, 32% vs 12/64, 19%; P=.05). Clinicians 50 years or older were “less overwhelmed” than those younger than 50 years (30/85, 35% vs 23/113, 20%; P=.02). Those who received more video visit training modalities (eg, a document and webinar on technical issues) were less likely to feel overwhelmed by the conversion to video visits (P=.007) or burnt out (P=.009). In addition, those reporting a higher ability to technically navigate a video visit were also less likely to feel overwhelmed by video visits (P=.02) or burnt out (P=.001). The top telemedicine barriers were patient-related: lack of technology access, lack of skill, and reluctance. Training needs to be focused on integrating learners into workflows. Open-ended responses highlighted a need for increased support staff. Overall, more than half “enjoyed conducting video visits” (119/200, 60%) and wanted to continue using video visits in the future (150/200, 75%). Conclusions Despite positive telemedicine experiences, more support to facilitate video visits for patients and clinicians is needed. Further, clinicians need additional training on trainee education and integration into workflows. Further work is needed to better understand why gender and age differences exist. In conclusion, interventions to address clinician and patient barriers, and enhance clinician training are needed to support telemedicine’s durability.

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Section: Discussionmentioning

confidence: 99%

Clinician Perspectives on Telemedicine: Observational Cross-sectional Study

Alkureishi¹,

Choo²,

Lenti³

et al. 2021

JMIR Hum Factors

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show abstract

“…With lockdowns imposed by many governments, schooling duties, parenting, and household duties have shifted from teachers, sitters, and household aids back to parents. Women have disproportionately taken on these responsibilities, frequently in addition to full-time jobs [ 60 ]. Younger, less experienced individuals and those with preexisting mental health conditions were also shown to be part of higher-risk groups for poor mental health outcomes [ 34 , 18 ].…”

Section: Discussionmentioning

confidence: 99%

The Silent Pandemic: The Psychological Burden on Frontline Healthcare Workers during COVID-19

Froessl¹,

Abdeen²

2021

Psychiatry Journal

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This narrative review explores the full scope of harmful psychological effects of the COVID-19 (Coronavirus Disease of 2019) pandemic on FLHCWs (Frontline healthcare workers). Additionally, we highlight the risk factors for worse outcomes. A literature review identified 24 relevant papers included in this synthesis. The majority of studies reported a high number of mental health conditions in HCWs (Healthcare workers) overall. Working in the frontline setting was repeatedly identified as an independent risk factor for poorer mental health. Additional risk factors, such as gender, occupational pressure, and low level of support from hospital administration, family, and the community, were also commonly identified. In the past, defined interventions have been shown to mitigate the psychological impact of high-stress situations on frontline workers. This review is aimed at identifying individuals at higher risk to help effectively target preventative measures in future stress situations in our healthcare system.

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“…Females with children were identified as being at increased risk of needing to leave the workforce and / or reduce hours. 34 Psychological counseling should be available (virtually if possible) to support the emotional health of staff [click here]. 23,35,36 Anesthesiologists are vulnerable to experiencing contact dermatitis, erythema, maceration, and fissures from prolonged use of occlusive gloves, frequent hand cleansing, and repeated use of alcohol-based hand gels.…”

Section: IV Mental and Physical Welfarementioning

confidence: 99%

“…Females with children were identified as being at increased risk of needing to leave the workforce and / or reduce hours. 34 …”

Section: General Considerations and Principlesmentioning

confidence: 99%

Thoracic Anesthesia during the COVID-19 Pandemic: 2021 Updated Recommendations by the European Association of Cardiothoracic Anaesthesiology and Intensive Care (EACTAIC) Thoracic Subspecialty Committee

Şentürk

El-Tahan

Shelley

et al. 2021

Journal of Cardiothoracic and Vascular Anesthesia

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This is a PDF file of an article that has undergone enhancements after acceptance, such as the addition of a cover page and metadata, and formatting for readability, but it is not yet the definitive version of record. This version will undergo additional copyediting, typesetting and review before it is published in its final form, but we are providing this version to give early visibility of the article. Please note that, during the production process, errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.

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Experiences of a Health System’s Faculty, Staff, and Trainees’ Career Development, Work Culture, and Childcare Needs During the COVID-19 Pandemic

Cited by 67 publications

References 13 publications

Clinician Perspectives on Telemedicine: Observational Cross-sectional Study

Clinician Perspectives on Telemedicine: Observational Cross-sectional Study

The Silent Pandemic: The Psychological Burden on Frontline Healthcare Workers during COVID-19

Thoracic Anesthesia during the COVID-19 Pandemic: 2021 Updated Recommendations by the European Association of Cardiothoracic Anaesthesiology and Intensive Care (EACTAIC) Thoracic Subspecialty Committee

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