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Determinants of Professional Fulfillment and Burnout Among Intensivists: A National Survey by the Society of Critical Care Anesthesiologists in 2022.
Siddiqui, Shahla; Warner, Matthew A; Kelly, Lauren; Monteith, Erika; Douin, David J; Mladinov, Domagoj; Shaefi, Shahzad; Stevens, Robert D; Tung, Avery; Sladen, Robert N.
  • Siddiqui S; From the Department of Anesthesia, Critical Care and Pain Medicine, Beth Israel Deaconess Medical Center, Boston, Massachusetts.
  • Warner MA; Department of Anesthesiology and Perioperative Medicine, Mayo Clinic, Rochester, Minnesota.
  • Kelly L; From the Department of Anesthesia, Critical Care and Pain Medicine, Beth Israel Deaconess Medical Center, Boston, Massachusetts.
  • Monteith E; From the Department of Anesthesia, Critical Care and Pain Medicine, Beth Israel Deaconess Medical Center, Boston, Massachusetts.
  • Douin DJ; Department of Anesthesiology, University of Colorado School of Medicine, Aurora, Colorado.
  • Mladinov D; Department of Anesthesiology and Perioperative Medicine, University of Alabama, Birmingham, Alabama.
  • Shaefi S; From the Department of Anesthesia, Critical Care and Pain Medicine, Beth Israel Deaconess Medical Center, Boston, Massachusetts.
  • Stevens RD; Department of Anesthesiology and Critical Care Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland.
  • Tung A; Department of Anesthesia and Critical Care, University of Chicago, Chicago, Illinois.
  • Sladen RN; Division of Critical Care Medicine, Department of Anesthesiology, Columbia University Irvine Medical Center, New York, New York.
Anesth Analg ; 137(2): 375-382, 2023 Aug 01.
Article in English | MEDLINE | ID: covidwho-2245211
ABSTRACT

BACKGROUND:

Increased burnout and decreased professional fulfillment among intensive care physicians is partly due to intensive care unit (ICU) workload. Although the SARS-CoV-2 (COVID-19) pandemic increased ICU workload, it also may have increased feelings of personal fulfillment due to positive public perceptions of physicians caring for COVID patients. We surveyed critical care anesthesiologists to identify the effect of provider demographics, ICU workload, and COVID-19-related workload, on professional fulfillment and burnout.

METHODS:

We performed an exploratory survey of 606 members of the Society of Critical Care Anesthesiologists (SOCCA) in January and February 2022. We used the Stanford Professional Fulfillment Index (PFI) to grade levels of professional fulfillment and markers of burnout (ie, work exhaustion and disengagement). Univariable and multivariable models were used to identify associations between provider demographics and practice characteristics and professional fulfillment and work exhaustion.

RESULTS:

One hundred and seventy-five intensivists (29%) responded. A total of 65% were male and 49% were between 36 and 45 years old. The overall median PFI score-0 (none) to 24 (most professional fulfillment)-was 17 (IQR, 1-24), with a wide distribution of responses. In multivariable analysis, factors associated with higher professional fulfillment included age >45 years ( P =.004), ≤15 weeks full-time ICU coverage in 2020 ( P =.02), role as medical director ( P =.01), and nighttime home call with supervision of in-house ICU fellows ( P =.01).

CONCLUSIONS:

Professional fulfillment and work exhaustion in this cross-sectional survey were associated with several demographic and practice characteristics but not COVID-19-related workload, suggesting that COVID-19 workload may not have either positive or negative perceptions on professional fulfillment.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Burnout, Professional / COVID-19 Type of study: Observational study / Prognostic study / Randomized controlled trials Limits: Adult / Female / Humans / Male / Middle aged Language: English Journal: Anesth Analg Year: 2023 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Burnout, Professional / COVID-19 Type of study: Observational study / Prognostic study / Randomized controlled trials Limits: Adult / Female / Humans / Male / Middle aged Language: English Journal: Anesth Analg Year: 2023 Document Type: Article