Department of Population Health Sciences, University of Utah, Salt Lake City.
Department of Family and Preventive Medicine, University of Utah Health, Salt Lake City.
JAMA Netw Open. 2021 Apr 1;4(4):e213997. doi: 10.1001/jamanetworkopen.2021.3997.
In March 2020, US public buildings (including schools) were shut down because of the COVID-19 pandemic, and 42% of US workers resumed their employment duties from home. Some shutdowns remain in place, yet the extent of the needs of US working parents is largely unknown.
To identify and address the career development, work culture, and childcare needs of faculty, staff, and trainees at an academic medical center during a pandemic.
DESIGN, SETTING, AND PARTICIPANTS: For this survey study, between August 5 and August 20, 2020, a Qualtrics survey was emailed to all faculty, staff, and trainees at University of Utah Health, an academic health care system that includes multiple hospitals, community clinics, and specialty centers. Participants included 27 700 University of Utah Health faculty, staff, and trainees who received a survey invitation. Data analysis was performed from August to November 2020.
Primary outcomes included experiences of COVID-19 and their associations with career development, work culture, and childcare needs.
A total of 5030 participants completed the entire survey (mean [SD] age, 40 [12] years); 3738 (75%) were women; 4306 (86%) were White or European American; 561 (11%) were Latino or Latina (of any race), Black or African American, American Indian, Alaska Native, and Native Hawaiian or Pacific Islander; and 301 (6%) were Asian or Asian American. Of the participants, 2545 (51%) reported having clinical responsibilities, 2412 (48%) had at least 1 child aged 18 years or younger, 3316 (66%) were staff, 791 (16%) were faculty, and 640 (13%) were trainees. Nearly one-half of parents reported that parenting (1148 participants [49%]) and managing virtual education for children (1171 participants [50%]) were stressors. Across all participants, 1061 (21%) considered leaving the workforce, and 1505 (30%) considered reducing hours. Four hundred forty-nine faculty (55%) and 397 trainees (60%) perceived decreased productivity, and 2334 participants (47%) were worried about COVID-19 impacting their career development, with 421 trainees (64%) being highly concerned.
In this survey of 5030 faculty, staff, and trainees of a US health system, many participants with caregiving responsibilities, particularly women, faculty, trainees, and (in a subset of cases) those from racial/ethnic groups that underrepresented in medicine, considered leaving the workforce or reducing hours and were worried about their career development related to the pandemic. It is imperative that medical centers support their employees and trainees during this challenging time.
2020 年 3 月，由于 COVID-19 大流行，美国公共建筑（包括学校）关闭，42%的美国工人在家中恢复工作。一些关闭仍在继续，但美国在职父母的需求程度在很大程度上尚不清楚。
确定并解决学术医疗中心的教职员工和学员在大流行期间的职业发展、工作文化和儿童保育需求。
设计、地点和参与者：在这项调查研究中，2020 年 8 月 5 日至 8 月 20 日之间，犹他大学健康中心的所有教职员工和学员都通过 Qualtrics 调查发送了电子邮件。该学术医疗保健系统包括多家医院、社区诊所和专业中心。参与者包括收到调查邀请的 27700 名犹他大学健康中心的教职员工和学员。数据分析于 2020 年 8 月至 11 月进行。
主要结果包括 COVID-19 经历及其与职业发展、工作文化和儿童保育需求的关联。
共有 5030 名参与者完成了整个调查（平均[SD]年龄，40[12]岁）；3738 名（75%）为女性；4306 名（86%）为白种人或欧洲裔美国人；561 名（11%）为拉丁裔或任何种族的拉丁裔（包括黑人或非裔美国人、美国印第安人、阿拉斯加原住民和夏威夷原住民或太平洋岛民）；301 名（6%）为亚裔或亚裔美国人。在参与者中，2545 名（51%）报告有临床职责，2412 名（48%）有至少 1 名 18 岁以下的子女，3316 名（66%）为员工，791 名（16%）为教师，640 名（13%）为学员。近一半的父母报告说育儿（1148 名参与者[49%]）和管理儿童虚拟教育（1171 名参与者[50%]）是压力源。在所有参与者中，1061 名（21%）考虑离开劳动力市场，1505 名（30%）考虑减少工作时间。449 名教师（55%）和 397 名学员（60%）认为生产力下降，2334 名参与者（47%）担心 COVID-19 会影响他们的职业发展，其中 421 名学员（64%）非常关注。
在这项对美国医疗系统的 5030 名教职员工和学员的调查中，许多有照顾责任的参与者，尤其是女性、教师、学员以及（在一些情况下）在医学领域代表性不足的少数族裔群体，考虑离开劳动力市场或减少工作时间，并担心与大流行相关的职业发展。医疗机构在这个充满挑战的时期必须支持他们的员工和学员。
