Division of Pediatric Cardiology, Department of Pediatrics, University of Massachusetts Medical School, Worcester, MA, USA.
Department of Cardiology, Department of Pediatrics, Harvard Medical School, Boston Children's Hospital, 300 Longwood Ave Boston, Boston, MA, 02115, USA.
Pediatr Cardiol. 2022 Dec;43(8):1913-1921. doi: 10.1007/s00246-022-02934-9. Epub 2022 Jun 1.
The COVID-19 pandemic has had a dramatic impact on practicing physicians, with effects in clinical practice, academic pursuits, research endeavors, and personal lives. Women in medicine have been uniquely impacted. We examined the impact of the pandemic on the careers of pediatric cardiologists in the Northeast with an anonymous online survey. Participants reported demographic data, information on work hours, administrative burden, career satisfaction, academic productivity, and burnout. We approached 490 cardiologists and received 127 completed surveys (response rate 26%; 49% female). Among all respondents, 72% reported increased burnout, 43% reported decreased career satisfaction, and 57% reported decreased academic productivity. In multivariable ordinal regression analysis, when compared to male physicians, females were 2.4 times more likely to report decreased overall career satisfaction (p = 0.027), 2.6 times more likely to report decreased academic productivity (p = 0.028), and 2.6 times more likely to report increased feelings of burnout "to a large degree" (p = 0.022). Among all respondents, decreased career satisfaction was independently associated with increased household responsibility (OR = 4.4, p = 0.001). Increased administrative burden was independently associated with decreased academic productivity (OR = 2.6, p = 0.038). Open-ended responses highlighted loss of community due to remote work and blurring of the boundaries between work and home. Conversely, respondents appreciated flexibility to work remotely. In conclusion, the majority of pediatric cardiologists in the Northeast experienced negative career impacts due to the COVID-19 pandemic. Important gender differences emerged, with female physicians disproportionately reporting increased burnout, decreased career satisfaction, and decreased academic productivity.
COVID-19 大流行对执业医师产生了巨大影响，包括对临床实践、学术追求、研究努力和个人生活的影响。女性医生受到了独特的影响。我们用匿名在线调查的方式研究了 COVID-19 对东北儿科心脏病学家职业的影响。参与者报告了人口统计学数据、工作时间、行政负担、职业满意度、学术生产力和倦怠情况。我们联系了 490 名心脏病专家，收到了 127 份完成的调查（回应率为 26%；女性占 49%）。在所有受访者中，72%报告倦怠感增加，43%报告职业满意度降低，57%报告学术生产力降低。在多变量有序回归分析中，与男性医生相比，女性更有可能报告整体职业满意度降低（p=0.027），更有可能报告学术生产力降低（p=0.028），并且更有可能报告“在很大程度上”增加倦怠感（p=0.022）。在所有受访者中，职业满意度降低与家庭责任增加独立相关（OR=4.4，p=0.001）。行政负担增加与学术生产力降低独立相关（OR=2.6，p=0.038）。开放式回复强调了由于远程工作而失去社区联系以及工作和家庭之间界限模糊的问题。相反，受访者赞赏远程工作的灵活性。总之，东北的大多数儿科心脏病专家因 COVID-19 大流行而经历了职业上的负面影响。出现了重要的性别差异，女性医生报告倦怠感增加、职业满意度降低和学术生产力降低的比例不成比例。
