TY - JOUR
T1 - Determinants of Professional Fulfillment and Burnout Among Intensivists
T2 - A National Survey by the Society of Critical Care Anesthesiologists in 2022
AU - Siddiqui, Shahla
AU - Warner, Matthew A.
AU - Kelly, Lauren
AU - Monteith, Erika
AU - Douin, David J.
AU - Mladinov, Domagoj
AU - Shaefi, Shahzad
AU - Stevens, Robert D.
AU - Tung, Avery
AU - Sladen, Robert N.
N1 - Publisher Copyright:
© 2023 Lippincott Williams and Wilkins. All rights reserved.
PY - 2023/8/1
Y1 - 2023/8/1
N2 - 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.
AB - 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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U2 - 10.1213/ANE.0000000000006384
DO - 10.1213/ANE.0000000000006384
M3 - Article
C2 - 36791019
AN - SCOPUS:85164844543
SN - 0003-2999
VL - 137
SP - 375
EP - 382
JO - Anesthesia and analgesia
JF - Anesthesia and analgesia
IS - 2
ER -