The Current State of Pediatric Cardiac Anesthesiology Staffing in the United States.

IF 4.6 2区 医学 Q1 ANESTHESIOLOGY
Nina Deutsch, Stephanie Grant, Luis Zabala, Steven J Staffa, Jennifer Lau, Dean Andropoulos, Jeremy Geiduschek, C Dean Kurth, Viviane G Nasr
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引用次数: 0

Abstract

Background: The population of patients with congenital heart disease has grown, but the supply of pediatric cardiac anesthesiologists has not kept pace. The Pediatric Anesthesia Leadership Council (PALC) and the Congenital Cardiac Anesthesia Society (CCAS) formed a task force to evaluate the current state of the specialty of pediatric cardiac anesthesia, including staffing, work environment, education, compensation, and career development.

Methods: Five task force working groups developed survey questions that explored 5 different aspects of a pediatric cardiac anesthesiologist's career. Surveys were completed by CCAS member faculty volunteers, division chiefs/directors of pediatric cardiac anesthesia programs, program directors of pediatric cardiac anesthesia fellowships, and fellowship graduates from the past 10 years.

Results: Survey completion rates were 77% (n = 86) for CCAS faculty, 52% (n = 58) for pediatric cardiac anesthesiology directors/division chiefs, 91% (n = 21) for pediatric cardiac anesthesiology fellowship directors, and 53% (n = 65) for 2013-2022 pediatric cardiac anesthesia fellowship graduates. Of CCAS faculty respondents, 31.4% (n = 27) are considering leaving pediatric cardiac anesthesia for a less stressful field. While most respondents reported being involved in academic activities, 34% (n = 29) do not receive nonclinical time. Only 35.3% (n = 30) of respondents receive formal mentorship and 44.7% (n = 38) of participants have been sponsored for leadership positions, research opportunities, or speaking engagements. The total number of anticipated hires in the next 5 years is 129; that number goes up to 194 in 10 years. The challenge in hiring was graded as 8/10 with 10 being the most challenging.

Conclusions: This survey provides important data about the current state of pediatric cardiac anesthesiology and the need to address staffing and academic support. With nearly one-third of those practicing in the field considering leaving the pediatric cardiac subspecialty and with the decreasing number of fellows per year, there is a significant cause for concern for staffing, especially when the demand for practitioners in this field is increasing. In addition, even though the majority of faculty reported being involved in academic activities, many do not receive academic time for these activities and less than half receive formal mentorship or have been sponsored for leadership positions, publications, research opportunities, or speaking engagements. Further work to recruit, retain, and develop pediatric cardiac anesthesiologists is warranted.

背景:先天性心脏病患者人数不断增加,但小儿心脏麻醉医师的供应却没有跟上。儿科麻醉领导委员会(PALC)和先天性心脏病麻醉学会(CCAS)成立了一个特别工作组来评估儿科心脏麻醉专业的现状,包括人员配备、工作环境、教育、薪酬和职业发展:方法:工作组的五个工作小组制定了调查问题,探讨了小儿心脏麻醉医师职业生涯的五个不同方面。CCAS成员中的教员志愿者、小儿心脏麻醉项目的科主任/主任、小儿心脏麻醉奖学金项目主任以及过去10年的奖学金毕业生完成了调查:CCAS教员的调查完成率为77%(n = 86),小儿心脏麻醉科主任/科主任的调查完成率为52%(n = 58),小儿心脏麻醉研究金主任的调查完成率为91%(n = 21),2013-2022年小儿心脏麻醉研究金毕业生的调查完成率为53%(n = 65)。在CCAS教职员工受访者中,31.4%(n = 27)正在考虑离开小儿心脏麻醉,去一个压力较小的领域。虽然大多数受访者表示参与了学术活动,但34%(n = 29)的受访者没有非临床时间。只有 35.3%(n = 30)的受访者接受过正式的导师指导,44.7%(n = 38)的参与者获得过领导职位、研究机会或演讲机会的赞助。未来 5 年的预期招聘总数为 129 人,10 年后将增至 194 人。招聘方面的挑战被评为 8/10,其中 10 分最具挑战性:这项调查提供了有关小儿心脏麻醉学现状以及解决人员配备和学术支持需求的重要数据。由于该领域近三分之一的从业人员考虑离开小儿心脏亚专科,而且每年的研究员人数不断减少,因此人员配备问题非常令人担忧,尤其是在该领域对从业人员的需求不断增加的情况下。此外,尽管大多数教职员工都表示参与了学术活动,但许多人并没有因为这些活动而获得学术时间,只有不到一半的教职员工获得了正式的指导,或在领导职位、出版物、研究机会或演讲活动方面获得了赞助。招聘、留住和培养儿科心脏麻醉医师的工作还需进一步努力。
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来源期刊
Anesthesia and analgesia
Anesthesia and analgesia 医学-麻醉学
CiteScore
9.90
自引率
7.00%
发文量
817
审稿时长
2 months
期刊介绍: Anesthesia & Analgesia exists for the benefit of patients under the care of health care professionals engaged in the disciplines broadly related to anesthesiology, perioperative medicine, critical care medicine, and pain medicine. The Journal furthers the care of these patients by reporting the fundamental advances in the science of these clinical disciplines and by documenting the clinical, laboratory, and administrative advances that guide therapy. Anesthesia & Analgesia seeks a balance between definitive clinical and management investigations and outstanding basic scientific reports. The Journal welcomes original manuscripts containing rigorous design and analysis, even if unusual in their approach.
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