ATS scholar最新文献

{"title":"Resident Physician Burnout in the Medical Intensive Care Unit: A Prospective, Mixed-Methods Study.","authors":"Hitesh H Patel, Jean-Luc Banks, Arianna Michaels, Bex Forcier, Kenton Dover, Rimma Osipov, Christina Orantes, Emma Thompson, R Jean Cadigan, Arlene M Davis, Kunal P Patel","doi":"10.34197/ats-scholar.2025-0008OC","DOIUrl":"https://doi.org/10.34197/ats-scholar.2025-0008OC","url":null,"abstract":"<p><p><b>Background:</b> Burnout, characterized by emotional exhaustion, depersonalization, and a reduced sense of personal accomplishment, negatively affects resident physicians and patients. Although burnout is common among intensive care unit (ICU) healthcare workers, data on its impact on resident physicians during their medical ICU (MICU) rotations are limited. <b>Objective:</b> This study aimed to determine the prevalence, key drivers, and mitigating factors for burnout among resident physicians rotating through the MICU. <b>Methods:</b> We conducted a single-center, mixed-methods prospective cohort study in the MICU of an academic quaternary care hospital. Over the course of a 9-month period, we surveyed residents at the end of their MICU rotation and assessed the prevalence of burnout using the Maslach Burnout Inventory, as well as perceived drivers and mitigators of burnout. Focus groups were conducted to further explore internal medicine (IM) residents' perceptions of drivers and mitigators of MICU-related burnout. <b>Results:</b> Forty-nine residents completed the survey (80% response rate), and 25 IM residents participated in focus groups. The overall burnout prevalence was 88%. Although not statistically significant, higher burnout rates were observed among first-year residents (94% vs. 78%; <i>P</i> = 0.12) and non-IM residents (100% vs. 81%; <i>P</i> = 0.07). Fifty-three percent of residents believed that there was more burnout in the MICU than other ICU rotations. Three themes emerged as drivers of burnout: patient factors (high acuity, adverse outcomes, ethical dilemmas), team and unit dynamics (interdisciplinary tensions, MICU insider-outsider bias), and the clinical learning environment (limited work-life balance, steep learning curve, normalization of burnout). The primary mitigating factors were meaningful patient interactions, supportive team dynamics, structured debriefing, protected time, and focused skill development. <b>Conclusion:</b> Burnout in residents rotating through the MICU is extremely high, higher than the previously reported baseline resident burnout rate of 50-75%. First-year and non-IM residents may be especially vulnerable because of unfamiliarity with the unique team and unit dynamics and clinical learning environment of the MICU (high acuity, high intensity, frequent exposure to dying patients, and unit insider-outsider bias). This study highlights unique factors, which contribute to burnout among MICU residents, that differ from those affecting other critical care staff and could be addressed through targeted interventions.</p>","PeriodicalId":72330,"journal":{"name":"ATS scholar","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145202198","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pulmonary Hypertension Associated with Interstitial Lung Disease: Screening and Epidemiology.","authors":"Cedric Rutland, Chase S Hall, Nicholas A Kolaitis, Tejaswini Kulkarni, Lisa H Lancaster, Manisit Das, Eric Shen, Brittany N J Davis, Steven D Nathan","doi":"10.34197/ats-scholar.2024-0135VO","DOIUrl":"https://doi.org/10.34197/ats-scholar.2024-0135VO","url":null,"abstract":"","PeriodicalId":72330,"journal":{"name":"ATS scholar","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145202215","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Did COVID-19 Curb Residents' Enthusiasm for Pulmonary Disease and Critical Care Medicine/Critical Care Medicine Fellowships?","authors":"Zachary B Strumpf, Maroun Matta","doi":"10.34197/ats-scholar.2024-0121CM","DOIUrl":"https://doi.org/10.34197/ats-scholar.2024-0121CM","url":null,"abstract":"","PeriodicalId":72330,"journal":{"name":"ATS scholar","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145202254","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Interprofessional Mechanical Ventilation Education for Critical Care Trainees: A Pilot Curriculum.","authors":"Deepa Ramadurai, Kathryn Flack, Ling Wu, Sara Kass-Gergi, Janae Heath, Mary Elizabeth Kreider, C Jessica Dine, Katharine Secunda","doi":"10.34197/ats-scholar.2024-0154BR","DOIUrl":"10.34197/ats-scholar.2024-0154BR","url":null,"abstract":"","PeriodicalId":72330,"journal":{"name":"ATS scholar","volume":" ","pages":"292-298"},"PeriodicalIF":1.9,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12503046/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144765852","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Beyond Evaluation: Resisting Quantification in the Medical Humanities.","authors":"Andrew Helmers, Lydia Healy, Briseida Mema","doi":"10.34197/ats-scholar.2025-0046LE","DOIUrl":"10.34197/ats-scholar.2025-0046LE","url":null,"abstract":"","PeriodicalId":72330,"journal":{"name":"ATS scholar","volume":"6 3","pages":"384-386"},"PeriodicalIF":1.9,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12503038/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145194005","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Out of Control.","authors":"Deepa Ramadurai","doi":"10.34197/ats-scholar.2024-0155SN","DOIUrl":"10.34197/ats-scholar.2024-0155SN","url":null,"abstract":"","PeriodicalId":72330,"journal":{"name":"ATS scholar","volume":" ","pages":"381-383"},"PeriodicalIF":1.9,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12503039/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144251086","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reply to Helmers <i>et al.</i>: Beyond Evaluation: Resisting Quantification in the Medical Humanities.","authors":"Matthew R Dettmer, Nicole Robinson, Neal F Chaisson, Gaurav U Manek, Rendell W Ashton","doi":"10.34197/ats-scholar.2025-0107LE","DOIUrl":"10.34197/ats-scholar.2025-0107LE","url":null,"abstract":"","PeriodicalId":72330,"journal":{"name":"ATS scholar","volume":"6 3","pages":"387-388"},"PeriodicalIF":1.9,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12503045/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145194013","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sleep Deprivation During Clerkship: Hidden Curriculum or Educational Gap?","authors":"Morgan Soffler","doi":"10.34197/ats-scholar.2025-0103ED","DOIUrl":"10.34197/ats-scholar.2025-0103ED","url":null,"abstract":"","PeriodicalId":72330,"journal":{"name":"ATS scholar","volume":"6 3","pages":"261-263"},"PeriodicalIF":1.9,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12503043/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145194077","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Critical Care Fellows' Training Experiences with Obstetric Critical Care: A Cross-Sectional Survey.","authors":"Jessica Zimo, Neelima Navuluri, Deepshikha C Ashana, Catherine Chen, Hayley B Gershengorn, Rachel Kohn, Emily A Vail, Nandita R Nadig, Katrina E Hauschildt, Kelly C Vranas, Elizabeth M Viglianti","doi":"10.34197/ats-scholar.2024-0127BR","DOIUrl":"10.34197/ats-scholar.2024-0127BR","url":null,"abstract":"","PeriodicalId":72330,"journal":{"name":"ATS scholar","volume":" ","pages":"280-286"},"PeriodicalIF":1.9,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12503044/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144700471","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Feasibility of a Shock Simulation with Ultrasound Curriculum.","authors":"Sarah J Lee, Sammar Alsunaid, Shyam Ganti, Navin Durairajan, Abdelaziz Mohamed, Aryan Shiari, Divya Venkat, Abdulghani Sankari","doi":"10.34197/ats-scholar.2024-0054BR","DOIUrl":"10.34197/ats-scholar.2024-0054BR","url":null,"abstract":"","PeriodicalId":72330,"journal":{"name":"ATS scholar","volume":" ","pages":"287-291"},"PeriodicalIF":1.9,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12505356/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144980502","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}