In a new scientific statement, the American Heart Association (AHA) highlights the unique drivers of burnout in academic physicians of cardiovascular medicine and proposes individual and system-level interventions to support individual wellness in this setting.
the statement that Posted online September 19 in the newspaper circulation.
“The future cardiovascular health of Americans depends on a well-trained and experienced physician workforce created by rigorous academic medical training,” the writing group says.
“Cardiovascular physicians pursuing careers in academic medicine are critical to continuing this mission, which includes providing clinical care for common and increasingly complex diseases, educating and training the next generation of physicians/healthcare workers, and pursuing the discovery science and innovation to treat and cure disease,” write Elisa Bradley, Penn State Health Heart and Vascular Institute, Hershey, Pennsylvania, and coauthors.
Given the multitasking nature of academic medicine, burnout and burnout uniquely threaten early-career and future academic physicians, they say.
Drivers of burnout in this environment include productivity-driven compensation models that force competition for time between clinical care and academics; the requirement for promotion in systems that have not evolved to consider combined clinical and academic expectations; and different expectations based on the history of the faculty, such as grant funding and publications.
Additionally, at the early career and fellows in training (FIT) level, drivers of burnout also include significant changes in personal and family life, along with long hours and high clinical and research demands, as well as financial strain and educational debt. . .
A shared responsibility
Many of the drivers of burnout in academic medicine are external and beyond the control of any single individual. Therefore, the proposed solutions must be largely at the level of organizations, institutions and government, says the drafting group.
These solutions include proper mentoring, goal planning, workplace efficiency, time management and time “protection” and manageable schedules.
Professional satisfaction “must be a shared responsibility between the physician and the institution. Each must adapt their values to find a happy medium that meets the needs of both, recognizing that health care is both personal and business, ”says the writing group. .
“Interventions to support practice efficiency and a culture of wellness encompass standardization and support of flexible work environments to improve clinical support,” they add.
To improve flexible clinical environments, organizations should consider “floating teams” to provide gap-closing care when a doctor is unavailable, job sharing and flexible hours, and telemedicine, the writing group says.
At the individual level, academic cardiovascular professionals should develop individualized strategies to combat fatigue and promote wellness, focusing on self-care and healthy habits (adequate sleep, healthy nutrition, exercise, outside interests, meaningful social relationships), they advise.
With help, “young academic cardiologists can aspire to a long and fulfilling career in academic medicine,” they conclude.
This research had no commercial funding. Members of the writing group. p did not report any relevant financial conflict of interest.
circulation Published online on September 19, 2022. Text complete