Survey of in-house coverage by pediatric intensivists: characterization of 24/7 in-hospital pediatric critical care faculty coverage*.
Journal Article
Objective
To characterize the current state of 24/7 in-hospital pediatric intensivist coverage in academic PICUs, including perceptions of faculty and trainees regarding the advantages and disadvantages of in-hospital coverage.Design
Cross-sectional observational study via web-based survey.Setting
PICUs at North American academic institutions.Subjects
Pediatric intensivists, pediatric critical care fellows, and pediatric residents.Interventions
None.Measurements and main results
A total of 1,323 responses were received representing a center response rate of 74% (147 of 200). Ninety percent of respondents stated that in-hospital coverage is good for patient care, and 85% stated that in-hospital coverage provides safer care. Sixty-three percent of intensivists stated that working in in-hospital models limits academic productivity, and 65% stated that in-hospital models interfere with nonclinical responsibilities. When compared with intensivists in home coverage models, intensivists working in in-hospital models generally had more favorable perceptions of the effects of in-hospital on patient care (p < 0.0001) and faculty quality of life. Physician burnout was measured with the abbreviated Maslach Burnout Inventory. Although 57% of intensivists responded that working in in-hospital models increases burnout risk, burnout scores were not different between coverage models. Seventy-nine percent of intensivists currently working at institutions with in-hospital coverage stated that they would prefer to work in an in-hospital coverage model, compared with 31% of those working in a home coverage model (p < 0.0001).Conclusions
Although concerns exist regarding the effect of 24/7 in-hospital coverage on faculty, the majority of pediatric intensivists and critical care trainees responded that in-hospital coverage by intensivists is good for patient care. The majority of intensivists also state that they would prefer to work at an institution with in-hospital coverage. Further research is needed to objectively delineate the effects of in-hospital coverage on both patients and faculty.Full Text
Duke Authors
Cited Authors
- Rehder, KJ; Cheifetz, IM; Markovitz, BP; Turner, DA; Pediatric Acute Lung Injury and Sepsis Investigators Network,
Published Date
- February 2014
Published In
Volume / Issue
- 15 / 2
Start / End Page
- 97 - 104
PubMed ID
- 24366511
Pubmed Central ID
- 24366511
International Standard Serial Number (ISSN)
- 1529-7535
Digital Object Identifier (DOI)
- 10.1097/pcc.0000000000000032
Language
- eng