Impact of the Corona Virus Disease 2019 Pandemic on Hepatology Practice and Provider Burnout
The corona virus disease 2019 (COVID‐19) pandemic has had a wide‐ranging impact on the clinical practice of medicine and emotional well‐being of providers. Our aim was to determine the impact of the COVID‐19 pandemic on practice and burnout among hepatology providers. From February to March 2021, we...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Health/LWW
2022-05-01
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| Series: | Hepatology Communications |
| Online Access: | https://doi.org/10.1002/hep4.1870 |
| _version_ | 1797716098086338560 |
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| author | Mark W. Russo Ryan Kwok Marina Serper Nneka Ufere Bilal Hameed Jaime Chu Elizabeth Goacher John Lingerfelt Norah Terrault K. Rajender Reddy |
| author_facet | Mark W. Russo Ryan Kwok Marina Serper Nneka Ufere Bilal Hameed Jaime Chu Elizabeth Goacher John Lingerfelt Norah Terrault K. Rajender Reddy |
| author_sort | Mark W. Russo |
| collection | DOAJ |
| description | The corona virus disease 2019 (COVID‐19) pandemic has had a wide‐ranging impact on the clinical practice of medicine and emotional well‐being of providers. Our aim was to determine the impact of the COVID‐19 pandemic on practice and burnout among hepatology providers. From February to March 2021, we conducted an electronic survey of American Association for the Study of Liver Diseases (AASLD) members who were hepatologists, gastroenterologists, and advanced practice providers (APPs). The survey included 26 questions on clinical practice and emotional well‐being derived from validated instruments. A total of 230 eligible members completed the survey as follows: 107 (47%) were adult transplant hepatologists, 43 (19%) were adult general hepatologists, 14 (6%) were adult gastroenterologists, 11 (5%) were pediatric hepatologists, 45 (19%) were APPs, and 9 (4%) were other providers. We found that 69 (30%) experienced a reduction in compensation, 92 (40%) experienced a reduction in staff, and 9 (4%) closed their practice; 100 (43%) respondents reported experiencing burnout. In univariate analysis, burnout was more frequently reported in those ≤55 years old (odds ratio [OR], 2.2; 95% confidence interval [CI], 1.2‐4.2), women (OR, 2.2; 95% CI, 1.3‐3.7), nontransplant hepatology (OR, 2.0; 95% CI, 1.1‐3.3), APPs (OR, 2.7; 95% CI, 1.4‐5.1), and those less than 10 years in practice (OR, 1.9; 95% CI, 1.1‐3.3). In multivariable analysis, only age ≤55 years was associated with burnout (OR, 2.3; 95% CI, 1.1‐4.8). The most common ways the respondents suggested the AASLD could help was through virtual platforms for networking, mentoring, and coping with the changes in practice due to the COVID‐19 pandemic. Conclusion: The COVID‐19 pandemic has had a substantial impact on the clinical practice of hepatology as well as burnout and emotional well‐being. Women, APPs, and early and mid‐career clinicians more frequently reported burnout. Identified strategies to cope with burnout include virtual platforms to facilitate networking and mentoring. |
| first_indexed | 2024-03-12T08:16:30Z |
| format | Article |
| id | doaj.art-161d240aa76e45ae8e59324b4605cd07 |
| institution | Directory Open Access Journal |
| issn | 2471-254X |
| language | English |
| last_indexed | 2024-03-12T08:16:30Z |
| publishDate | 2022-05-01 |
| publisher | Wolters Kluwer Health/LWW |
| record_format | Article |
| series | Hepatology Communications |
| spelling | doaj.art-161d240aa76e45ae8e59324b4605cd072023-09-02T18:51:00ZengWolters Kluwer Health/LWWHepatology Communications2471-254X2022-05-01651236124710.1002/hep4.1870Impact of the Corona Virus Disease 2019 Pandemic on Hepatology Practice and Provider BurnoutMark W. Russo0Ryan Kwok1Marina Serper2Nneka Ufere3Bilal Hameed4Jaime Chu5Elizabeth Goacher6John Lingerfelt7Norah Terrault8K. Rajender Reddy9Division of Hepatology Atrium Health Wake Forest School of Medicine Charlotte NC USAUniformed Services University Bethesda MD USADivision of Gastroenterology and Hepatology University of Pennsylvania Perelman School of Medicine Philadelphia PA USADivision of Gastroenterology Department of Medicine Massachusetts General Hospital Boston MA USADivision of Gastroenterology and Hepatology University of California San Francisco School of Medicine San Francisco CA USADivision of Pediatric Hepatology Icahn School of Medicine at Mount Sinai New York NY USADivision of Gastroenterology Duke University School of Medicine Durham NC USAAmerican Association for the Study of Liver Diseases Alexandria VA USADivision of Gastroenterology and Liver Keck Medicine at University of Southern California Los Angeles CA USADivision of Gastroenterology and Hepatology University of Pennsylvania Perelman School of Medicine Philadelphia PA USAThe corona virus disease 2019 (COVID‐19) pandemic has had a wide‐ranging impact on the clinical practice of medicine and emotional well‐being of providers. Our aim was to determine the impact of the COVID‐19 pandemic on practice and burnout among hepatology providers. From February to March 2021, we conducted an electronic survey of American Association for the Study of Liver Diseases (AASLD) members who were hepatologists, gastroenterologists, and advanced practice providers (APPs). The survey included 26 questions on clinical practice and emotional well‐being derived from validated instruments. A total of 230 eligible members completed the survey as follows: 107 (47%) were adult transplant hepatologists, 43 (19%) were adult general hepatologists, 14 (6%) were adult gastroenterologists, 11 (5%) were pediatric hepatologists, 45 (19%) were APPs, and 9 (4%) were other providers. We found that 69 (30%) experienced a reduction in compensation, 92 (40%) experienced a reduction in staff, and 9 (4%) closed their practice; 100 (43%) respondents reported experiencing burnout. In univariate analysis, burnout was more frequently reported in those ≤55 years old (odds ratio [OR], 2.2; 95% confidence interval [CI], 1.2‐4.2), women (OR, 2.2; 95% CI, 1.3‐3.7), nontransplant hepatology (OR, 2.0; 95% CI, 1.1‐3.3), APPs (OR, 2.7; 95% CI, 1.4‐5.1), and those less than 10 years in practice (OR, 1.9; 95% CI, 1.1‐3.3). In multivariable analysis, only age ≤55 years was associated with burnout (OR, 2.3; 95% CI, 1.1‐4.8). The most common ways the respondents suggested the AASLD could help was through virtual platforms for networking, mentoring, and coping with the changes in practice due to the COVID‐19 pandemic. Conclusion: The COVID‐19 pandemic has had a substantial impact on the clinical practice of hepatology as well as burnout and emotional well‐being. Women, APPs, and early and mid‐career clinicians more frequently reported burnout. Identified strategies to cope with burnout include virtual platforms to facilitate networking and mentoring.https://doi.org/10.1002/hep4.1870 |
| spellingShingle | Mark W. Russo Ryan Kwok Marina Serper Nneka Ufere Bilal Hameed Jaime Chu Elizabeth Goacher John Lingerfelt Norah Terrault K. Rajender Reddy Impact of the Corona Virus Disease 2019 Pandemic on Hepatology Practice and Provider Burnout Hepatology Communications |
| title | Impact of the Corona Virus Disease 2019 Pandemic on Hepatology Practice and Provider Burnout |
| title_full | Impact of the Corona Virus Disease 2019 Pandemic on Hepatology Practice and Provider Burnout |
| title_fullStr | Impact of the Corona Virus Disease 2019 Pandemic on Hepatology Practice and Provider Burnout |
| title_full_unstemmed | Impact of the Corona Virus Disease 2019 Pandemic on Hepatology Practice and Provider Burnout |
| title_short | Impact of the Corona Virus Disease 2019 Pandemic on Hepatology Practice and Provider Burnout |
| title_sort | impact of the corona virus disease 2019 pandemic on hepatology practice and provider burnout |
| url | https://doi.org/10.1002/hep4.1870 |
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