The impact of home-based call on sleep patterns and wellness in genetics and metabolism physicians compared with subspecialists
Purpose: With increases in precision medicine initiatives and genetically defined rare diseases, the genetics and metabolism workforce is necessary to provide around-the-clock care for patients. Here, we describe the impact that home-based call has on the geneticist and metabolist workforce. Methods...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2024-01-01
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| Series: | Genetics in Medicine Open |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2949774424009658 |
| _version_ | 1797268931016130560 |
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| author | Kiley Boone Quintana Ilana Miller Debra S. Regier |
| author_facet | Kiley Boone Quintana Ilana Miller Debra S. Regier |
| author_sort | Kiley Boone Quintana |
| collection | DOAJ |
| description | Purpose: With increases in precision medicine initiatives and genetically defined rare diseases, the genetics and metabolism workforce is necessary to provide around-the-clock care for patients. Here, we describe the impact that home-based call has on the geneticist and metabolist workforce. Methods: Physicians from 3 populations were self-identified (pediatric subspecialist, geneticist, metabolist) and completed a survey regarding the impact of home-based call service on their sleep and wellness. Results: Estimated sleep while serving on home-based call was reduced from 7.5 to 5.4 hours per night. Safety concerns were noted by geneticists and metabolists for themselves (55%) and their families (28%), similar to other subspecialists. Geneticists and metabolists were more likely than other pediatric subspecialists to be worried about their patient’s safety while on home-based call (48% vs 9%). Themes from open-ended questions regarding the impact of home-call included positive responses, decreased access to wellness activities, sleep exhaustion, impact on life responsibility, and impact on mood. Reported coping mechanisms included work-based initiatives, off-loading personal responsibility, and creating personal accommodations. Conclusion: Institutional-based supports for home-based call were endorsed by only 29% of respondents; thus, interventions at the institutional level would be expected to have a large effect on overall provider wellness. |
| first_indexed | 2024-04-25T01:40:19Z |
| format | Article |
| id | doaj.art-afb2c2e9c0684efdb41bf04f813a3669 |
| institution | Directory Open Access Journal |
| issn | 2949-7744 |
| language | English |
| last_indexed | 2024-04-25T01:40:19Z |
| publishDate | 2024-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Genetics in Medicine Open |
| spelling | doaj.art-afb2c2e9c0684efdb41bf04f813a36692024-03-08T05:20:04ZengElsevierGenetics in Medicine Open2949-77442024-01-012101819The impact of home-based call on sleep patterns and wellness in genetics and metabolism physicians compared with subspecialistsKiley Boone Quintana0Ilana Miller1Debra S. Regier2Division of Pediatric Genetics, University of New Mexico, Albuquerque, NMGenetics and Metabolism, Children’s National Hospital, Washington, DCGenetics and Metabolism, Children’s National Hospital, Washington, DC; Correspondence and requests for materials should be addressed to Debra S. Regier, 7125 13th Place, NW, Washington DC 20012.Purpose: With increases in precision medicine initiatives and genetically defined rare diseases, the genetics and metabolism workforce is necessary to provide around-the-clock care for patients. Here, we describe the impact that home-based call has on the geneticist and metabolist workforce. Methods: Physicians from 3 populations were self-identified (pediatric subspecialist, geneticist, metabolist) and completed a survey regarding the impact of home-based call service on their sleep and wellness. Results: Estimated sleep while serving on home-based call was reduced from 7.5 to 5.4 hours per night. Safety concerns were noted by geneticists and metabolists for themselves (55%) and their families (28%), similar to other subspecialists. Geneticists and metabolists were more likely than other pediatric subspecialists to be worried about their patient’s safety while on home-based call (48% vs 9%). Themes from open-ended questions regarding the impact of home-call included positive responses, decreased access to wellness activities, sleep exhaustion, impact on life responsibility, and impact on mood. Reported coping mechanisms included work-based initiatives, off-loading personal responsibility, and creating personal accommodations. Conclusion: Institutional-based supports for home-based call were endorsed by only 29% of respondents; thus, interventions at the institutional level would be expected to have a large effect on overall provider wellness.http://www.sciencedirect.com/science/article/pii/S2949774424009658Home-based callMedical genetics physiciansPediatric subspecialtiesSleep deprivationWellness |
| spellingShingle | Kiley Boone Quintana Ilana Miller Debra S. Regier The impact of home-based call on sleep patterns and wellness in genetics and metabolism physicians compared with subspecialists Genetics in Medicine Open Home-based call Medical genetics physicians Pediatric subspecialties Sleep deprivation Wellness |
| title | The impact of home-based call on sleep patterns and wellness in genetics and metabolism physicians compared with subspecialists |
| title_full | The impact of home-based call on sleep patterns and wellness in genetics and metabolism physicians compared with subspecialists |
| title_fullStr | The impact of home-based call on sleep patterns and wellness in genetics and metabolism physicians compared with subspecialists |
| title_full_unstemmed | The impact of home-based call on sleep patterns and wellness in genetics and metabolism physicians compared with subspecialists |
| title_short | The impact of home-based call on sleep patterns and wellness in genetics and metabolism physicians compared with subspecialists |
| title_sort | impact of home based call on sleep patterns and wellness in genetics and metabolism physicians compared with subspecialists |
| topic | Home-based call Medical genetics physicians Pediatric subspecialties Sleep deprivation Wellness |
| url | http://www.sciencedirect.com/science/article/pii/S2949774424009658 |
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