TY - JOUR
T1 - Impact of Stroke Call on the Stroke Neurology Workforce in the United States
T2 - Possible Challenges and Opportunities
AU - Kenton, Edgar J.
AU - Culebras, Antonio
AU - Fayad, Pierre B.
AU - Goldstein, Larry B.
AU - Kaskie, Brian
AU - Leira, Enrique C.
AU - Lutsep, Helmi L.
AU - Wechsler, Lawrence R.
AU - Biller, José
AU - Katzan, Irene L.
AU - Stevens, James C.
AU - Wang, David Z.
AU - Adams, Nellie
AU - Cahill, Carolyn
N1 - Publisher Copyright:
© 2018 National Stroke Association
PY - 2018/7
Y1 - 2018/7
N2 - Background: The Stroke & Vascular Neurology Section of the American Academy of Neurology was charged to identify challenges to the recruitment and retention of stroke neurologists and to make recommendations to address any identified problems. The Section initiated this effort by determining the impact of stroke on-call requirements as a barrier to the recruitment and retention of vascular neurologists. Methods: This is a cross-sectional survey of a sample of US Neurologists providing acute stroke care. Results: Of the 900 neurologists who were sent surveys, 313 (35%) responded. Of respondents from institutions providing stroke coverage, 71% indicated that general neurologists and 45% indicated that vascular neurologists provided that service. Of those taking stroke call, 36% agreed with the statement, “I spent too much time on stroke call,” a perception that was less common among those who took less than 12-hour shifts (P <.0001); 21% who participated in stroke call were dissatisfied with their current job. Forty-six percent indicated that their stroke call duties contributed to their personal feeling of “burnout.” Conclusions: Although the reasons are likely multifactorial, our survey of neurologists providing stroke care suggests that over-burdensome on-call responsibilities may be contributing to the vascular neurology workforce burnout and could be affecting recruitment and retention of vascular neurologists. Strategies to reduce the lifestyle impact of stroke call may help address this problem.
AB - Background: The Stroke & Vascular Neurology Section of the American Academy of Neurology was charged to identify challenges to the recruitment and retention of stroke neurologists and to make recommendations to address any identified problems. The Section initiated this effort by determining the impact of stroke on-call requirements as a barrier to the recruitment and retention of vascular neurologists. Methods: This is a cross-sectional survey of a sample of US Neurologists providing acute stroke care. Results: Of the 900 neurologists who were sent surveys, 313 (35%) responded. Of respondents from institutions providing stroke coverage, 71% indicated that general neurologists and 45% indicated that vascular neurologists provided that service. Of those taking stroke call, 36% agreed with the statement, “I spent too much time on stroke call,” a perception that was less common among those who took less than 12-hour shifts (P <.0001); 21% who participated in stroke call were dissatisfied with their current job. Forty-six percent indicated that their stroke call duties contributed to their personal feeling of “burnout.” Conclusions: Although the reasons are likely multifactorial, our survey of neurologists providing stroke care suggests that over-burdensome on-call responsibilities may be contributing to the vascular neurology workforce burnout and could be affecting recruitment and retention of vascular neurologists. Strategies to reduce the lifestyle impact of stroke call may help address this problem.
KW - Stroke
KW - burnout
KW - lifestyle
KW - stroke call
KW - vascular neurologist
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U2 - 10.1016/j.jstrokecerebrovasdis.2018.02.063
DO - 10.1016/j.jstrokecerebrovasdis.2018.02.063
M3 - Article
C2 - 29625799
AN - SCOPUS:85044750914
SN - 1052-3057
VL - 27
SP - 2019
EP - 2025
JO - Journal of Stroke and Cerebrovascular Diseases
JF - Journal of Stroke and Cerebrovascular Diseases
IS - 7
ER -