Journal article
Impact of Stroke Call on the Stroke Neurology Workforce in the United States: Possible Challenges and Opportunities
Journal of stroke and cerebrovascular diseases, Vol.27(7), pp.2019-2025
07/2018
DOI: 10.1016/j.jstrokecerebrovasdis.2018.02.063
PMID: 29625799
Abstract
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.
This is a cross-sectional survey of a sample of US Neurologists providing acute stroke care.
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.”
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.
Details
- Title: Subtitle
- Impact of Stroke Call on the Stroke Neurology Workforce in the United States: Possible Challenges and Opportunities
- Creators
- Edgar J Kenton - Geisinger Health System, Department of Neurology, Danville, PennsylvaniaAntonio Culebras - SUNY Upstate Medical University, Department of Neurology, Syracuse, New YorkPierre B Fayad - University of Nebraska Medical Center, Department of Neurology, Omaha, NebraskaLarry B Goldstein - University of Kentucky College of Medicine, Department of Neurology, Lexington, KentuckyBrian Kaskie - University of Iowa College of Public Health, Iowa City, IowaEnrique C Leira - University of Iowa College of Public Health, Iowa City, IowaHelmi L Lutsep - Oregon Health & Science University, Department of Neurology, Portland, OregonLawrence R Wechsler - University of Pittsburgh School of Medicine, Department of Neurology, Pittsburgh, PennsylvaniaJosé Biller - Loyola University School of Medicine, Department of Neurology, Chicago, IllinoisIrene L Katzan - Cleveland Clinic Foundation, Department of Neurology, Cleveland, OhioJames C Stevens - Fort Wayne Neurological Center, Fort Wayne, IndianaDavid Z Wang - University of Illinois College of Medicine, Department of Neurology, Chicago, IllinoisNellie Adams - American Academy of Neurology, Minneapolis, MinnesotaCarolyn Cahill - American Academy of Neurology, Minneapolis, Minnesota
- Resource Type
- Journal article
- Publication Details
- Journal of stroke and cerebrovascular diseases, Vol.27(7), pp.2019-2025
- DOI
- 10.1016/j.jstrokecerebrovasdis.2018.02.063
- PMID
- 29625799
- NLM abbreviation
- J Stroke Cerebrovasc Dis
- ISSN
- 1052-3057
- eISSN
- 1532-8511
- Publisher
- Elsevier Inc
- Grant note
- name: AAN Stroke & Vascular Neurology Section; name: AAN Stroke Systems Work Group
- Language
- English
- Date published
- 07/2018
- Academic Unit
- Neurology; Health Management and Policy; Epidemiology; Iowa Neuroscience Institute; Neurosurgery
- Record Identifier
- 9984070300702771
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