Burnout and Well-Being Among Cardiology Fellowship Program Directors

Cullen, Michael W.; Damp, Julie B.; Soukoulis, Victor; Keating, Friederike K.; Abudayyeh, Islam; Auseon, Alex J.; Bhakta, Deepak; Qasim, Atif; Seryak, Audrey; Smith, Sakima A.; Tam, Marty; Theriot, Paul; Weissman, Gaby

doi:10.1016/j.jacc.2021.08.034

Cited by 11 publications

(3 citation statements)

References 17 publications

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“…Studies suggest that the retention of program directors is related to life-enriching work experiences such as counseling struggling residents, managing programs during traumatic circumstances, and overseeing residents from recruitment to board certification ( Yager et al , 2022 ). However, it is common to enjoy working closely with residents while simultaneously feeling burnt out from administrative obligations ( Cullen et al , 2021 ; De Golia et al , 2022 ). Trading administrative headaches for professional goals may have been acceptable at the start of your tenure, but does it remain so now?…”

Section: Tipsmentioning

confidence: 99%

Practical tips for navigating a program director transition

Gisondi¹,

Hopson²,

Regan³

et al. 2023

MedEdPublish

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Residency and fellowship program directors profoundly impact trainees, institutions, and patient safety. Yet, there is concern for rapid attrition in the role. The average program director tenure is only 4-7 years, and that timeline is likely a result of burnout or opportunities for career advancement. Program director transitions must be carefully executed to ensure minimal disruption to the program. Transitions benefit from clear communication with trainees and other stakeholders, well-planned successions or searches for a replacement, and clearly delineated expectations and responsibilities of the outgoing program director. In this Practical Tips, four former residency program directors offer a roadmap for a successful program director transition, with specific recommendations to guide critical decisions and steps in the process. Themes emphasized include readiness for a transition, communication strategies, alignment of program mission and search efforts, and anticipatory support to ensure the success of the new director.

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Section: Tipsmentioning

confidence: 99%

Practical tips for navigating a program director transition

Gisondi¹,

Hopson²,

Regan³

et al. 2023

MedEdPublish

View full text Add to dashboard Cite

show abstract

“…Program size was divided into small (1–10 fellows), medium (11–17 fellows), and large (≥18 fellows) similar to previous studies that have looked at cardiovascular disease fellowship programs. 13 …”

Section: Methodsmentioning

confidence: 99%

Impact of Virtual Interviewing on Geographic Placement for Cardiology Fellowship Recruitment

Hasnie

Estrada

et al. 2022

JAHA

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Background Virtual interviewing for cardiology fellowship was instituted in the 2021 fellowship application cycle because of the COVID‐19 pandemic and restricted travel. The impact on geographic patterns of fellow‐training program matching is unknown. This study sought to determine if there was a difference in geographic placement of matched fellows for cardiology fellowship match after initiation of virtual interviews compared with in‐person interviewing. Methods and Results All US‐based accredited cardiovascular disease fellowship programs that participated in the 2019 to 2021 fellowship match cycles and had publicly available data with fellowship and residency training locations and training year were included. Each fellow was categorized based on whether their fellowship and residency programs were in the same institution, same state, same US census region, or different census region. Categories were mutually exclusive. Of 236 eligible programs, 118 (50%) programs were identified, composed of 1787 matched fellows. Compared with the previrtual cohort (n=1178 matched fellows), there was no difference in the geographic placement during the 2021 virtual cycle (n=609 matched fellows) ( P =0.19), including the proportion matched at the same program (30.6% versus 31.5%), same state but different program (13% versus 13.8%), same region but different state (24.2% versus 19.7%), or different region (35% versus 33.1%). There was also no difference when stratified by program size or geographic region. Conclusions The use of virtual interviewing in the 2021 cardiology fellowship application cycle showed no significant difference in the geographic placement of matched fellows compared with in‐person interviewing. Further study is needed to evaluate the impact of virtual interviewing and optimize its use in fellowship recruitment.

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“…These rates have only increased from prepandemic levels [135]. A population-based survey found that U.S. physicians experiencing burnout had more than twice the odds of self-reported medical errors [136,137], which are associated with physical and emotional impacts, loss of trust, and avoidance of healthcare [138]. Clinician burnout can also lead to decreased patient satisfaction, increased disruptive behavior, a loss of professionalism, and a decreased level of empathy [139,140].…”

Section: Additional Challenges-clinician Burnoutmentioning

confidence: 99%

Challenges and Burdens in the Coronary Artery Disease Care Pathway for Patients Undergoing Percutaneous Coronary Intervention: A Contemporary Narrative Review

Kodeboina

Piayda

Jenniskens

et al. 2023

IJERPH

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Clinical and economic burdens exist within the coronary artery disease (CAD) care pathway despite advances in diagnosis and treatment and the increasing utilization of percutaneous coronary intervention (PCI). However, research presenting a comprehensive assessment of the challenges across this pathway is scarce. This contemporary review identifies relevant studies related to inefficiencies in the diagnosis, treatment, and management of CAD, including clinician, patient, and economic burdens. Studies demonstrating the benefits of integration and automation within the catheterization laboratory and across the CAD care pathway were also included. Most studies were published in the last 5–10 years and focused on North America and Europe. The review demonstrated multiple potentially avoidable inefficiencies, with a focus on access, appropriate use, conduct, and follow-up related to PCI. Inefficiencies included misdiagnosis, delays in emergency care, suboptimal testing, longer procedure times, risk of recurrent cardiac events, incomplete treatment, and challenges accessing and adhering to post-acute care. Across the CAD pathway, this review revealed that high clinician burnout, complex technologies, radiation, and contrast media exposure, amongst others, negatively impact workflow and patient care. Potential solutions include greater integration and interoperability between technologies and systems, improved standardization, and increased automation to reduce burdens in CAD and improve patient outcomes.

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Burnout and Well-Being Among Cardiology Fellowship Program Directors

Cited by 11 publications

References 17 publications

Practical tips for navigating a program director transition

Practical tips for navigating a program director transition

Impact of Virtual Interviewing on Geographic Placement for Cardiology Fellowship Recruitment

Challenges and Burdens in the Coronary Artery Disease Care Pathway for Patients Undergoing Percutaneous Coronary Intervention: A Contemporary Narrative Review

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