Academic neonatologist-a species at the brink of extinction?

Autor: Bishop CE; Department of Pediatrics, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA. Bishopce@upmc.edu., Machut KZ; Department of Pediatrics, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA., Dammann CEL; Department of Pediatrics, Tufts Medical Center, Boston, MA, USA., Cuevas Guaman M; Department of Pediatrics, Division of Neonatology, Texas Children's Hospital, Baylor College of Medicine, Houston, TX, USA., Miller ER; Department of Pediatrics, Division of Neonatology, and Perinatal Institute, Children's Hospital Medical Center, University of Cincinnati College of Medicine, Cincinnati, OH, USA., Lakshminrusimha S; Department of Pediatrics, UC Davis, Sacramento, CA, USA.
Jazyk: angličtina
Zdroj: Journal of perinatology : official journal of the California Perinatal Association [J Perinatol] 2023 Dec; Vol. 43 (12), pp. 1526-1529. Date of Electronic Publication: 2023 Oct 23.
DOI: 10.1038/s41372-023-01803-4
Abstrakt: Neonatology is a field that is currently facing many challenges. These challenges include outdated work models in clinical environments with increasing acuity and patient workloads, physician burnout exacerbated by gender inequity and the recent COVID-19 pandemic, and inappropriate metrics to measure clinical productivity. Academic neonatologists have additional missions that include research, teaching, and scholarly productivity in the setting of an increasing clinical workload and reduced time and support for teaching and research. Within the university-based practice setting, reimbursement, and salary structure result in relatively low compensation for neonatologist clinical productivity and time. These challenges threaten the sustainability of academic neonatology as a field. Working towards potential solutions such as creation of sustainable, transparent work models, and aligned funds flow within university-based settings is imperative.
(© 2023. The Author(s), under exclusive licence to Springer Nature America, Inc.)
Databáze: MEDLINE
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