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Global Cardiac Anesthesia Workforce Assessment: A Cross-Sectional Observational Survey Study
Alexander J C Mittnacht1, Carolina S Romero Garcia2, Joshua B Cadwell3
1Department of Anesthesiology, New York Medical College, Westchester Medical Center, Valhalla, NY.
A global survey reveals significant variations in cardiac anesthesiologist training and work environments worldwide. High burnout rates (31.7%) are linked to long work hours and inadequate compensation, prompting many to seek changes for better work-life balance.
Area of Science:
- Cardiology
- Anesthesiology
- Global Health Workforce Studies
Background:
- Cardiac anesthesiology is a specialized field with a global workforce.
- Understanding the demographics, training, and work environment is crucial for professional development and patient care.
Purpose of the Study:
- To assess the global demographics, training background, practice setting, and work environment of cardiac anesthesiologists.
- To identify factors contributing to burnout and work-life balance challenges in this profession.
Main Methods:
- A cross-sectional, multilingual web-based survey was conducted globally from June to December 2023.
- The survey targeted anesthesiologists actively practicing cardiac anesthesia, using non-probabilistic and snowball sampling techniques.
- Data were collected on demographics, training, work hours, compensation, work-life balance, and burnout (emotional exhaustion).
Main Results:
- 3,430 participants from 99 countries responded, revealing significant regional differences in training and demographics.
- A high percentage reported informal training (42.7%) and lack of formal transesophageal echocardiography training (44.6%).
- Burnout prevalence was 31.7%, associated with increased work hours, call frequency, and inadequate compensation, while older age and better work-life balance mitigated risk.
Conclusions:
- The global cardiac anesthesia workforce exhibits considerable heterogeneity in training and practice conditions.
- High burnout rates and dissatisfaction with compensation and work-life balance are prevalent.
- Many cardiac anesthesiologists desire changes to improve their professional lives and well-being.
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