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Abstract Number: 1483

Pediatric Rheumatologists’ Perceptions of Career Satisfaction, Confidence in Fulfilling Their Roles, and Burn-out

Lakshmi N. Moorthy1, Rayfel Schneider2, Meredith Riebschleger3, Eyal Muscal4, Marisa S. Klein-Gitelman5, B. Anne Eberhard6, Polly J. Ferguson7, Kelly A. Rouster-Stevens8, Hermine I. Brunner9, Sampath Prahalad8 and Peter A. Nigrovic10, 1Pediatric Rheumatology, Rutgers-Robert Wood Johnson Medical School, New Brunswick, NJ, 2Division of Rheumatology, The Hospital for Sick Children and University of Toronto, Toronto, ON, Canada, 3Pediatric Rheumatology & Health Services Research, University of Michigan, Ann Arbor, MI, 4Pediatric Rheumatology, Baylor College of Medicine, Texas Children's Hospital, Houston, TX, 5Division of Rheumatology, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, IL, 6Schneider Children's Hospital, New Hyde Park, NY, 7Dept of Pediatrics--Rheum, University of Iowa, Iowa City, IA, 8Emory University School of Medicine and Children's Healthcare of Atlanta, Atlanta, GA, 9Cincinnati Child Hospital Medical Center (CCHMC) Division of Rheumatology, Cincinnati, OH, 10Department of Medicine, Division of Rheumatology, Immunology and Allergy, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA

Meeting: 2015 ACR/ARHP Annual Meeting

Date of first publication: September 29, 2015

Keywords: Career

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Session Information

Date: Monday, November 9, 2015

Title: Pediatric Rheumatology - Clinical and Therapeutic Aspects Posters. Juvenile Arthritis and Miscellaneous Rheumatic Diseases

Session Type: ACR Poster Session B

Session Time: 9:00AM-11:00AM

Background/Purpose: Mentoring usually targets academic advancement in medicine, but it may also foster success in non-academic aspects of professional life, such as work-life balance.  The American College of Rheumatology (ACR) and the Childhood Arthritis & Rheumatology Research Alliance (CARRA) developed the ACR/CARRA Mentoring Interest Group (AMIGO) in 2011 to foster mentoring in pediatric rheumatology. We assessed pre-AMIGO measures of career satisfaction in pediatric rheumatology, including career aspirations, confidence with professional tasks, and self-reported burn-out.

Methods: Internet-based survey of US and Canadian pediatric rheumatologists in 2011, before AMIGO implementation.

Results: Respondents included 277 pediatric rheumatologists, estimated at >75% of pediatric rheumatologists in the US and Canada. Of 129 who responded to the question about their “ideal job,” 81% indicated that the ideal job included doing “primarily clinical work”; 61% reported it included “mentoring in clinic”; 57% reported “research,” 20% reported “mentoring in research,” and 5% reported “administration.”    About 50% responded that they were likely to obtain their ideal job.

Of the198 who responded to questions about confidence in work-related tasks, most respondents stated they were quite/extremely confident about advocating for patients, contributing to educational programs and meeting clinical productivity goals (Table 1).  Most reported being somewhat/slightly/not at all confident in accessing grant funding, working with industry, achieving work-life balance, advocating for themselves at work, and managing their practices (Table1).  Of 190 who responded to questions about burn out, 31% reported burn out at work at least once a week.   

Conclusion: Most pediatric rheumatologists feel confident about meeting their clinical and educational responsibilities but a significant proportion have concerns about their ability to obtain grants, work with industry, manage administrative aspects of their jobs and achieve work-life balance. Burn-out is reported by a substantial fraction. Follow up evaluations of AMIGO mentees will assess whether improved access to mentoring through AMIGO has helped to address these needs.  Further exploration of reasons behind burnout and work-life balance concerns is warranted. 

           Table 1: Data on confidence among pediatric rheumatologists

 

 

Not confident at all

Slightly/ somewhat confident

Quite/ extremely confident

N/A

Meet goals for clinical productivity

2 (1%)

60 (30%)

128 (63%)

9 (5%)

Advocate for patients

2 (1%)

29 (15%)

158 (80%)

9 (5%)

Contribute to educational programs

2 (1%)

66 (33%)

128 (64%)

3 (1.5%)

Keep track of teaching activities

7 (4%)

90 (43%)

96 (48%)

6 (3%)

Access grant funding

61 (31%)

86 (43%)

37 (19%)

15 (8%)

Work with industry

52 (26%)

82 (41%)

28 (14%)

37 (19%)

Manage your practice

27 (14%)

76 (38%)

60 (30%)

36 (18%)

Advocate for yourself at work

18 (9%)

105 (53%)

76 (38%)

 

Achieve success in your job (as defined by the person)

7 (4%)

87 (44%)

105 (53%)

 

Work-life balance

19 (10%)

111 (56%)

66 (33%)

2 (1%)


Disclosure: L. N. Moorthy, None; R. Schneider, None; M. Riebschleger, None; E. Muscal, None; M. S. Klein-Gitelman, None; B. A. Eberhard, None; P. J. Ferguson, None; K. A. Rouster-Stevens, None; H. I. Brunner, None; S. Prahalad, None; P. A. Nigrovic, None.

To cite this abstract in AMA style:

Moorthy LN, Schneider R, Riebschleger M, Muscal E, Klein-Gitelman MS, Eberhard BA, Ferguson PJ, Rouster-Stevens KA, Brunner HI, Prahalad S, Nigrovic PA. Pediatric Rheumatologists’ Perceptions of Career Satisfaction, Confidence in Fulfilling Their Roles, and Burn-out [abstract]. Arthritis Rheumatol. 2015; 67 (suppl 10). https://acrabstracts.org/abstract/pediatric-rheumatologists-perceptions-of-career-satisfaction-confidence-in-fulfilling-their-roles-and-burn-out/. Accessed .
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