Impact of Stroke Call on the Stroke Neurology Workforce in the United States

Possible Challenges and Opportunities

AAN Vascular Neurology Stroke Practice Resources Workgroup

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Background: 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. Methods: This is a cross-sectional survey of a sample of US Neurologists providing acute stroke care. Results: 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.” Conclusions: 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.

Original languageEnglish (US)
JournalJournal of Stroke and Cerebrovascular Diseases
DOIs
StateAccepted/In press - Jan 1 2018

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Neurology
Stroke
Blood Vessels
Neurologists
Life Style
Emotions
Cross-Sectional Studies

Keywords

  • burnout
  • lifestyle
  • Stroke
  • stroke call
  • vascular neurologist

ASJC Scopus subject areas

  • Surgery
  • Rehabilitation
  • Clinical Neurology
  • Cardiology and Cardiovascular Medicine

Cite this

Impact of Stroke Call on the Stroke Neurology Workforce in the United States : Possible Challenges and Opportunities. / AAN Vascular Neurology Stroke Practice Resources Workgroup.

In: Journal of Stroke and Cerebrovascular Diseases, 01.01.2018.

Research output: Contribution to journalArticle

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title = "Impact of Stroke Call on the Stroke Neurology Workforce in the United States: Possible Challenges and Opportunities",
abstract = "Background: 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. Methods: This is a cross-sectional survey of a sample of US Neurologists providing acute stroke care. Results: 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.” Conclusions: 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.",
keywords = "burnout, lifestyle, Stroke, stroke call, vascular neurologist",
author = "{AAN Vascular Neurology Stroke Practice Resources Workgroup} and Kenton, {Edgar J.} and Antonio Culebras and Fayad, {Pierre B.} and Goldstein, {Larry B.} and Brian Kaskie and Leira, {Enrique C.} and Helmi Lutsep and Wechsler, {Lawrence R.} and Jos{\'e} Biller and Katzan, {Irene L.} and Stevens, {James C.} and Wang, {David Z.} and Nellie Adams and Carolyn Cahill",
year = "2018",
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T2 - Possible Challenges and Opportunities

AU - AAN Vascular Neurology Stroke Practice Resources Workgroup

AU - Kenton, Edgar J.

AU - Culebras, Antonio

AU - Fayad, Pierre B.

AU - Goldstein, Larry B.

AU - Kaskie, Brian

AU - Leira, Enrique C.

AU - Lutsep, Helmi

AU - Wechsler, Lawrence R.

AU - Biller, José

AU - Katzan, Irene L.

AU - Stevens, James C.

AU - Wang, David Z.

AU - Adams, Nellie

AU - Cahill, Carolyn

PY - 2018/1/1

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