Article
Urology & Nephrology
Fahad Saeed, Paul R. Duberstein, Ronald M. Epstein, Valerie J. Lang, Scott E. Liebman
Summary: The survey found that a significant majority of nephrology trainees experienced moderate to severe moral distress, mainly related to providing futile treatment to hopelessly ill patients.
AMERICAN JOURNAL OF NEPHROLOGY
(2021)
Article
Medicine, General & Internal
Adrienne Mann, Ami N. Shah, Pari Shah Thibodeau, Liselotte Dyrbye, Adnan Syed, Maria A. Woodward, Kerri Thurmon, Christine D. Jones, Kimiko S. Dunbar, Tyra Fainstad
Summary: This study is a randomized clinical trial that examines the effects of professional coaching on improving well-being and reducing symptoms of burnout in women physician trainees. The results show that the intervention group experienced decreased emotional exhaustion, depersonalization, impostor syndrome, and moral injury, as well as increased self-compassion and flourishing.
Review
Cardiac & Cardiovascular Systems
Rosa Bogerd, Milou E. W. M. Silkens, Debby G. Keuken, Rutger J. Hassink, Jose P. S. Henriques, Kiki M. J. M. H. Lombarts
Summary: This study is the first to comprehensively examine the well-being of cardiologists and its determinants, including both positive and negative dimensions. A national, multicenter, self-administered web-based questionnaire was conducted to collect data. The study found that workload, work-home interference, and team atmosphere predicted the negative dimensions of well-being, while autonomy predicted cardiologists' professional fulfillment. Physician-patient interactions, person-job fit, and individual resilience affected both dimensions. Dutch cardiologists scored relatively high on professional fulfillment and average on work exhaustion and interpersonal disengagement.
CURRENT PROBLEMS IN CARDIOLOGY
(2023)
Article
Public, Environmental & Occupational Health
Ying Xiao, Dong Dong, Huanyu Zhang, Peipei Chen, Xiangyan Li, Zhuang Tian, Zhicheng Jing, Shuyang Zhang
Summary: Burnout symptoms are common among Chinese medical professionals and are independently associated with capability well-being. Male medical professionals with shorter working years, working in tertiary hospitals, and those specialized in certain fields are at higher risk of experiencing burnout symptoms.
FRONTIERS IN PUBLIC HEALTH
(2022)
Article
Multidisciplinary Sciences
Xiaoyu Wang, Yimei Zhu, Fang Wang, Yuan Liang
Summary: This study investigates the association between organizational and patient behaviors and physician well-being. The results reveal low levels of positive behaviors reported by physicians, and negative behaviors are associated with lower job and life satisfaction. Gender differences are found in the relationship between organizational behaviors and physician well-being, while no clear gender differences are found for patient behaviors and physician well-being.
Article
Cardiac & Cardiovascular Systems
Bahadir Simsek, Athanasios Rempakos, Spyridon Kostantinis, Judit Karacsonyi, Bavana Rangan, Olga C. Mastrodemos, Ajay J. Kirtane, Anna E. Bortnick, Hani Jneid, Lorenzo Azzalini, Anastasios Milkas, Khaldoon Alaswad, Mark Linzer, Mohaned Egred, Salman S. Allana, Sunil Rao, Yader Sandoval, Emmanouil S. Brilakis
Summary: Optimizing physician psychological health and reducing burnout is a priority, as it can have an impact on patient care. This study conducted an international online survey to assess the psychological well-being of interventional cardiologists.
JACC-CARDIOVASCULAR INTERVENTIONS
(2023)
Article
Cardiac & Cardiovascular Systems
Michael W. Cullen, Julie B. Damp, Victor Soukoulis, Friederike K. Keating, Islam Abudayyeh, Alex Auseon, Deepak Bhakta, Atif Qasim, Audrey Seryak, Sakima A. Smith, Marty C. Tam, Paul Theriot, Gaby Weissman
Summary: The survey revealed that most CV Fellowship PDs are satisfied with their positions, but some experience high levels of work stress and burnout. Women, early-career PDs, and those in larger, university-based programs demonstrate more adverse well-being markers. There are opportunities to support CV Fellowship PDs in their critical roles.
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY
(2021)
Article
Critical Care Medicine
Michelle Sharp, Kristin M. Burkart, Mark H. Adelman, Rendell W. Ashton, Lee Daugherty Biddison, Gabriel T. Bosslet, Stephen T. Doyle, Thomas Eckmann, Malik M. Khurram S. Khan, Peter H. Lenz, Jennifer W. McCallister, Jacqueline O'Toole, Cynthia S. Rand, Kristin A. Riekert, Morgan I. Soffler, Gretchen R. Winter, Sandra Zaeh, Michelle N. Eakin
Summary: The study found that half of fellows training in PCCM showed positive results for burnout or depressive symptoms. Having a coverage system in case of personal illness or emergency and access to mental health services were associated with lower odds of burnout.
Article
Pediatrics
Susan M. Halbach, Kartik Pillutla, Patricia Seo-Mayer, Alan Schwartz, Darcy Weidemann, John D. Mahan
Summary: The study found that burnout rates among pediatric nephrology fellows and faculty were 13% and 16% respectively, with factors associated with burnout including quality of life, perceived stress, and satisfaction with career choice. The study also highlighted the impact of institutional support for wellness programs and satisfaction with colleague and faculty support.
FRONTIERS IN PEDIATRICS
(2022)
Article
Urology & Nephrology
Kurtis A. Pivert, Suzanne M. Boyle, Susan M. Halbach, Lili Chan, Hitesh H. Shah, Joshua S. Waitzman, Ali Mehdi, Sayna Norouzi, Stephen M. Sozio
Summary: The study found that despite the COVID-19 pandemic causing significant shifts in education modalities and patient care protocols, nephrology fellows perceived minimal impact on their education and preparation for practice.
JOURNAL OF THE AMERICAN SOCIETY OF NEPHROLOGY
(2021)
Article
Surgery
Polina Zmijewski, Ruth Obiarinze, Andrea Gillis, Jessica Fazendin, Herbert Chen, Brenessa Lindeman
Summary: Junior faculty well-being is most affected at the department level. Qualitative data collection from junior faculty regarding barriers to well-being and academic/clinical productivity can be invaluable for departments and institutions seeking to make cultural or systemic improvements.
Article
Multidisciplinary Sciences
Lisa Bretagne, Stefanie Mosimann, Christine Roten, Martin Perrig, Daniel Genne, Manfred Essig, Marco Mancinetti, Marie Mean, Pauline Darbellay Farhoumand, Lars C. Huber, Elisabeth Weber, Christoph Knoblauch, Andreas W. Schoenenberger, Sonia Frick, Eliane Wenemoser, Daniel Ernst, Michael Bodmer, Drahomir Aujesky, Christine Baumgartner
Summary: This study examined the job satisfaction and wellbeing of part-time and full-time hospitalists. The results showed that part-time clinicians had better wellbeing and mental health, and fewer depressive symptoms compared to full-time clinicians.
Article
Emergency Medicine
Laura Cottey, Tom Roberts, Blair Graham, Daniel Horner, Jos M. Latour, Doyo Enki, Mark D. Lyttle, Kara N. Stevens
Summary: This study highlights the association between increased Need for recovery (NFR) score and self-perceived well-being characteristics among emergency department physicians. Higher NFR scores may lead to occupational burnout and feeling overwhelmed at work. Identification of NFR could provide opportunities for early interventions to improve well-being in this workforce.
EUROPEAN JOURNAL OF EMERGENCY MEDICINE
(2021)
Article
Psychology, Multidisciplinary
Caitlin L. Penny, Kathryn C. Adair, Allan S. Frankel, Michael W. Leonard, Joshua Proulx, Paul J. Mosca, J. Bryan Sexton
Summary: The study compares four emotional exhaustion measures and finds that the 5-item EE scale exhibits better psychometric and convergent validity compared to the 9-item scale. This finding is significant for global wellbeing research as it enhances access and understanding of a well-being metric, while also reducing respondent burden. Additionally, the 5-item and 9-item scales show stronger convergent validity compared to the single item EE metrics.
FRONTIERS IN PSYCHOLOGY
(2023)
Article
Management
Melanie Rogers, Angela Windle, Lihua Wu, Vanessa Taylor, Chris Bale
Summary: The emotional and spiritual well-being, as well as the resilience, of advanced clinical practitioners have been significantly impacted by COVID-19. Interventions are needed to enhance well-being and resilience.
JOURNAL OF NURSING MANAGEMENT
(2022)
Article
Urology & Nephrology
Kurtis A. Pivert, Suzanne M. Boyle, Susan M. Halbach, Lili Chan, Hitesh H. Shah, Joshua S. Waitzman, Ali Mehdi, Sayna Norouzi, Stephen M. Sozio
Summary: The study found that despite the COVID-19 pandemic causing significant shifts in education modalities and patient care protocols, nephrology fellows perceived minimal impact on their education and preparation for practice.
JOURNAL OF THE AMERICAN SOCIETY OF NEPHROLOGY
(2021)
Review
Urology & Nephrology
Stephen M. Sozio, Kurtis A. Pivert, Fergus J. Caskey, Adeera Levin
KIDNEY INTERNATIONAL
(2021)
Article
Urology & Nephrology
Leila R. Zelnick, Michael G. Shlipak, Elsayed Z. Soliman, Amanda Anderson, Robert Christenson, Mayank Kansal, Rajat Deo, Jiang He, Bernard G. Jaar, Matthew R. Weir, Panduranga Rao, Debbie L. Cohen, Jordana B. Cohen, Harold Feldman, Alan Go, Nisha Bansal
Summary: This study evaluated the prognostic value of cardiac biomarkers and echocardiographic variables in predicting heart failure (HF) in patients with chronic kidney disease (CKD). The results showed that NT-proBNP and hsTnT had better discrimination than the current HF prediction model. HF clinical prediction models tailored to CKD patients are needed.
KIDNEY INTERNATIONAL REPORTS
(2022)
Editorial Material
Urology & Nephrology
Steven Cheng, Kurtis Pivert, Stephen Sozio
CLINICAL JOURNAL OF THE AMERICAN SOCIETY OF NEPHROLOGY
(2022)
Article
Urology & Nephrology
Catherine A. A. Moore, Daniel W. W. Ross, Kurtis A. A. Pivert, Valerie J. J. Lang, Stephen M. M. Sozio, W. Charles O'Neill
Summary: Despite the potential applications of POCUS in nephrology, its adoption among US nephrologists has been slow. Most nephrology fellows do not receive POCUS training, and the lack of qualified instructors is a major barrier to program development.
CLINICAL JOURNAL OF THE AMERICAN SOCIETY OF NEPHROLOGY
(2022)
Letter
Urology & Nephrology
Benjamin S. Ko, Kurtis A. Pivert, Rob Rope, Anna M. Burgner, Joshua S. Waitzman, Susan M. Halbach, Suzanne M. Boyle, Lili Chan, Stephen M. Sozio
Article
Urology & Nephrology
Laura C. Plantinga, Alexis A. Bender, Megan Urbanski, Courtney Hoge, Jessica Joseph, Kelli Damron, Clarica J. Douglas-Ajayi, Fran Rickenbach, Jennifer Craft Morgan, Bernard G. Jaar
Summary: Based on a national survey, this study provides a comprehensive description of the work experiences of US dialysis care providers. The results show that although most respondents reported job satisfaction, many do not meet criteria for professional fulfillment and experience burnout. High workloads, lack of respect, lack of autonomy, and suboptimal patient environments are commonly reported issues among dialysis care providers.
AMERICAN JOURNAL OF NEPHROLOGY
(2023)
Editorial Material
Urology & Nephrology
C. Elena Cervantes, Bernard G. Jaar
CLINICAL JOURNAL OF THE AMERICAN SOCIETY OF NEPHROLOGY
(2023)
Review
Urology & Nephrology
Samir C. Gautam, Jonathan Lim, Bernard G. Jaar
Summary: CRRT is a renal replacement therapy used in ICUs to manage AKI, ESKD, poisonings, and electrolyte disorders, but it can also lead to complications that vary in severity and require prompt management.
Article
Health Care Sciences & Services
Laura C. Plantinga, Courtney Hoge, Ann E. Vandenberg, Kyle James, Tahsin Masud, Anjali Khakharia, Carol Gray, Bernard G. Jaar, Janice P. Lea, Christopher M. O'Donnell, Richard Mutell
Summary: This study describes the development and pilot implementation of the DialysisConnect mobile app. The results show that APPs and nurses are most likely to engage with the system, and users generally have a favorable view of the system, although there are barriers to its use.
JMIR FORMATIVE RESEARCH
(2022)
Article
Urology & Nephrology
Sayna Norouzi, Kyle S. S. Liu, Edlyn Bustamante, Ton La Jr, William E. Mitch, Kurtis Pivert, Kristen A. Staggers, Blake Shusterman, Christina M. M. Yuan, Rajeev Raghavan
Summary: Health care providers for patients with CKD need to provide effective counseling on kidney-friendly diets, which are often challenging. Nutrition is often not emphasized enough in medical training. Participating in an experiential educational program on kidney diets can improve knowledge and counseling skills.
Article
Urology & Nephrology
Jessica Fitzpatrick, Stephen M. Sozio, Bernard G. Jaar, Michelle M. Estrella, Dorry L. Segev, Tariq Shafi, Jose M. Monroy-Trujillo, Rulan S. Parekh, Mara A. McAdams-DeMarco
Summary: Frailty was found to be independently associated with prolonged postdialysis recovery in adults new to hemodialysis. Future studies should evaluate the impact of frailty-targeted interventions on recovery time to enhance clinical outcomes.
Article
Urology & Nephrology
Samir C. Gautam, Nityasree Srialluri, Bernard G. Jaar
Meeting Abstract
Urology & Nephrology
Sayna Norouzi, Kyle Liu, Edlyn Bustamante, Ton La, William Mitch, Kristen Staggers, Blake Shusterman, Christina M. Yuan, Rajeev Raghavan
AMERICAN JOURNAL OF KIDNEY DISEASES
(2021)
Article
Urology & Nephrology
Wei Chen, Jessica Fitzpatrick, Stephen M. Sozio, Bernard G. Jaar, Michelle M. Estrella, Dario F. Riascos-Bernal, Tong Tong Wu, Yunping Qiu, Irwin J. Kurland, Ruth F. Dubin, Yabing Chen, Rulan S. Parekh, David A. Bushinsky, Nicholas E. S. Sibinga
Summary: Among hemodialysis patients without diabetes mellitus, chenodeoxycholic, deoxycholic, and glycolithocholic acids may be potential biomarkers for coronary artery calcification, and arginine/proline metabolism is a plausible mechanism to study for CAC. These findings need to be confirmed in future studies.