Impact of Stroke Call on the Stroke Neurology Workforce in the United States: Possible Challenges and Opportunities Journal Article


Authors: Kenton, E. J.; Culebras, A.; Fayad, P. B.; Goldstein, L. B.; Kaskie, B.; Leira, E. C.; Lutsep, H. L.; Wechsler, L. R.; Biller, J; Katzan, I. L.; Stevens, J. C.; Wang, D. Z.; Adams, N.; Cahill, C.; AAN Vascular Neurology Stroke Practice Resources Workgroup
Article Title: Impact of Stroke Call on the Stroke Neurology Workforce in the United States: Possible Challenges and Opportunities
Abstract: BACKGROUND: The Stroke amp; 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, quot;I spent too much time on stroke call,quot; a perception that was less common among those who took less than 12-hour shifts (P lt; .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 quot;burnout.quot; 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: Stroke; burnout; lifestyle; stroke call; vascular neurologist
Journal Title: Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association
ISSN: 1532-8511; 1052-3057
Publisher: Elsevier Inc  
Journal Place: United States
Date Published: 2018
Language: eng
DOI/URL:
Notes: LR: 20180407; CI: Copyright (c) 2018; JID: 9111633; OTO: NOTNLM; 2018/02/15 00:00 [received]; 2018/02/28 00:00 [accepted]; 2018/04/08 06:00 [entrez]; 2018/04/08 06:00 [pubmed]; 2018/04/08 06:00 [medline]; aheadofprint