@article{ac9b9fe4218040809fb3dfcbf66caa5d,
title = "Physician Wellness in Academic Cardiovascular Medicine: A Scientific Statement From the American Heart Association",
abstract = "Academic medicine as a practice model provides unique benefits to society. Clinical care remains an important part of the academic mission; however, equally important are the educational and research missions. More specifically, the sustainability of health care in the United States relies on an educated and expertly trained physician workforce directly provided by academic medicine models. Similarly, the research charge to deliver innovation and discovery to improve health care and to cure disease is key to academic missions. Therefore, to support and promote the growth and sustainability of academic medicine, attracting and engaging top talent from fellows in training and early career faculty is of vital importance. However, as the health care needs of the nation have risen, clinicians have experienced unprecedented demand, and individual wellness and burnout have been examined more closely. Here, we provide a close look at the unique drivers of burnout in academic cardiovascular medicine and propose system-level and personal interventions to support individual wellness in this model.",
keywords = "AHA Scientific Statements, academic medicine, burnout, physician wellness",
author = "Bradley, {Elisa A.} and David Winchester and Alfonso, {Carlos E.} and Carpenter, {Andrea J.} and Cohen, {Meryl S.} and Coleman, {Dawn M.} and Miriam Jacob and Hani Jneid and Leal, {Miguel A.} and Zainab Mahmoud and Mehta, {Laxmi S.} and Sivaram, {Chittur A.}",
note = "Funding Information: The most unique risk factor for burnout in physician-scientists relates broadly to the research support infrastructure. The National Institutes of Health provides ≈82% of federally funded research in the United States, with a minority of funding coming from other sources (ie, foundational grants, private grant sources, industry). The number of investigators applying for funding has nearly doubled in the past 20 years, halving the likelihood of receiving National Institutes of Health funding from 30% to 35% down to 18% to 20% since the early 2000s. Funding opportunities appear to be even more competitive for women and individuals from underrepresented racial and ethnic groups, who make up a minority of successfully funded applications. The difficulty in securing research funding is compounded by the fact that research effort is split with clinical effort, and physician-scientists are often at a disadvantage when competing with investigators who can dedicate their full-time effort to research. The divide created by this time/effort chasm is propagated by incentives that favor clinical over research productivity. This push toward clinical effort is compounded even further as academic medical centers struggle to provide fair market value compensation to their clinical physician workforce. , Publisher Copyright: {\textcopyright} 2022 American Heart Association, Inc.",
year = "2022",
month = oct,
day = "18",
doi = "10.1161/CIR.0000000000001093",
language = "English",
volume = "146",
pages = "E229--E241",
journal = "Circulation",
issn = "0009-7322",
number = "16",
}