COVID-19's impact on faculty and staff at a School of Medicine in the US: what is the blueprint for the future?


Journal

BMC health services research
ISSN: 1472-6963
Titre abrégé: BMC Health Serv Res
Pays: England
ID NLM: 101088677

Informations de publication

Date de publication:
28 Apr 2021
Historique:
received: 29 10 2020
accepted: 19 04 2021
entrez: 29 4 2021
pubmed: 30 4 2021
medline: 15 5 2021
Statut: epublish

Résumé

The Coronavirus Disease 2019 (COVID-19) caused unprecedented challenges within medical centers, revealing inequities embedded in the medical community and exposing fragile social support systems. While faculty and staff faced extraordinary demands in workplace duties, personal responsibilities also increased. The goal of this study was to understand the impact of the COVID-19 pandemic on personal and professional activities of faculty and staff in order to illuminate current challenges and explore solutions. Qualitative, semi-structured group interviews involved faculty and staff at four affiliate sites within the Department of Medicine at the University of Colorado, School of Medicine. Focus groups addressed the impact of COVID-19 on (1) Changes to roles and responsibilities at work and at home, (2) Resources utilized to manage these changes and, (3) Potential strategies for how the Department could assist faculty and staff. Thematic analysis was conducted using an inductive method at the semantic level to form themes and subthemes. Qualitative analysis of focus group transcripts revealed themes of: (1) Challenges and disparities experienced during the pandemic, (2) Disproportionate impact on women personally and professionally, (3) Institutional factors that contributed to wellness and burnout, and (4) Solutions and strategies to support faculty and staff. Within each of these themes were multiple subthemes including increased professional and personal demands, concern for personal safety, a sense of internal guilt, financial uncertainty, missed professional opportunities, and a negative impact on mentoring. Solutions were offered and included an emphasis on addressing preexisting inequities, the importance of community, and workplace flexibility. The COVID-19 pandemic created burdens for already challenged faculty and staff in both their personal and professional lives. Swift action and advocacy by academic institutions is needed to support the lives and careers of our colleagues now and in the future.

Sections du résumé

BACKGROUND BACKGROUND
The Coronavirus Disease 2019 (COVID-19) caused unprecedented challenges within medical centers, revealing inequities embedded in the medical community and exposing fragile social support systems. While faculty and staff faced extraordinary demands in workplace duties, personal responsibilities also increased. The goal of this study was to understand the impact of the COVID-19 pandemic on personal and professional activities of faculty and staff in order to illuminate current challenges and explore solutions.
METHODS METHODS
Qualitative, semi-structured group interviews involved faculty and staff at four affiliate sites within the Department of Medicine at the University of Colorado, School of Medicine. Focus groups addressed the impact of COVID-19 on (1) Changes to roles and responsibilities at work and at home, (2) Resources utilized to manage these changes and, (3) Potential strategies for how the Department could assist faculty and staff. Thematic analysis was conducted using an inductive method at the semantic level to form themes and subthemes.
RESULTS RESULTS
Qualitative analysis of focus group transcripts revealed themes of: (1) Challenges and disparities experienced during the pandemic, (2) Disproportionate impact on women personally and professionally, (3) Institutional factors that contributed to wellness and burnout, and (4) Solutions and strategies to support faculty and staff. Within each of these themes were multiple subthemes including increased professional and personal demands, concern for personal safety, a sense of internal guilt, financial uncertainty, missed professional opportunities, and a negative impact on mentoring. Solutions were offered and included an emphasis on addressing preexisting inequities, the importance of community, and workplace flexibility.
CONCLUSIONS CONCLUSIONS
The COVID-19 pandemic created burdens for already challenged faculty and staff in both their personal and professional lives. Swift action and advocacy by academic institutions is needed to support the lives and careers of our colleagues now and in the future.

Identifiants

pubmed: 33910541
doi: 10.1186/s12913-021-06411-6
pii: 10.1186/s12913-021-06411-6
pmc: PMC8079230
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

395

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Auteurs

Emily Gottenborg (E)

Department of Medicine, Division of Hospital Medicine, University of Colorado School of Medicine, 12401 E. 17th Avenue, Aurora, CO, 80045, USA. Gottenborg@cuanschutz.edu.
Department of Medicine, University of Colorado School of Medicine, 12605 E. 16th Avenue, Aurora, CO, 80045, USA. Gottenborg@cuanschutz.edu.

Amy Yu (A)

Department of Medicine, Division of Hospital Medicine, University of Colorado School of Medicine, 12401 E. 17th Avenue, Aurora, CO, 80045, USA.
Department of Medicine, University of Colorado School of Medicine, 12605 E. 16th Avenue, Aurora, CO, 80045, USA.

Roxana Naderi (R)

Department of Medicine, Division of Hospital Medicine, University of Colorado School of Medicine, 12401 E. 17th Avenue, Aurora, CO, 80045, USA.
Department of Medicine, University of Colorado School of Medicine, 12605 E. 16th Avenue, Aurora, CO, 80045, USA.

Angela Keniston (A)

Department of Medicine, Division of Hospital Medicine, University of Colorado School of Medicine, 12401 E. 17th Avenue, Aurora, CO, 80045, USA.
Department of Medicine, University of Colorado School of Medicine, 12605 E. 16th Avenue, Aurora, CO, 80045, USA.

Lauren McBeth (L)

Department of Medicine, Division of Hospital Medicine, University of Colorado School of Medicine, 12401 E. 17th Avenue, Aurora, CO, 80045, USA.
Department of Medicine, University of Colorado School of Medicine, 12605 E. 16th Avenue, Aurora, CO, 80045, USA.

Katherine Morrison (K)

Department of Medicine, University of Colorado School of Medicine, 12605 E. 16th Avenue, Aurora, CO, 80045, USA.
Department of Medicine, Division of General Internal Medicine, University of Colorado, 12605 E. 16th Avenue, Aurora, CO, 80045, USA.

David Schwartz (D)

Department of Medicine, University of Colorado School of Medicine, 12605 E. 16th Avenue, Aurora, CO, 80045, USA.
Division of Pulmonary Sciences and Critical Care Medicine, University of Colorado School of Medicine, Aurora, USA.

Marisha Burden (M)

Department of Medicine, Division of Hospital Medicine, University of Colorado School of Medicine, 12401 E. 17th Avenue, Aurora, CO, 80045, USA.
Department of Medicine, University of Colorado School of Medicine, 12605 E. 16th Avenue, Aurora, CO, 80045, USA.

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