Experiences of a Health System’s Faculty, Staff, and Trainees’ Career Development, Work Culture, and Childcare Needs During the COVID-19 Pandemic | Medical Education and Training | JN Learning | AMA Ed Hub [Skip to Content]
[Skip to Content Landing]

Experiences of a Health System’s Faculty, Staff, and Trainees’ Career Development, Work Culture, and Childcare Needs During the COVID-19 Pandemic

Educational Objective
To identify the key insights or developments described in this article
1 Credit CME
Key Points

Question  What are the associations of the COVID-19 pandemic with career development and what are the work culture and childcare needs of employees and trainees?

Findings  In this survey study, most participants with children did not have childcare fully available and many considered leaving the workforce and were worried about their career. Being female with children or having a clinical job role was associated with consideration for leaving the workforce and reducing hours.

Meaning  These findings suggest that a substantial number of employees and trainees experienced major stress and work disruptions because of the COVID-19 pandemic.

Abstract

Importance  In March 2020, US public buildings (including schools) were shut down because of the COVID-19 pandemic, and 42% of US workers resumed their employment duties from home. Some shutdowns remain in place, yet the extent of the needs of US working parents is largely unknown.

Objective  To identify and address the career development, work culture, and childcare needs of faculty, staff, and trainees at an academic medical center during a pandemic.

Design, Setting, and Participants  For this survey study, between August 5 and August 20, 2020, a Qualtrics survey was emailed to all faculty, staff, and trainees at University of Utah Health, an academic health care system that includes multiple hospitals, community clinics, and specialty centers. Participants included 27 700 University of Utah Health faculty, staff, and trainees who received a survey invitation. Data analysis was performed from August to November 2020.

Main Outcomes and Measures  Primary outcomes included experiences of COVID-19 and their associations with career development, work culture, and childcare needs.

Results  A total of 5030 participants completed the entire survey (mean [SD] age, 40 [12] years); 3738 (75%) were women; 4306 (86%) were White or European American; 561 (11%) were Latino or Latina (of any race), Black or African American, American Indian, Alaska Native, and Native Hawaiian or Pacific Islander; and 301 (6%) were Asian or Asian American. Of the participants, 2545 (51%) reported having clinical responsibilities, 2412 (48%) had at least 1 child aged 18 years or younger, 3316 (66%) were staff, 791 (16%) were faculty, and 640 (13%) were trainees. Nearly one-half of parents reported that parenting (1148 participants [49%]) and managing virtual education for children (1171 participants [50%]) were stressors. Across all participants, 1061 (21%) considered leaving the workforce, and 1505 (30%) considered reducing hours. Four hundred forty-nine faculty (55%) and 397 trainees (60%) perceived decreased productivity, and 2334 participants (47%) were worried about COVID-19 impacting their career development, with 421 trainees (64%) being highly concerned.

Conclusions and Relevance  In this survey of 5030 faculty, staff, and trainees of a US health system, many participants with caregiving responsibilities, particularly women, faculty, trainees, and (in a subset of cases) those from racial/ethnic groups that underrepresented in medicine, considered leaving the workforce or reducing hours and were worried about their career development related to the pandemic. It is imperative that medical centers support their employees and trainees during this challenging time.

Sign in to take quiz and track your certificates

Buy This Activity

JN Learning™ is the home for CME and MOC from the JAMA Network. Search by specialty or US state and earn AMA PRA Category 1 CME Credit™ from articles, audio, Clinical Challenges and more. Learn more about CME/MOC

CME Disclosure Statement: Unless noted, all individuals in control of content reported no relevant financial relationships. If applicable, all relevant financial relationships have been mitigated.

Article Information

Accepted for Publication: February 8, 2021.

Published: April 2, 2021. doi:10.1001/jamanetworkopen.2021.3997

Open Access: This is an open access article distributed under the terms of the CC-BY License. © 2021 Delaney RK et al. JAMA Network Open.

Corresponding Author: Angela Fagerlin, PhD, Department of Population Health Sciences, University of Utah, 295 Chipeta Way, Salt Lake City, UT 84108 (angie.fagerlin@hsc.utah.edu).

Author Contributions: Drs Delaney and Fagerlin had full access to all of the data in the study and take responsibility for the integrity of the data and the accuracy of the data analysis.

Concept and design: Delaney, Locke, Pershing, Precourt Debbink, Tanner, Anzai, Fagerlin.

Acquisition, analysis, or interpretation of data: Delaney, Locke, Pershing, Geist, Clouse, Precourt Debbink, Haaland, Fagerlin.

Drafting of the manuscript: Delaney, Pershing, Fagerlin.

Critical revision of the manuscript for important intellectual content: Delaney, Locke, Geist, Clouse, Precourt Debbink, Haaland, Tanner, Anzai.

Statistical analysis: Delaney, Geist, Clouse, Haaland.

Obtained funding: Fagerlin.

Administrative, technical, or material support: Locke, Pershing, Geist, Precourt Debbink, Tanner, Anzai.

Supervision: Locke, Geist, Fagerlin.

Conflict of Interest Disclosures: Dr Delaney’s salary is supported by a T32 Cardiovascular Research Award outside the submitted work. Dr Precourt Debbink reported receiving grants from Reproductive Scientist Development Program Award, and her salary is supported by a K-12 Professional Development award outside the submitted work. Dr Haaland reported receiving personal fees from Prometics Life Sciences, Astra Zeneca, National Kidney Foundation, and Value Analytics Labs and nonfinancial travel support from Flatiron Health outside the submitted work. No other disclosures were reported.

Funding/Support: This work was supported by the Jon M. Huntsman Presidential Endowed Chair (award to Dr Fagerlin).

Role of the Funder/Sponsor: The funder had no role in the design and conduct of the study; collection, management, analysis, and interpretation of the data; preparation, review, or approval of the manuscript; and decision to submit the manuscript for publication.

Additional Contributions: Christina Yong, MA (University of Utah), provided editing assistance and was not compensated beyond her regular salary.

References
1.
Wong  M . Stanford research provides a snapshot of a new working-from-home economy. Stanford News. Published June 29, 2020. Accessed March 3, 2021. https://news.stanford.edu/2020/06/29/snapshot-new-working-home-economy/
2.
Hayes  J , Hess  C , Ahmed  T ; Institute for Women's Policy Research. Providing unpaid household and care work in the United States: uncovering inequality. Published January 20, 2020. Accessed March 3, 2021. https://iwpr.org/iwpr-publications/report/providing-unpaid-household-and-care-work-in-the-united-states-uncovering-inequality/
3.
Collins  C , Landivar  LC , Ruppanner  L , Scarborough  WJ .  COVID-19 and the gender gap in work hours.   Gend Work Organ. 2021;28(1)(suppl):101-112. doi:10.1111/gwao.12506PubMedGoogle ScholarCrossref
4.
Kantamneni  N .  The impact of the COVID-19 pandemic on marginalized populations in the United States: a research agenda.   J Vocat Behav. 2020;119:103439. doi:10.1016/j.jvb.2020.103439PubMedGoogle Scholar
5.
Pappa  S , Ntella  V , Giannakas  T , Giannakoulis  VG , Papoutsi  E , Katsaounou  P .  Prevalence of depression, anxiety, and insomnia among healthcare workers during the COVID-19 pandemic: a systematic review and meta-analysis.   Brain Behav Immun. 2020;88:901-907. doi:10.1016/j.bbi.2020.05.026PubMedGoogle ScholarCrossref
6.
Azoulay  E , Cariou  A , Bruneel  F ,  et al.  Symptoms of anxiety, depression, and peritraumatic dissociation in critical care clinicians managing patients with COVID-19: a cross-sectional study.   Am J Respir Crit Care Med. 2020;202(10):1388-1398. doi:10.1164/rccm.202006-2568OCPubMedGoogle ScholarCrossref
7.
Luceño-Moreno  L , Talavera-Velasco  B , García-Albuerne  Y , Martín-García  J .  Symptoms of posttraumatic stress, anxiety, depression, levels of resilience and burnout in Spanish health personnel during the COVID-19 pandemic.   Int J Environ Res Public Health. 2020;17(15):5514. doi:10.3390/ijerph17155514PubMedGoogle ScholarCrossref
8.
Kannampallil  TG , Goss  CW , Evanoff  BA , Strickland  JR , McAlister  RP , Duncan  J .  Exposure to COVID-19 patients increases physician trainee stress and burnout.   PLoS One. 2020;15(8):e0237301. doi:10.1371/journal.pone.0237301PubMedGoogle Scholar
9.
Khalafallah  AM , Lam  S , Gami  A ,  et al.  A national survey on the impact of the COVID-19 pandemic upon burnout and career satisfaction among neurosurgery residents.   J Clin Neurosci. 2020;80:137-142. doi:10.1016/j.jocn.2020.08.012PubMedGoogle ScholarCrossref
10.
Shechter  A , Diaz  F , Moise  N ,  et al.  Psychological distress, coping behaviors, and preferences for support among New York healthcare workers during the COVID-19 pandemic.   Gen Hosp Psychiatry. 2020;66:1-8. doi:10.1016/j.genhosppsych.2020.06.007PubMedGoogle ScholarCrossref
11.
Moore  J , Ricaldi  JN , Rose  CE ,  et al.  Disparities in incidence of COVID-19 among underrepresented racial/ethnic groups in counties identified as hotspots during June 5-18, 2020: 22 states, February-June 2020.   MMWR Morb Mortal Wkly Rep. 2020;69:1122-1126. doi:10.15585/mmwr.mm6933e1PubMedGoogle ScholarCrossref
12.
Frazier  PA , Tix  AP, , Barron  KE, .  Testing moderator and mediator effects in counseling psychology research.   J Counsel Psychol Res. 2004;51(1):115-134. doi:10.1037/0022-0167.51.1.115Google ScholarCrossref
Want full access to the AMA Ed Hub?
After you sign up for AMA Membership, make sure you sign in or create a Physician account with the AMA in order to access all learning activities on the AMA Ed Hub
Buy this activity
Close
Want full access to the AMA Ed Hub?
After you sign up for AMA Membership, make sure you sign in or create a Physician account with the AMA in order to access all learning activities on the AMA Ed Hub
Buy this activity
Close
With a personal account, you can:
  • Access free activities and track your credits
  • Personalize content alerts
  • Customize your interests
  • Fully personalize your learning experience
Education Center Collection Sign In Modal Right
Close

Name Your Search

Save Search
Close
With a personal account, you can:
  • Access free activities and track your credits
  • Personalize content alerts
  • Customize your interests
  • Fully personalize your learning experience
Close

Lookup An Activity

or

Close

My Saved Searches

You currently have no searches saved.

Close

My Saved Courses

You currently have no courses saved.

Close
With a personal account, you can:
  • Access free activities and track your credits
  • Personalize content alerts
  • Customize your interests
  • Fully personalize your learning experience
Education Center Collection Sign In Modal Right
Close