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Academic neonatologist-a species at the brink of extinction?

Author information

Affiliations

  • 1. Department of Pediatrics, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
      Authors
    • Bishop CE 1
    (1 author)
  • 2. Department of Pediatrics, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.
      Authors
    • Machut KZ 2
    (1 author)
  • 3. Department of Pediatrics, Tufts Medical Center, Boston, MA, USA.
      Authors
    • Dammann CEL 3
    (1 author)
  • 4. Department of Pediatrics, Division of Neonatology, Texas Children's Hospital, Baylor College of Medicine, Houston, TX, USA.
      Authors
    • Cuevas Guaman M 4
    (1 author)
  • 5. Department of Pediatrics, Division of Neonatology, and Perinatal Institute, Children's Hospital Medical Center, University of Cincinnati College of Medicine, Cincinnati, OH, USA.
      Authors
    • Miller ER 5
    (1 author)
    • Show all (6)

ORCIDs linked to this article

Journal of Perinatology : Official Journal of the California Perinatal Association, 23 Oct 2023, 43(12):1526-1529
https://doi.org/10.1038/s41372-023-01803-4 PMID: 37872382 

Review

Abstract 

Neonatology is a field that is currently facing many challenges. These challenges include outdated work models in clinical environments with increasing acuity and patient workloads, physician burnout exacerbated by gender inequity and the recent COVID-19 pandemic, and inappropriate metrics to measure clinical productivity. Academic neonatologists have additional missions that include research, teaching, and scholarly productivity in the setting of an increasing clinical workload and reduced time and support for teaching and research. Within the university-based practice setting, reimbursement, and salary structure result in relatively low compensation for neonatologist clinical productivity and time. These challenges threaten the sustainability of academic neonatology as a field. Working towards potential solutions such as creation of sustainable, transparent work models, and aligned funds flow within university-based settings is imperative.

Full text links 

Read article at publisher's site: https://doi.org/10.1038/s41372-023-01803-4

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