Preventive Medicine Reports (Dec 2023)

Academic clinician frontline-worker wellbeing and resilience during the COVID-19 pandemic experience: Were there gender differences?

  • S.I. Patel,
  • R. Ghebre,
  • R. Dwivedi,
  • K. Macheledt,
  • S. Watson,
  • B.L. Duffy,
  • E.A. Rogers,
  • S. Pusalavidyasagar,
  • C. Guo,
  • S. Misono,
  • M.D. Evans,
  • K. Lingras,
  • A. Kunin-Batson,
  • C.A. McCarty,
  • C. Sandoval-Garcia,
  • N. Nakib,
  • C. Johnson,
  • S. Barker,
  • S. Hutto,
  • A.L. Church,
  • V. Vezys,
  • A. Girard,
  • S. Spencer,
  • J.M. Berge

Journal volume & issue
Vol. 36
p. 102517

Abstract

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Prior research suggests COVID-19 has amplified stress on Academic Clinician Frontline-Workers (ACFW). The aim of this paper is: (1) to better understand the experiences of ACFW during the COVID-19 pandemic including their mental-emotional wellbeing, academic productivity, clinical experiences, and (2) to examine any gender differences. A cross-sectional survey was administered to University of Minnesota/M Health Fairview systems’ faculty February-June 2021. Of the 291 respondents, 156 were clinicians, with 91 (58 %) identifying as Frontline-Workers (ACFW). Faculty wellbeing was assessed using validated measures in addition to measures of productivity and sociodemographics. For example, ACFW reported a higher Work-Family Conflict (WFC) scores compared to non-ACFW (26.5 vs. 24.1, p = 0.057) but did not report higher Family-Work Conflict (FWC) scores (17.7 vs. 16.3, p = 0.302). Gender sub-analyses, revealed that women ACFW compared to men ACFW reported higher WFC scores (27.7 vs. 24.1, p = 0.021) and FWC (19.3 vs. 14.3, p = 0.004). Academically, ACFW reported submitting fewer grants and anticipated delays in promotion and tenure due to the COVID-19 (p = 0.035). Results suggest COVID-19 has exacerbated ACFW stress and gender inequities. Reports of anticipated delay in promotion for ACFW may pose a challenge for the long-term academic success of ACFW, especially women ACFW. In addition, women may experience higher FWC and WFC as compared to men. Schools of academic medicine should consider re-evaluating promotion/tenure processes and creating resources to support women ACFW as well as ACFW caregivers.

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