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Cardiovascular Physicians, Scientists, and Trainees Balancing Work and Caregiving Responsibilities in the COVID-19 Era: Sex and Race-Based Inequities

BACKGROUND: The ongoing COVID-19 pandemic has exposed a work-life (im)balance that has been present but not openly discussed in medicine, surgery, and science for decades. The pandemic has exposed inequities in existing institutional structure and policies concerning clinical workload, research prod...

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Autores principales: Banks, Laura, Randhawa, Varinder K., Colella, Tracey J.F., Dhanvantari, Savita, Connelly, Kim A., Robinson, Lisa, Mak, Susanna, Ouzounian, Maral, Mulvagh, Sharon L., Straus, Sharon, Allan, Katherine, Yin Yip, Cindy Ying, Graham, Michelle M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8134915/
https://www.ncbi.nlm.nih.gov/pubmed/34027367
http://dx.doi.org/10.1016/j.cjco.2020.12.027
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author Banks, Laura
Randhawa, Varinder K.
Colella, Tracey J.F.
Dhanvantari, Savita
Connelly, Kim A.
Robinson, Lisa
Mak, Susanna
Ouzounian, Maral
Mulvagh, Sharon L.
Straus, Sharon
Allan, Katherine
Yin Yip, Cindy Ying
Graham, Michelle M.
author_facet Banks, Laura
Randhawa, Varinder K.
Colella, Tracey J.F.
Dhanvantari, Savita
Connelly, Kim A.
Robinson, Lisa
Mak, Susanna
Ouzounian, Maral
Mulvagh, Sharon L.
Straus, Sharon
Allan, Katherine
Yin Yip, Cindy Ying
Graham, Michelle M.
author_sort Banks, Laura
collection PubMed
description BACKGROUND: The ongoing COVID-19 pandemic has exposed a work-life (im)balance that has been present but not openly discussed in medicine, surgery, and science for decades. The pandemic has exposed inequities in existing institutional structure and policies concerning clinical workload, research productivity, and/or teaching excellence inadvertently privileging those who do not have significant caregiving responsibilities or those who have the resources to pay for their management. METHODS: We sought to identify the challenges facing multidisciplinary faculty and trainees with dependents, and highlight a number of possible strategies to address challenges in work-life (im)balance. RESULTS: To date, there are no Canadian-based data to quantify the physical and mental effect of COVID-19 on health care workers, multidisciplinary faculty, and trainees. As the pandemic evolves, formal strategies should be discussed with an intersectional lens to promote equity in the workforce, including (but not limited to): (1) the inclusion of broad representation (including equal representation of women and other marginalized persons) in institutional-based pandemic response and recovery planning and decision-making; (2) an evaluation (eg, institutional-led survey) of the effect of the pandemic on work-life balance; (3) the establishment of formal dialogue (eg, workshops, training, and media campaigns) to normalize coexistence of work and caregiving responsibilities and to remove stigma of gender roles; (4) a reevaluation of workload and promotion reviews; and (5) the development of formal mentorship programs to support faculty and trainees. CONCLUSIONS: We believe that a multistrategy approach needs to be considered by stakeholders (including policy-makers, institutions, and individuals) to create sustainable working conditions during and beyond this pandemic.
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spelling pubmed-81349152021-05-21 Cardiovascular Physicians, Scientists, and Trainees Balancing Work and Caregiving Responsibilities in the COVID-19 Era: Sex and Race-Based Inequities Banks, Laura Randhawa, Varinder K. Colella, Tracey J.F. Dhanvantari, Savita Connelly, Kim A. Robinson, Lisa Mak, Susanna Ouzounian, Maral Mulvagh, Sharon L. Straus, Sharon Allan, Katherine Yin Yip, Cindy Ying Graham, Michelle M. CJC Open Original Article BACKGROUND: The ongoing COVID-19 pandemic has exposed a work-life (im)balance that has been present but not openly discussed in medicine, surgery, and science for decades. The pandemic has exposed inequities in existing institutional structure and policies concerning clinical workload, research productivity, and/or teaching excellence inadvertently privileging those who do not have significant caregiving responsibilities or those who have the resources to pay for their management. METHODS: We sought to identify the challenges facing multidisciplinary faculty and trainees with dependents, and highlight a number of possible strategies to address challenges in work-life (im)balance. RESULTS: To date, there are no Canadian-based data to quantify the physical and mental effect of COVID-19 on health care workers, multidisciplinary faculty, and trainees. As the pandemic evolves, formal strategies should be discussed with an intersectional lens to promote equity in the workforce, including (but not limited to): (1) the inclusion of broad representation (including equal representation of women and other marginalized persons) in institutional-based pandemic response and recovery planning and decision-making; (2) an evaluation (eg, institutional-led survey) of the effect of the pandemic on work-life balance; (3) the establishment of formal dialogue (eg, workshops, training, and media campaigns) to normalize coexistence of work and caregiving responsibilities and to remove stigma of gender roles; (4) a reevaluation of workload and promotion reviews; and (5) the development of formal mentorship programs to support faculty and trainees. CONCLUSIONS: We believe that a multistrategy approach needs to be considered by stakeholders (including policy-makers, institutions, and individuals) to create sustainable working conditions during and beyond this pandemic. Elsevier 2021-01-21 /pmc/articles/PMC8134915/ /pubmed/34027367 http://dx.doi.org/10.1016/j.cjco.2020.12.027 Text en © 2021 The Authors https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Original Article
Banks, Laura
Randhawa, Varinder K.
Colella, Tracey J.F.
Dhanvantari, Savita
Connelly, Kim A.
Robinson, Lisa
Mak, Susanna
Ouzounian, Maral
Mulvagh, Sharon L.
Straus, Sharon
Allan, Katherine
Yin Yip, Cindy Ying
Graham, Michelle M.
Cardiovascular Physicians, Scientists, and Trainees Balancing Work and Caregiving Responsibilities in the COVID-19 Era: Sex and Race-Based Inequities
title Cardiovascular Physicians, Scientists, and Trainees Balancing Work and Caregiving Responsibilities in the COVID-19 Era: Sex and Race-Based Inequities
title_full Cardiovascular Physicians, Scientists, and Trainees Balancing Work and Caregiving Responsibilities in the COVID-19 Era: Sex and Race-Based Inequities
title_fullStr Cardiovascular Physicians, Scientists, and Trainees Balancing Work and Caregiving Responsibilities in the COVID-19 Era: Sex and Race-Based Inequities
title_full_unstemmed Cardiovascular Physicians, Scientists, and Trainees Balancing Work and Caregiving Responsibilities in the COVID-19 Era: Sex and Race-Based Inequities
title_short Cardiovascular Physicians, Scientists, and Trainees Balancing Work and Caregiving Responsibilities in the COVID-19 Era: Sex and Race-Based Inequities
title_sort cardiovascular physicians, scientists, and trainees balancing work and caregiving responsibilities in the covid-19 era: sex and race-based inequities
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8134915/
https://www.ncbi.nlm.nih.gov/pubmed/34027367
http://dx.doi.org/10.1016/j.cjco.2020.12.027
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