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ArticleAcademic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry2024

Informal Caregiving Among Faculty at a Large Academic Health Sciences University in the United States: an Opportunity for Policy Changes.

Carolyn Rennels, Snehal G Murthy, Margaret A Handley, Meghan D Morris, Brian K Alldredge, Priya Dahiya, Reshma Jagsi, Jennifer L Kerns, Christina Mangurian

Abstract read
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Article in Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  2. Evolving Perspectives on Wellness and Stress.Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry · 2024
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Carolyn RennelsUniversity of California San Francisco, San Francisco, CA, USA.
Snehal G MurthyUniversity of California San Francisco, San Francisco, CA, USA.
Margaret A HandleyUniversity of California San Francisco, San Francisco, CA, USA.
Meghan D MorrisUniversity of California San Francisco, San Francisco, CA, USA.
Brian K AlldredgeUniversity of California San Francisco, San Francisco, CA, USA.
Priya DahiyaUniversity of California San Francisco, San Francisco, CA, USA.
Reshma JagsiEmory University, Atlanta, GA, USA.
Jennifer L KernsUniversity of California San Francisco, San Francisco, CA, USA.
Christina MangurianUniversity of California San Francisco, San Francisco, CA, USA. christina.mangurian@ucsf.edu.ORCID http://orcid.org/0000-0002-9839-652X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis article aims to determine the prevalence of caregiving among faculty at a large academic health sciences institution, to examine the effect of gender and other demographic and professional covariates on caregiving status, and to explore caregiver-generated policy recommendations.

methodA cross-sectional, mixed-methods survey was collected from June through August 2018. Participants were faculty within one of the institution's health professional schools (dentistry, medicine, nursing, or pharmacy) receiving at least 50% salary from the institution. In addition to demographic information, we collected academic series and rank, and assessed association between covariates on caregiving status using logistic regression. We analyzed open-ended responses using thematic analysis to identify themes in caregiver barriers and policy suggestions.

resultsAmong 657 eligible respondents, 11.4% were informal caregivers. Women were more likely to be caregivers than men (aOR 2.53, 95% CI: 1.40, 4.78), as were older faculty. Caregivers identified unsupportive climate or unrealistic work expectations, concern about career advancement, insufficient information about policies, and concern about colleague burden as barriers to support. Suggestions for workplace support included improved leave policies, increased flexibility, caregiver resource support, improved clarity and dissemination of policy information, and financial support.

conclusionsWomen faculty are more likely to be informal caregivers, exacerbating disparities within academic medicine for promotion and retention among women faculty. Institutions might include caregiving status in annual burnout surveys to guide the development of structural support and policies for extension of family leave beyond childbearing (or catastrophic leave), flexibility in work hours, and subsidized eldercare services.

Indexed as

CaregiversAdultCross-Sectional StudiesFacultyFaculty, MedicalFemaleHumansMaleMiddle AgedOrganizational PolicySex FactorsSurveys and QuestionnairesUnited StatesUniversitiesWorkplaceAcademic medicineFamily leave policyInformal caregivingPhysician burnoutWomen faculty

Identifiers

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.