Question
(answer choices)
All
Respondents
In-House providers
Mixed coverage providers
Home providers
Intensivists Fellows Residents
DEMOGRAPHICS
What is your role? (Intensivist, Pediatric Critical Care Fellow, Pediatric or Med-Peds Resident)
X
What type of coverage model exists in your current position? (In-house coverage, home coverage, mixed coverage)
X
What is the name of your institution? X How many pediatric intensive care beds are
at your primary hospital?
X How many years have you been a pediatric
intensivist?
X
What year of training are you? X X
As an attending, how many years have you spent in a HOME coverage model?
X As an attending, how many years have you
spent in an IHA coverage model?
X As a critical care fellow, what type of
coverage model did your primary training site use?
X
What type of unit do you primarily cover?
(‘Multidisciplinary medical/surgical PICU WITH cardiac surgical patients’;
‘Multidisciplinary medical/surgical PICU WITHOUT cardiac surgical patients’;
‘Pediatric CARDIAC Intensive Care Unit’;
‘A mixture of the above types’)
X
providers Does your institution currently have a
pediatric critical care fellowship training program? (yes/no; if yes – follow-up asking how many fellows in the program)
X X
Do you currently have residents who rotate through the ICU that you primarily cover?
X X
Do you currently have mid-level practitioners (e.g. NPs, PAs) in your ICU?
X Is there always either a fellow and/or mid-
level practitioner covering the ICU in-house?
X How many nights, on average, do you spend
in the hospital per month?
X How long are your typical in-house coverage
shifts/calls?
X X X
Do you receive supplemental compensation above your base salary for participation in the IHA model? (yes/no; if yes – follow-up asking to share compensation amount)
X X X
PERCEPTIONS OF CARE
IHA models are good for patient care. (4 point Likert)
X Patient care is safer if an attending is in-
house. (4 point Likert)
X Patient care is timelier if an attending is in-
house.
X Patient care is more efficient if an attending
is in-house. (4 point Likert)
X In my current training model, when I need
assistance, an attending will be at the bedside with me. (4 point Likert)
X X
providers In the current coverage model in my ICU,
there is good continuity of care as attendings transition. (4 point Likert)
X
Did your institution measure any patient outcomes (e.g. mortality, length of stay, length of ventilation) for pre- and post-IHA coverage models? (yes/no; if yes – follow-up asking to share findings)
X
PERCEPTIONS OF FACULTY EFFECTS If choosing now, I would still select a career in pediatric critical care. (4 point Likert)
X X
I would encourage an interested resident to pursue a career in pediatric critical care. (4 point Likert)
X X
Working in an IHA model increases my risk for burnout. (4 point Likert)
X X X
Working as an attending in an IHA model would increase my risk for burnout. (4 point Likert)
X X X
As an attending working in an IHA model, my preferred shift length is:
X X X
If working as an attending in an IHA model, my preferred shift length would be:
X X X
Working in an IHA model limits my academic productivity. (4 point Likert)
X X X
Working in an IHA model would limit my academic productivity. (4 point Likert)
X X X
Working in an IHA model interferes with my non-clinical responsibilities. (4 point Likert)
X X X
providers Working in an IHA model would interfere
with my non-clinical responsibilities. (4 point Likert)
X X X
Working in an IHA model has a negative effect on my family and/or personal life. (4 point Likert)
X X X
Working in an IHA model would have a negative effect on my family and/or personal life. (4 point Likert)
X X X
If given the choice, I would prefer to work in an institution with an IHA coverage model.
(4 point Likert)
X
In my current position, my career advancement is linked to: (check all that apply: 'Clinical effort / patient care';
'Research activities'; 'Obtaining external (i.e.
grant) funding'; 'Authoring medical
literature'; 'Teaching activities'; 'Mentoring / advising'; 'Administrative roles'; 'Service / advocacy')
X
What criteria do you use to go to the unit at night? ('I stay in the unit all night'; ‘Any phone call from housetaff’; ‘All new admissions’; ‘Selected admissions’; ‘If nursing and/or housestaff needs help’; ‘high- risk procedures (intubations, etc.)’; ‘Most procedures beyond blood draws and PIVs’;
‘Codes’)
X
providers
BURNOUT ASSESSMENT (All questions answered with choices of: ‘every day’; ‘a few times a week’; ‘once a week’; ‘a few times a week’; ‘once a month or less’; ‘a few times a year’; ‘never’)
I very effectively deal with the problems of my patients:
X I feel I treat some patients as if they were
impersonal objects:
X I feel emotionally drained from my work: X I feel fatigued when I get up in the morning
and have to face another day on the job:
X I've become more callous towards people
since I took this job:
X I feel I'm positively influencing other
people's lives through my work:
X Working with people all day is really a strain
for me:
X I don't really care what happens to some
patients:
X I feel exhilarated after working closely with
my patients and/or families:
X I think of giving up medicine for another
career:
X I reflect on the satisfaction I get from being a
doctor:
X I regret my decision to become a doctor: X PERCEPTIONS OF EDUCATIONAL EFFECTS IHA models are good for housestaff
education. (4 point Likert)
X IHA models limit housestaff autonomy. (4
point Likert)
X
providers Supervision of housetaff is improved when
attendings are in the hospital. (4 point Likert)
X Housestaff are prepared to be independent
attendings after training in an IHA coverage model. (4 point Likert)
X
Housestaff are prepared to be independent attendings after training in a home coverage model. (4 point Likert)
X
Working in the Pediatric ICU is a good educational experience for housestaff. (4 point Likert)
X
During my PICU rotation(s), I was a
respected member of the health care team. (4 point Likert)
X X
During my PICU rotation(s), I had
appropriate responsibility for patient care and decision making. (4 point Likert)
X X
I feel comfortable responding to pediatric emergencies. (4 point Likert)
X X
I had adequate opportunity to perform procedures during my PICU rotation(s). (4 point Likert)
X
How many central line placements did you WITNESS during your PICU rotation(s)?
X How many central lines did you ATTEMPT
during your PICU rotation(s)?
X How many intubations did you WITNESS
during your PICU rotation(s)?
X How many intubations did you ATTEMPT
during your PICU rotation(s)?
X
providers How many pediatric codes did you
WITNESS during your PICU rotation(s)?
X How many pediatric codes did you
RUN/LEAD during your PICU rotation(s)?
X How many patients did you bag-mask
ventilate during your PICU rotation(s)?
X How many peripheral IVs did you
ATTEMPT during your PICU rotation(s)?
X How many peripheral IVs did you
SUCCESSFULLY PLACE during your PICU rotation(s)?
X
If choosing now, I would again select this training program. (4 point Likert)
X X
