1. Basic Demographics
1. What is your age?
2. What is your gender?
Male Female
3. What is your current rank?
Fellow (still in training) Instructor
Assistant Professor
Associate Professor Professor
4. Are you on the Clinical or Research Track?
Clinical Track Research Track
5. What is your current institution? (optional)
6. What is your name (optional)?
Email address
7. Would you be willing to be contacted, regarding both this survey and future projects/collaborations? (if yes, please include email address below)
Yes No
Supplemental Digital Content 1. Complete Survey
2. Training Background
8. What is your training background? Select all specialities in which you underwent organized training
Pediatrics Residency Anesthesiology Residency
Pediatric Critical Care Medicine Fellowship Pediatric Anesthesiology Fellowship
Congenital Cardiac Anesthesiology Fellowship
Pediatric Cardiac Critical Care Medicine Fellowship Pediatric Cardiology Fellowship
Adult Cardiothoracic Anesthesiology Fellowship Anesthesiology Critical Care Fellowship
Other (please specify)
9. In which specialties are you board-certified or board-eligible (currently or in past)?
Pediatrics Anesthesiology
Pediatric Critical Care Medicine
Pediatric Anesthesiology Anesthesiology Critical Care Pediatric Cardiology Other (please specify)
10. Over what year span did you complete your postgraduate medical training (provide range of years, for example 2004-2013)
11. How many years ago did you complete your CLINICAL training?
3. Current practice model
12. Who is your primary employer?
University Department of Anesthesiology University Department of Pediatrics
Private Practice Anesthesiology Group Private Practice Critical Care Group Other (please specify)
13. At your institution, are Pediatric Anesthesiology and Pediatric Critical Care Medicine housed in the same department/division?
Yes No
Anesthesiology Critical Care Medicine Basic Research Clinical/Translational Research
Administrative Educational
14. Indicate your current effort allocation, by % FTE (use whole numbers from 0 to 100).
Pediatric Anesthesiology Pediatric Cardiac Anesthesiology Pediatric Critical Care Medicine
Pediatric Cardiac Critical Care Medicine
Adult Anesthesiology Adult Critical Care Medicine
15. Indicate your division of CLINICAL effort by % of total clinical time (use whole numbers from 0-100).
16. If you are no longer practicing in both specialties, which did you give up (select all that apply)
Pediatric Anesthesiology Pediatric Critical Care Medicine
Not applicable, I am still practicing both specialties
17. If you are no longer practicing in both specialties, how long did you have a dual practice?
18. If you are no longer practicing in both specialities, why did you stop? (select all that apply, and describe below)
Burnout
Stress of caring for critically ill children Stress on personal/family life Political or administrative reasons Compensation discrepancy
Time constraints
Challenge in maintaining competency in multiple clinical domains
Detracts from ability to be successful in research or other pursuits
Not applicable; I am still practicing both specialties Other (please describe)
19. How many colleagues in your group (including yourself) COMPLETED dual training in pediatric anesthesiology and pediatric critical care medicine?
20. How many colleagues in your group (including yourself) currently PRACTICE both pediatric
anesthesiology and pediatric critical care medicine?
4. Research and Scholarship
21. Are you currently, or have you been involved in research?
Yes No
22. What type of research are you engaged in? (Select all that apply)
Basic Science Translational Clinical
Quality and Safety Educational
Other (please specify)
23. Did you complete any dedicated research training? (select all that apply)
Masters degree PhD degree
Institutional training grant (ie, T32 program)
Postdoctoral/Early career development grant (ie, K-series) Other (please specify)
Other (please specify)
24. Are you currently or have you been previously funded through any extramural programs? (If yes, please describe below)
Yes No
25. Number of peer-reviewed publications (authorship in any position)
5. Administrative and leadership effort
26. Current institutional leadership positions (select all that apply)
Division Chief of Pediatric Anesthesiology Division Chief of Pediatric Critical Care Medicine Section Leader of Pediatric Cardiac Anesthesiology Section Leader of Pediatric Cardiac Critical Care Medicine Medical Director of PICU
Medical Director of CICU
Clinical Operations Director
Fellowship Director Pediatric Anesthesiology Fellowship Director Pediatric Critical Care Medicine Director Quality Improvement/Patient Safety Director Transplant Anesthesia
Director Perioperative Clinic Other (please specify)
27. Prior institutional leadership positions (select all that apply)
Division Chief of Pediatric Anesthesiology Division Chief of Pediatric Critical Care Medicine Section Leader of Pediatric Cardiac Anesthesiology Section Leader of Pediatric Cardiac Critical Care Medicine Medical Director of PICU
Medical Director of CICU
Clinical Operations Director
Fellowship Director Pediatric Anesthesiology Fellowship Director Pediatric Critical Care Medicine Director Quality Improvement/Patient Safety Director Transplant Anesthesia
Director Perioperative Clinic Other (please specify)
28. National or Society leadership positions (select all that apply, describe below)
ASA SPA CCAS
AAP SCCM AUA Other (please specify)
Describe
29. Do you currently chair, or have in the past chaired, any HOSPITAL or DEPARTMENT committees or working groups? (describe below)
Yes No
Describe
30. Have you received any university, specialty society, or national awards for clinical service, teaching, or research? (if yes, please describe below)
Yes No
6. Barriers to dual specialty practice
31. What do you feel are the biggest impediments to CURRENT TRAINEES considering dual training?
Please rank order each item from highest impact [1] to least impact [8].
Duration of residency/fellowship training
Opportunity cost of delayed entry into faculty level position
Complexity, cost, and hassle of maintaining multiple boards/ MOC cycles
Uncertainty about future job market
Sense of institutional bias against dual trained personnel
Difficulty in balancing conflicting clinical demands
Unawareness of this career pathway
Lack of institutional role models/mentoring
32. What do you feel are the major barriers to MAINTAINING A JOINT PRACTICE in pediatric
anesthesiology and pediatric critical care medicine? Please rank order each item from highest impact [1] to least impact [8]
Complexity, cost, and hassle of maintaining multiple boards/ MOC cycles
Uncertainty about future job market
Sense of institutional bias against dual trained personnel
Difficulty in balancing conflicting clinical demands
Political or administrative challenges
Difficulty in maintaining clinical competence in more than one field
Financial pressures (ie, billing, RVU targets)
Inability to initiate or sustain research
7. Evolution of your practice and thoughts on the future state
33. How would you best classify yourself?
I am an intensivist who provides anesthesia care I am an anesthesiologist who provides critical care I am BOTH (neither role takes precedence)
Reduce Maintain Increase N/A
General OR Cardiac OR PICU CICU Administration Education Research
34. Do you foresee any change to your effort allocation in the next 5 years?
35. Do you think there is still a role for the dual-trained pediatric anesthesiologist-intensivist?
Yes No
36. What are the reasons you feel there is still a role for a dual-trained pediatric anesthesiologist- intensivist? Please rank order each item from highest importance [1] to least importance [5].
Increasing complexity of critically ill children presenting to OR
Perceived decline in critical care skills amongst pediatric anesthesiologists
Perceived decline in procedural and airway management skills amongst pediatric intensivists
Facilitates more streamlined and cohesive transfer of care between OR and ICU environments
This is "our specialty", and we don't want to lose it
37. What are the biggest assets to an INSTITUTION employing a dual-trained pediatric anesthesiologist- intensivist? Please rank order each item from highest importance [1] to least importance [5].
Flexibility in scheduling where current clinical needs demand
Educational resource for colleagues and trainees without such training
Leadership of Perioperative care
Improvement in professional interactions and collaboration between ICU and surgeons
Gives more visibility and leverage to the Anesthesiology Department
38. What are your primary reasons for maintaining a joint practice? Please rank order each item highest importance [1] to least importance [5].
Improved job satisfaction
Facilitates clinical/translational research endeavors
Higher compensation
More marketability
More flexibility
Comment
39. Would you be supportive of a fellowship and board-certification through the ABA in pediatric critical care medicine, open to pediatric anesthesiologists lacking primary certification in general pediatrics? (Please provide comment describing your reasons for or against such a model)
Yes No
40. If you could do it all again, would you?
Yes No
