MP54-06 SURGEON GENDER AND ELECTRONIC HEALTH RECORD WORKLOAD—A KEY TO PREVENTING BURNOUT?

You have accessJournal of UrologyDiversity, Equity & Inclusion: Increasing Representation in Urology (MP54)1 May 2024MP54-06 SURGEON GENDER AND ELECTRONIC HEALTH RECORD WORKLOAD—A KEY TO PREVENTING BURNOUT? Madeleine A. Z. Ball, Amy N. Luckenbaugh, Ryan S. Hsi, Jacob A. McCoy, Bryan D. Steitz, Allison B. McCoy, and Kristen R. Scarpato Madeleine A. Z. BallMadeleine A. Z. Ball , Amy N. LuckenbaughAmy N. Luckenbaugh , Ryan S. HsiRyan S. Hsi , Jacob A. McCoyJacob A. McCoy , Bryan D. SteitzBryan D. Steitz , Allison B. McCoyAllison B. McCoy , and Kristen R. ScarpatoKristen R. Scarpato View All Author Informationhttps://doi.org/10.1097/01.JU.0001008944.36895.9d.06AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Female primary care physicians spend more time in the electronic health record (EHR) and have higher rates of burnout than their male counterparts. Whether these findings apply to surgeons is unknown. In this study, we evaluated surgeon data, including urologic surgeons, from a single center to examine variability in time spent using the EHR by gender. METHODS: Two-hundred thirteen attending surgeons from an academic center in the Southeast were included in this retrospective study from December 2020 to July 2022. Surgical subspecialties represented included cardiac, general, neurologic, oncologic, orthopedic, otolaryngologic, plastic, transplant, urologic, and vascular surgery. Data on surgeon gender, years of experience, time spent in the EHR, distribution of time spent across EHR activities, and messages received were collected and analyzed. Then, we compared EHR utilization by gender among surgeons. RESULTS: One-hundred sixty-two male and fifty-one female surgeons were included. On average, female surgeons spent more time in the EHR per week (268 v. 215 minutes; 95% CI: [-92.3] – [-15.5]; p=0.0066). Females spent 176 minutes outside scheduled hours compared to 119 minutes for males (95% CI: [-94.4] – [-18.8]; p=0.0038). Female surgeons spent more time in the EHR during "pajama time," or between the hours of 5:30 pm and 7:00 am, at 217 minutes per week compared to 133 minutes for men (95% CI: [-155.9] – [-10.3]; p=0.0259). Both men and women received an average of 22 messages per day. Female surgeons spent more time in the InBasket compared to male surgeons (69 v. 47 minutes; 95% CI: [-33.3] – [-10.8], p=0.0002), but took fewer days to respond (2.5 vs 3.5 days; 95% CI: [0.02] – [2.3]); p=0.0495). Results can be viewed in Table 1. Twenty-two urologists were included. Though not statistically significant, trends were the same as that of surgeons overall, but with more messages received by females per day (32.4 v. 27.6; (95% CI: [-18.3] – [8.7]); p=0.4524). CONCLUSIONS: Female surgeons spent more time in the EHR overall, including more time outside scheduled time and after-hours. Though they received the same number of messages per day, female surgeons responded to patients more promptly. The additional time spent in the EHR, particularly outside of the regular work day, may be a key contributor to stress and burnout amongst female surgeons. Source of Funding: The authors have no disclosures nor sources of funding to report © 2024 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 211Issue 5SMay 2024Page: e877 Advertisement Copyright & Permissions© 2024 by American Urological Association Education and Research, Inc.Metrics Author Information Madeleine A. Z. Ball More articles by this author Amy N. Luckenbaugh More articles by this author Ryan S. Hsi More articles by this author Jacob A. McCoy More articles by this author Bryan D. Steitz More articles by this author Allison B. McCoy More articles by this author Kristen R. Scarpato More articles by this author Expand All Advertisement PDF downloadLoading ...