National Online Survey Research Articles

A national survey on the impact of the coronavirus pandemic on gynecologic surgical training.

The objective of this study was to assess the impact of the coronavirus pandemic on gynecology surgical training. A national cross-sectional online survey was distributed to all trainees and trainers in the higher specialist training program for obstetrics and gynecology in Ireland. The survey consisted of questions on topics which included: the volume of surgical procedures performed before and since the pandemic, confidence in performing various gynecologic procedures before and since the pandemic and questions regarding the impact of the pandemic on wellbeing and work practices. Trainers and trainees experienced a significant reduction in operative volumes for most procedure types. Analysis showed a significant reduction in the number of minor procedures performed by trainees (z = -2.7, P = 0.007) and a significant reduction in the number of all procedure types performed by trainers (minor procedures z = -3.78, P = <0.001; intermediate procedures z = -4.48, P = < 0.001; major procedures z = -3.69, P = < 0.001). Respondents reported they had less time for research and audit, were less able to attend courses or conferences and worried about the impact of their work on their families. In conclusion, this study has highlighted the current difficulties facing surgical trainees in gynecology because of the COVID-19 pandemic. These challenges have compounded an already challenging training environment for gynecology trainees. Efforts must be made to continue to provide high-quality tailored training to ensure the development of the next generation of gynecologic surgeons.

Recommendations for Recovery of the COVID-19 Pandemic-related Diagnostic, Screening, and Procedure Backlog in Ontario: A Survey of Healthcare Leaders.

The COVID-19 pandemic has resulted in a significant diagnostic, screening, and procedure backlog in Ontario. Engagement of key stakeholders in healthcare leadership positions is urgently needed to inform a comprehensive provincial recovery strategy. A list of 20 policy recommendations addressing the diagnostic, screening and procedure backlog in Ontario were transformed into a national online survey. Policy recommendations were rated on a 7-point Likert scale (strongly agree to strongly disagree) and organized into those retained (≥75% strongly agree to somewhat agree), discarded (≥80% somewhat disagree to strongly disagree), and no consensus reached. Survey participants included a diverse sample of healthcare leaders with the potential to impact policy reform. Of 56 healthcare leaders invited to participate, there were 34 unique responses (61% response rate). Participants were from diverse clinical backgrounds, including surgical subspecialties, medicine, nursing, and healthcare administration and held institutional or provincial leadership positions. A total of 11 of 20 policy recommendations reached the threshold for consensus agreement with the remaining 9 having no consensus reached. Consensus agreement was reached among Canadian healthcare leaders on 11 policy recommendations to address the diagnostic, screening, and procedure backlog in Ontario. Recommendations included strategies to address patient information needs on expected wait times, expand health and human resource capacity, and streamline efficiencies to increase operating room output. No consensus was reached on the optimal funding strategy within the public system in Ontario or the appropriateness of implementing private funding models.

Navigating digital health: perspectives of Australian community pharmacists—a short communication

Abstract Objective This study explores the perspectives of Australian community pharmacists regarding digital health interventions, examining adoption rates, advantages, and barriers. Methods A national voluntary online survey was conducted with Australian community pharmacists from September 2022 to June 2023. Results Of the 120 responses received, 118 were analysed. The main benefits identified included improved access to health records and patient care quality while major concerns included technical issues and data security. Suggestions for increased digital health adoption included digital health education and regulation. Conclusions Australian community pharmacists play a crucial role in adopting digital health yet face significant challenges. Despite the potential of telehealth, community pharmacists have not widely embraced its adoption in their practice. The digital healthcare transformation necessitates collaborative efforts and strict guideline adherence for effective integration.

The Role of Consumers’ Knowledge of Native and Pollinator-friendly Plants and Their Prioritization of Plant Characteristics in Purchase Decisions

There is a growing trend toward planting native and pollinator-friendly plants in residential gardens and landscapes due to concerns about invasive plant species, water conservation, and urban land management. Yet, understanding consumer purchase behavior and how knowledge affects their purchase intent is largely unknown. In this analysis, we integrated national online and in-person surveys to determine the influence of consumers’ subjective and objective knowledge of native and pollinator-friendly ornamental plants on their purchase decisions. Factors influencing plant purchase decisions were measured using a 7-point Likert rating scale. We found that participants with relatively higher knowledge of native and pollinator-attractive plants placed more emphasis on sustainable production methods relative to the plant’s physical attributes (e.g., plant size, shape, etc.) and care-related characteristics (e.g., plant health, easiness of care, etc.). Plant lovers (i.e., frequent purchasers who spent relatively more money on plants than infrequent purchasers) were more likely to prioritize sustainable production methods over the plants’ physical attributes. In contrast, participants primarily buying plants from mass merchandisers/box stores tend to focus on visual appeal or aesthetic characteristics. Consumer marketing implications for the nursery and greenhouse industry stakeholders are discussed.

U.S. Adolescents' Exposure to Alcohol Marketing: Self-Reported Exposure on the Internet and Traditional Media.

Youth exposure to alcohol marketing is a risk factor for underage drinking. In the U.S., research documents the impact of youth exposure to alcohol marketing through traditional media (e.g., TV, radio) on underage drinking, with less known about digital alcohol marketing exposure. This study aims to examine adolescents' self-reported exposure to alcohol marketing on various types of media, including the internet, by their demographic characteristics. Data were from the 2021 YouthStyles survey administered by Porter Novelli. Adolescents aged 12-17 years (N=833) completed this national online survey. Two multivariable logistic regression models were conducted in October 2022-April 2023 to examine exposure to alcohol marketing on 2 categories of media (watching TV, streaming videos, or going to the movies or browsing the internet). Models included race/ethnicity, age, gender, and past-week number of hours using the media category being assessed. More than half of the U.S. adolescents reported being sometimes or often exposed to alcohol marketing. Hispanic adolescents had approximately 1.6 greater adjusted odds than non-Hispanic White adolescents of reporting sometimes or often being exposed to alcohol marketing while watching TV, streaming videos, or going to the movies and while browsing the internet. As adolescents' age increased, self-reported alcohol marketing exposure also increased for both media categories assessed. Monitoring alcohol marketing exposure, including exposure on the internet, can inform efforts for reducing racial/ethnic disparities in underage drinking risk factors.

How Do Personality Traits Relate to Financial Satisfaction During the COVID-19 Pandemic?

This study explored the relationship between personality traits and financial satisfaction and explored if the perceived COVID-19 impacts on finance and well-being play moderating roles. With data from a national online survey in the United States, results indicate that personality traits significantly predict financial satisfaction levels, with openness positively influencing financial satisfaction. Additionally, the results reveal that perceived COVID-19 impacts on finance and well-being moderate the relationship between personality traits and financial satisfaction. In instances where the financial and well-being effects of COVID-19 are considered, openness inversely relates to financial satisfaction, whereas neuroticism shows a positive association. These findings suggest a nuanced interplay of psychological characteristics with financial satisfaction in the face of global disruptions such as COVID-19.

Barriers for pregnancy and perceptions of gender discrimination of urologists in training in France: Results of a national survey

IntroductionGender discrimination seems more prevalent in surgery than other medical specialties. In addition, female urologists are more likely to have obstetric complications and to be discouraged from starting a family during training. The objective of this study was to determine the prevalence of perceived gender discrimination and barriers for pregnancy during fellowship, among French urology residents and fellows. Material and methodsThe French Association of Urologists in Training performed a national online survey between August and September 2022. Participants were assured that their participation was anonymous. Respondents were questioned on demographics, gender discrimination and on pregnancy barriers during fellowship. ResultsIn total, 153 members answered the questionnaire out of the 427 members of the association (36%), among which 75 women (49%). Thirty nine percent of the female respondents found that their gender was a barrier in their career advancement, versus 1% of the male (P<0.0001). Forty female respondents (53%) perceived that female urologists earned less respect than their male counterparts versus 22% of the male (P<0.0001). Among the female respondents, 19 (25%) have felt that it would not be possible to become pregnant at the time they would have wanted it and 7 (9%) reported having already been threatened to lose a fellowship position in case of a pregnancy. ConclusionThis survey found a high prevalence of gender discrimination among French urologists in training, perceived in majority by women. Female urologists perceived obstacles and received threats when wanting to become pregnant during their training.

Exposure to disrespectful maternity care and perceptions of respectful maternity care among nursing and midwifery pre-registration students in China: A national cross-sectional study

AimsTo 1) determine the prevalence and types of disrespectful maternity care witnessed by students; 2) describe students’ perceptions of respectful maternity care and associated factors; and 3) investigate whether witnessing disrespectful care influences their perceptions of respectful maternity care. BackgroundLimited evidence exists about nursing and midwifery students' perceptions of respectful maternity care and prevalence of disrespectful maternity care in China. Understanding students' perceptions can inform pre-registration curricula and clinical practice programs, promoting the implementation of respectful maternity care. DesignAn exploratory national online survey was conducted. MethodsData were analysed using bivariate analysis and multi-factor analysis of variance. ResultsAmong 733 students, positive perceptions towards respectful maternity care were common. Approximately one-fifth witnessed disrespect, with physical violence, lack of communication and untimely care most frequently reported. A better understanding of respectful maternity care was associated with female students of Han ethnicity, majoring in midwifery, undertaking a longer internship/practicum and reporting fewer instances of observed disrespect.Although students reported positive perceptions of respectful maternity care, inadequate understanding was evident. Incorporating relevant content about respectful care into the curriculum is suggested. Reducing students’ exposure to disrespectful maternity care may ensure that certain forms of disrespect or abuse do not become normalized among students. This requires system-level efforts to create a safe and supportive working environment for maternity health providers. ConclusionTo promote respectful maternity care in China, system-level changes are warranted. Respectful maternity care needs to be essential content in pre-registration midwifery and nursing curricula. Encouraging students to identify poor practice and discuss good practice in a safe learning environment is warranted.

LGBTQ+ Christians in Australia

This article argues that the focus on the harm and stigma experienced by LGBTQ+ Christians misrepresents the complexity of the experience of many LGBTQ+ Christians, many of whom report affirmation and self-acceptance. A national representative survey indicates 5.5% of all Australians, 2.9% of Christians, and 8.4% of those with no religion identify their sexuality as lesbian, gay, bisexual, or ‘other’. LGB+ Christians appear to be distributed through all large Christian denominations. A second non-random national online survey indicates that many LGBTQ+ Christians report both self-acceptance and acceptance in their Christian community. While many LGBTQ+ Christians experience significant discrimination in Christian contexts, the often reported incompatibility of Christianity with LGBTQ+ sexual and gender identities is only one part of the story. There are significant sectors of Australian Christianity that are welcoming of LGBTQ+ people. Furthermore, LGBTQ+ people who remain Christians are often deeply committed to their faith.

TEMPORARY REMOVAL: Zero Alcohol Products and Adolescents: A Tool for Harm Reduction or a Trojan Horse?

IntroductionZero alcohol products (ZAPs) could reduce alcohol-related harms by acting as a substitute for alcoholic beverages. However, concerns have been raised regarding the potential for these products to expose young people to additional alcohol-related stimuli, further normalising alcohol use and acting as a gateway to underage alcohol consumption. Scarce research has examined whether these concerns are warranted. MethodThis project comprised two parts involving Australian adolescents aged 15-17 years. Part 1 was a series of 5 online focus groups (n=44) that provided initial insights into perceptions of and experiences with ZAPs. Part 2 was a national online survey (n=679) that assessed the generalisability of the focus group findings and identified factors associated with ZAP-related attitudinal and behavioural outcomes. ResultsZAPs were found to be salient and attractive to Australian adolescents. Over a third of surveyed adolescents (37%) had tried ZAPs. The focus group participants and survey respondents generally perceived ZAPs in a positive light, seeing them as a useful alternative to alcohol for both adolescents and adults who want to circumvent social expectations to use alcohol. Some of the study participants acknowledged the potential for ZAPs to serve as a gateway to alcohol use and recommended reducing their visibility and accessibility. ConclusionZAPs are likely exposing minors to additional alcohol-related stimuli potentially increasing their risk of underage alcohol consumption. Regulatory responses to ZAPS need to protect young people from the potential adverse consequences of ZAPs exposure while enabling the products to be used by adults as an alcohol substitute.

Physiotherapy assessment of people with neurological conditions in Australia: A national survey.

Currently there are approximately one billion people worldwide affected by a neurological condition. These conditions may result in a variety of impairments that require assessment and management from a physiotherapist. However, there is a lack of consensus in the literature as to what domains physiotherapists working in clinical settings include in their assessment of this population, with only five domains identified in a recent systematic review. This study aimed to explore current physiotherapy assessments in people with neurological conditions, including barriers, enablers, and influencing factors. A National online survey of Australian physiotherapists who assessed adults with neurological conditions in their clinical practice. A total of 212 respondents from all states in Australia completed the survey. The mean (SD) age was 35.7 (9.6) years, and the majority were female (85.4%). Respondents worked across various settings assessing stroke most frequently (58.0%). Study results demonstrated variability in assessment practice, with a number of assessment domains being assessed more commonly including balance, muscle strength, gait, falls and safety, function, goal setting, range of movement, pain, co-ordination, activity tolerance, postural alignment and symmetry, and the upper limb. Experienced physiotherapists and those in rural and remote settings included fewer domains in their assessments. On the other hand, physiotherapists in the community setting included certain domains more frequently than those in other settings. Barriers and enablers were related to therapist caseload, knowledge, and intrinsic patient factors. There is variability in domains assessed by Australian physiotherapists, with an emerging consensus for a number of assessment domains. Study results suggest that clinical experience, geographical location, and clinical setting may play a role in the assessment patterns observed. There is little evidence to support what physiotherapists assess in practice, in different settings, in different states within Australia. This study indicates that experience, geographical location, and clinical setting affect the number and types of domains included in the assessment. Further research is needed to develop a consensus on best practices.

Body Weight Perceptions Among Youth From 6 Countries and Associations With Social Media Use: Findings From the International Food Policy Study

BackgroundBody dissatisfaction is associated with poor psychological and physical health, particularly among young people. However, limited data exist on body size perceptions across countries and factors associated with dissatisfaction. ObjectiveThis study examined dissatisfaction prevalence and associations with sociodemographics and social media use among youth in 6 countries. DesignRepeat cross-sectional national online surveys were conducted as part of the 2019 and 2020 International Food Policy Study Youth Survey. ParticipantsThe sample included 21 277 youth aged 10 to 17 years from Australia, Canada, Chile, Mexico, the United Kingdom, and the United States. Youth were recruited to complete the online survey through parents/guardians enrolled in the Nielsen Consumer Insights Global Panel and their partners’ panels. Main outcome measuresFigural drawing scales assessed self-perceived and ideal body images, with differences between scales representing body dissatisfaction. Statistical analyses performedMultinomial logistic regression models examined differences in body dissatisfaction by country, and associations with sociodemographics and either social media screen time or platforms used, including 2-way interactions with country. ResultsOverall, approximately 45% of youth reported the same perceived and ideal body sizes, whereas 35% were “larger than ideal” (from 33% in Canada and Australia to 42% in Chile) and 20% were “thinner than ideal” (from 15% in Chile to 22% in Mexico). Greater social media screen time was associated with a higher likelihood of moderate-severe dissatisfaction for being “thinner than ideal” and at least mild dissatisfaction for being “larger than ideal” (P < .003 for all contrasts), with greater dissatisfaction among users of YouTube and Snapchat than nonusers (P ≤ .005 for both contrasts). Modest differences in body dissatisfaction between countries were observed for age, ethnicity, body mass index, and weight-based teasing. ConclusionsBody dissatisfaction is prevalent among youth across diverse countries. These findings highlight the need to promote healthy body image in youth, particularly among social media users.

Use of service and treatment adequacy in medical students and residents suffering from depression in France: A nationwide study

Depression was already a public health issue before the Covid-19 pandemic. Use of service and treatment adequacy in medical students was poorly known. A 2021 French national study found the prevalence of 12-month major depressive disorder (MDD) was 25 % in medical school students and residents (MSSR). The main objective of our study was to measure the prevalence of service use and adequate treatment (therapy and/or recommended pharmacotherapy) and their associated factors. A national online survey was conducted in 2021. The Composite International Diagnostic Interview Short-Form questionnaire was used to assess MDD; 12-months service use and pharmacotherapy were assessed. Univariate and multivariate logistic regressions were performed between students' demographic characteristics, use of services, and treatment adequacy. Among included MSSR who experienced MDD in the last 12 months, only 32 % received adequate treatment, including 20 % with recommended pharmacotherapy. Being more advanced in medical studies and being treated both by a general practitioner and a psychiatrist were associated with receiving recommended pharmacotherapy. To our knowledge, our study is the largest to assess use of service and treatment adequacy in MSSR. Given the low percentage of depressed students receiving recommended treatment, it seems important to develop new interventions to better detect and treat MDD in MSSR.

Sustainability challenges concerning the effects of high-priced drugs on the day-to-day operations of community pharmacies in Finland

BackgroundHigh-priced drugs pose a challenge for health budgets, policies, and patient safety. One of the key roles of community pharmacies is to ensure availability to prescription drugs regardless of their price. This has been identified as challenging in certain situations concerning high-priced drugs. ObjectivesThe aim is to investigate the views of proprietary pharmacists regarding the effects of high-priced drugs on the day-to-day operations of pharmacies. MethodsThe data collection of the study was performed as a national cross-sectional online survey. The inclusion criteria were being a proprietary pharmacist and a member of the Association of Finnish Pharmacies. The survey contained questions yielding both quantitative and qualitative answers. The study focused on the qualitative data which was analysed by deductive thematic analysis. ResultsIn total 604 proprietary pharmacists were sent the survey, and 174 eligible answers were included in the study, giving a response rate of 29%. The result describes the relationships between the economic, social, and environmental dimensions of sustainable development based on a framework by Wanamaker, with respect to high-priced drugs and community pharmacy operations as viewed by proprietary pharmacists. The main findings of the study show that proprietary pharmacists find the implementation of real-time reimbursement payments, a further reform of the pharmacy tax, and the abolishment of return bans to the wholesaler as risk mitigations and means to attain sustainability with respect to high-priced drugs and pharmacy practice. They experience that these changes would diminish high-priced drugs unnecessarily ending up as medical waste and improve the working conditions of the pharmacy staff by alleviating stress. ConclusionsAccording to the respondents, high-priced drugs pose challenges for community pharmacies and the legislation and reimbursement system need to adapt to these challenges. If not, community pharmacies in Finland continue to face severe financial declines based on the study results.

Clinicians’ perceptions of “enhanced recovery after surgery” (ERAS) protocols to improve patient safety in surgery: a national survey from Australia

BackgroundSurgical patients are at risk of postoperative complications, which may lead to increased morbidity, mortality, hospital length-of-stay and healthcare costs. Enhanced Recovery After Surgery (ERAS®) protocols are evidence-based and have demonstrated effectiveness in decreasing complications and associated consequences. However, their adoption in Australia has been limited and the reason for this is unclear. This study aimed to describe clinicians’ perceptions of ERAS protocols in Australia.MethodsA national online survey of anaesthetists, surgeons and nurses was undertaken. Invitations to participate were distributed via emails from professional colleges. The 30-item survey captured respondent characteristics, ERAS perceptions, beliefs, education and learning preferences and future planning considerations. The final question was open-ended for elaboration of perceptions of ERAS. Descriptive and inferential statistics were used to describe and compare group differences across disciplines relative to perceptions of ERAS.ResultsThe sample included 178 responses (116 nurses, 65.2%; 36 surgeons, 20.2%; 26 anaesthetists, 14.6%) across six states and two territories. More than half (n = 104; 58.8%) had used ERAS protocols in patient care, and most perceived they were ‘very knowledgeable’ (n = 24; 13.6%) or ‘knowledgeable’ (n = 71; 40.3%) of ERAS. However, fewer nurses had cared for a patient using ERAS (p <.01) and nurses reported lower levels of knowledge (p <.001) than their medical counterparts. Most respondents agreed ERAS protocols improved patient care and financial efficiency and were a reasonable time investment (overall Md 3–5), but nurses generally recorded lower levels of agreement (p.013 to < 0.001). Lack of information was the greatest barrier to ERAS knowledge (n = 97; 62.6%), while seminars/lectures from international and national leaders were the preferred learning method (n = 59; 41.3%). Most supported broad implementation of ERAS (n = 130; 87.8%).ConclusionThere is a need to promote ERAS and provide education, which may be nuanced based on the results, to improve implementation in Australia. Nurses particularly need to be engaged in ERAS protocols given their significant presence throughout the surgical journey. There is also a need to co-design implementation strategies with stakeholders that target identified facilitators and barriers, including lack of support from senior administration, managers and clinicians and resource constraints.

News you can refuse: If news is important, why aren’t more people willing to pay for it?

Guided by public goods and uses and gratifications theories, this study examines the link among motivations for news consumption, perceived importance of news, and willingness to pay for news. Through a national online survey in Singapore ( n = 818), this study found that both entertainment and socialisation motivations are positively related to willingness to pay for news, while surveillance motivation was not. The analysis also found that perceiving news to be personally important is positively related to willingness to pay for news; in contrast, perceiving news to be important to society was unrelated to willingness to pay for it. While surveillance motivation was not directly related to willingness to pay for news, it exerts an indirect effect through perceived personal importance of news. These findings challenge conventional assumptions about the drivers of news subscriptions and offer pivotal insights for news organisations seeking sustainable revenue models in an era of media transformation.

Investigating the Relationships Among HMP, Credibility, and TPP of News Media and Their Links to News Media Policy Support

Abstract Prior research has suggested that perceptions of bias, credibility, and influence of news media may relate to one another but there have been relatively few efforts to integrate these concepts under a coherent theoretical framework. Based on social identity theory, we examined whether political identity relates to hostile media perception (HMP), credibility, and third-person perception (TPP) and if such perceptions in tandem predict attitudes toward news media policies—restriction of news media and media literacy education, which may neutralize the influences of seemingly hostile and untrustworthy news media. Findings from two national online surveys showed that strong partisans tend to perceive stronger HMP and less credibility in news media. Additionally, progressives had greater HMP. HMP and TPP were positively associated with media restriction policy support and media literacy education support. Credibility showed negative associations with restrictive media policy support, whereas the opposite pattern was found in the relationship with media education support. Furthermore, the positive associations between HMP and media policy support were mediated by TPP. The negative associations between credibility and restrictive media policy support were also mediated by TPP.

Coparenting and Adolescent Academic Engagement: The Mediating Role of Parent–Child Communication Among a National Sample of Chinese Families

ABSTRACTThe relationship and related mediating mechanism between parental coparenting and adolescent academic engagement have yet to be elucidated during the pandemic. The present study is set to investigate the relationship between parental coparenting and adolescent academic engagement within Chinese families. Then it examines the mediating effects of parent–child communications in relationships. As a part of the national online survey in China, fathers, mothers and adolescents from 700 families across the country participated in the online survey. Both parents reported their coparenting support and conflict, while adolescents rated the level of open and problematic parent–child communication and their own academic engagement. Paternal coparenting conflict was related to adolescent academic engagement through both open and problematic communications. Paternal and maternal coparenting support was related to adolescent academic engagement through the mediating effect of open communication. Maternal coparenting conflict was related to adolescent academic engagement through problematic communication. Moreover, paternal coparenting support was positively directly related to adolescent academic engagement in the overall model. The research findings supported the effects of parental coparenting on adolescent academic engagement through the mediating effects of open and problematic parent–child communication. Paternal coparenting support had a greater impact on adolescent academic engagement.

Unmet needs in phenylketonuria: an exploratory Italian survey among patients and caregivers

Objective Patients with phenylketonuria (PKU) require a strict diet to maintain phenylalanine (Phe) levels within the desired range. However, the diet can be onerous, resulting in poor adherence. We carried out the first online national survey in Italy to better understand the perceptions, knowledge, and experiences of both patients with PKU and caregivers with the goal of improving patient outcomes. Methods An online survey of 35 questions to patients and 36 questions to caregivers was distributed in September 2022 through physicians and relevant Italian associations. The information collected included knowledge and impact of PKU, unmet needs, knowledge of available drugs, and satisfaction with therapy. Results Overall, 241 questionnaires were completed by 85 patients and 156 caregivers (96.0% were parents). Knowledge of the pathogenic basis of PKU was generally high. The most common patient-reported symptoms were agitation/anxiety (48.8%), fatigue (41.1%), mood disorders (39.8%), and difficulty concentrating (33.4%). Different perspectives on adherence to a low-Phe diet were observed (22.9% of patients reported strict adherence vs. 47.0% of caregivers). Drugs that allow more freedom were needed by 49.4% of patients and 61.7% of caregivers, along with a wider range of choices of non-dietary treatments (48.2% and 60.0%, respectively). Unmet informational needs of patients included PKU and pregnancy, complications, travel, sports, and transition into adult care. Conclusions Our data showed that patients with PKU and their caregivers reported difficulties in adherence to diet therapy and indicated interest in new therapeutic approaches. Apparent differences between patient and caregiver perspectives were identified. More informational resources on PKU are needed.

Burnout in ENT France: Update and risk factors; a STROBE analysis

BackgroundBurnout can significantly impact practitioners and their co-workers, and hence patients. There are no data for the prevalence of burnout in French ENT specialists, or for associated risk factors. Material and methodsA French national cross-sectional online survey was performed on the initiative of the ENT National Professional Council (CNPORL), contacting all ENT specialists whose e-mail address was known to the French Society of ENT, the National Professional Council or the National ENT Union. The 22-question Maslach Burnout Inventory (MBI) was sent out, along with 16 extra questions on possible risk factors. ObjectivesThe study sought to assess the prevalence and severity of burnout, using the MBI, and to analyze risk factors. ResultsAmong the 1936 physicians, 406 contacted responded to the questionnaire (21%). Mean age was 47±14 years (range, 25–77 years); 53% male, 47% female. 196 (48%) reported burnout, including 20 (5%) severe burnout. Independent risk factors for burnout of whatever severity, comprised social interaction issues, history of identified burnout, and medicolegal pressures. Social interaction issues were independently associated with specifically severe burnout. ConclusionsBurnout affected almost half of respondents. There are identifiable risk factors, for which improvements could be implemented.