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Table 4 Anesthesiology fellows’ perceived challenges to the profession of anesthesiology according to fellowship subspecialtiesa

From: Comparing characteristics and perspectives of U.S. anesthesiology fellows in training and anesthesiologists in their first year of practice

 

Count (%) of Anesthesiology Fellows’ responses (n = 530)

Cardiac Anesthesiology (n = 108)

Critical Care Medicine

(n = 115)

Obstetric Anesthesiology

(n = 32)

Pain Medicine

(n = 144)

Pediatric Anesthesiology

(n = 131)

Competition from non-physician providers

52 (48.1)*

59 (51.3)

19 (59.4)

93 (64.6)

72 (55.0)

External perception of anesthesiologist value

42 (38.9)

48 (41.7)

15 (46.9)

37 (25.7)*

42 (32.1)

Apathy from anesthesiologist colleagues

5 (4.6)

6 (5.2)

3 (9.4)

6 (4.2)

2 (1.5)

Role of anesthesiologists

5 (4.6)

4 (3.5)

0 (0.0)

4 (2.8)

6 (4.6)

Compensation

18 (16.7)

19 (16.5)

5 (15.6)

19 (13.2)

20 (15.3)

Uncertainty of changes in the healthcare system

6 (5.6)

9 (7.8)

3 (9.4)

14 (9.7)

15 (11.5)

Threats to patient care

11 (10.2)

3 (2.6)*

3 (9.4)

7 (4.9)

12 (9.2)

Corporationized management

8 (7.4)

7 (6.1)

1 (3.1)

9 (6.3)

8 (6.1)

Psychological pressures

6 (5.6)

1 (0.9)

2 (6.3)

4 (2.8)

10 (7.6)

Meeting the standards

2 (1.9)

3 (2.6)

1 (3.1)

2 (1.4)

4 (3.1)

  1. a 15 practitioners who chose “Regional” and 1 practitioner who chose “Other” were removed from table
  2. Note: A bolded and underlined figure indicates that the number was statistically significantly different (after Bonferroni correction) from the number with an asterisk in the same row. For example, in the first row, 64.6% of the Pain Medicine fellows mentioned competition from non-physician providers as the challenge to the profession, which was significantly different from 48.1% of the Cardiac Anesthesiology fellows who mentioned this concern