The Impact of the COVID-19 Pandemic on Work-Life Integration of Physician Assistants in Oncology.

Abstract

Introduction: The COVID-19 pandemic led to rapid changes in the delivery of oncology care. Studies examining the impact of the pandemic on the oncology workforce are largely limited to oncologists and nurses. This study was conducted to explore how the COVID-19 pandemic impacted the oncology physician assistant (PA).

Methods: A survey of oncology PAs was conducted in the fall of 2020. Multiple choice items and two open-ended questions explored how the COVID-19 pandemic may have impacted clinical practice. Burnout was assessed using the Maslach Burnout Inventory.

Results: Most participants worked in an academic center (63.7%), in medical oncology (73.3%), and in the outpatient setting (70.5%). Telemedicine was performed by 77.5% of PAs, and 34.7% of PAs reported being assigned to help cover other departments/specialties. Physician assistants performing telemedicine were found to have higher rates of burnout compared to those that did not perform telemedicine (47.3% vs. 15.6%; p = .0013). Surprisingly, burnout was significantly lower for PAs who were redeployed during the pandemic compared to those who were not (28.0% vs. 46.8%; p = .0285). There was no correlation in the rates of burnout based on changes in hours worked, base pay, bonus pay, continuing medical education funding, or working remotely.

Conclusion: The COVID-19 pandemic resulted in significant operational and workforce changes, which dramatically impacted the oncology PA. As the health-care landscape continues to adjust following the COVID-19 pandemic, future research should focus on the delivery of telemedicine to help identify opportunities to optimize this aspect of clinical practice and minimize the risk of burnout.