• Nicholas A Ettinger, Steven Loscalzo, Hongyan Liu, Heather Griffis, Elizabeth H Mack, and AgusMichael S DMSDDivision of Medical Critical Care, Department of Pediatrics, Boston Children's Hospital, Boston, MA..
• Division of Pediatric Critical Care, Department of Pediatrics, Emory School of Medicine, Children's Healthcare of Atlanta, Atlanta, GA.
• Pediatr Crit Care Me. 2024 May 1; 25 (5): e263e272e263-e272.

ObjectivesTo inform workforce planning for pediatric critical care (PCC) physicians, it is important to understand current staffing models and the spectrum of clinical responsibilities of physicians. Our objective was to describe the expected workload associated with a clinical full-time equivalent (cFTE) in PICUs across the U.S. Pediatric Critical Care Chiefs Network (PC3N).DesignCross-sectional survey.SettingPICUs participating in the PC3N.SubjectsPICU division chiefs or designees participating in the PC3N from 2020 to 2022.InterventionsNone.Measurements And Main ResultsA series of three surveys were used to capture unit characteristics and clinical responsibilities for an estimated 1.0 cFTE intensivist. Out of a total of 156 PICUs in the PC3N, the response rate was 46 (30%) to all three distributed surveys. Respondents used one of four models to describe the construction of a cFTE-total clinical hours, total clinical shifts, total weeks of service, or % full-time equivalent. Results were stratified by unit size. The model used for construction of a cFTE did not vary significantly by the total number of faculty nor the total number of beds. The median (interquartile range) of clinical responsibilities annually for a 1.0 cFTE were: total clinical hours 1750 (1483-1858), total clinical shifts 142 (129-177); total weeks of service 13.0 (11.3-16.0); and total night shifts 52 (36-60). When stratified by unit size, larger units had fewer nights or overnight hours, but covered more beds per shift.ConclusionsThis survey of the PC3N (2020-2022) provides the most contemporary description of clinical responsibilities associated with a cFTE physician in PCC. A 1.0 cFTE varies depending on unit size. There is no correlation between the model used to construct a cFTE and the associated clinical responsibilities.Copyright © 2024 by the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies.

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