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Neuro Specialists Are Burned Out, But Emerging Technology Promises Relief

The burden of a stroke call: More than half of neurointerventionalists, neurosurgeons, neurologists and radiologists report burnout. Physician shortages, covering multiple hospitals simultaneously, and increasing patient volumes are the biggest drivers of burnout.

Physician burnout can increase medical errors and compromises the overall care of patients.

Fortunately, emerging technologies make it easier for physicians to efficiently manage a higher capacity of case volume and deliver consistent patient care. Specifically, AI-based neuroimaging solutions provide automated image processing and analysis, enabling faster, more accurate clinical decision-making.

Just How Burned Out Are Physicians?

56%

of United States neurointerventional physicians report being burned out.1

50%

of neurosurgeons and neurologists and more than 60% of radiologists report burnout.1

How Severe is Your Burnout?

36%
30%
28%
29%
24%
22%
36%
46%
50%
Millennial Physicians
Generation X Physicians
Boomer Physicians
Medscape National Physician Burnout & Suicide Report 2020: The Generational Divide
“The COVID-19 pandemic is exacerbating the national public health problem of physician burnout and weakening patients’ ties to the essential physician care they need to manage chronic conditions.”
— AMA, “How the Pandemic Casts Physician Burnout in New Light,” July 23, 2020

Top Reasons for Burnout Include:

50+% of neurointerventionalists are on-call every other night.
The demand for emergency stroke care has increased dramatically. More than half of the neurointerventionalists surveyed are on-call for neurological emergencies every other night. Moreover, the requisite 30-minute response time and stringent stroke practice metrics take their toll on physician well being.1
There's a 2x higher chance of burnout for physicians who covered more than one hospital while on call.
Physicians who covered more than one hospital on call had two times higher odds of burnout compared to those who covered a single hospital while on call.
Neurologist shortages are rising and will increase 19% by 2025.
The neurologist shortage is expected to increase to 19% by 2025. Every one-point increase in burnout (on a seven-point scale) is associated with a 30% to 40% increase in the likelihood that physicians will reduce their work hours in the next two years. The U.S. Department of Health and Human Services (HHS) has predicted a shortage of up to 90,000 physicians by the year 2025. One of the underlying drivers of this shortage will be the loss of practicing clinicians due to burnout. 2 & 3

How Does Burnout Affect Medical Care?

Costs to Healthcare Systems

$990,000

lost revenue per full-time-equivalent physician.

$500,000 to $1,000,000

cost of recruiting and replacing a physician.

$4.6 billion per year

Estimated cost in U.S. healthcare system billings due to burnout among doctors caused by reduced hours, physician turnover, and expenses associated with finding and hiring replacements.4

Diminished Patient Care and Patient Satisfaction

Physicians meeting criteria for burnout are more likely to make medical errors, and are 17% more likely to face malpractice lawsuits.1

Patients do not like being cared for by physicians experiencing symptoms of burnout, which is significantly correlated with reduced patient satisfaction in the primary care context.

“The consequences of this prevalence of burnout are clear: If we do not immediately take effective steps to reduce burnout, not only will physicians’ work experience continue to worsen, but also the negative consequences for healthcare provision across the board will be severe.”
— AHRQ, “A Crisis in Healthcare: A Call to Action on Physician Burnout,” January 30, 2019

New Technology Can Help Reduce Burnout

Stroke physicians are under enormous pressure to make fast decisions day and night. Complicated assessment and interhospital communication makes it challenging for physicians to treat stroke patients effectively. Incorporating solutions such as the Rapid platform into hospital sites and systems enables clinicians to make faster, more accurate diagnostic and treatment decisions and streamline patient care.

Going mobile streamlines workflow

The Rapid Mobile App improves quality of life for physicians by providing anytime, anywhere access to Rapid results and critical patient images on their mobile devices. It allows physicians to view, organize and track cases from multiple sites and communicate with stroke teams in a single application, providing increased convenience and flexibility even when they are remote.
Triage suspected ICH patients Real-time notifications: The Rapid Mobile App alerts physicians of new case events on their mobile devices. They are notified immediately when new case details are available whether at home, in the hospital or on the go, ensuring no time is lost accessing critical patient information.
Results at your fingertips Results at your fingertips: With the click of a button, physicians can easily access a patient’s Rapid results and preview source images directly from the Rapid Mobile App wherever they are, saving precious time and allowing for faster treatment decisions.
StremlinedWorkflow Streamlined workflow: The app’s HIPAA and GDPR-compliant communication features makes it easy for physicians to activate stroke team members and coordinate patient care from their phones.
Triage suspected ICH patients Results at your fingertips StremlinedWorkflow

Machine learning empowers faster and more accurate diagnosis

The Rapid platform automates image processing and analysis, providing easy-to-read, near real-time views of the brain—enabling faster, more accurate clinical decision-making.
Triagesuspected Triage suspected ICH patients: The Rapid platform uses the latest AI technology to automatically triage non-contrast CT cases and notify clinicians of possible intracranial hemorrhage in 3 minutes or less, making it easier for physicians to reach critical decisions faster.
Fastidentification Fast identification of ischemic stroke: The Rapid platform automatically processes CT scans and alerts physicians, in as few as 3 minutes, when a suspected large vessel occlusion (LVO) has been detected allowing for quicker and easier LVO identification.
Triage suspected ICH patients High accuracy helps reduce burden: Rapid LVO has a sensitivity of 96%, specificity of 98%5 and positive predictive value (PPV) of 95%, minimizing the burden of multiple false-positive LVO case notifications on mobile or web app end-users.
Triagesuspected Fastidentification Triage suspected ICH patients

Artificial intelligence and automation drives consistent and standardized care

The Rapid platform provides standardized results for assessing whether a patient is eligible for endovascular treatment, minimizing variability associated with interpretation by individual clinicians. By assisting less-experienced readers and reinforcing the decisions by stroke experts, the technology helps ensure patients are triaged with appropriate treatment options.
Areliablesecond A reliable second opinion: The highest level of accurate diagnosis may suffer when physicians are tired or overwhelmed during long or overnight shifts. Rapid ASPECTS is the first and only neuroimaging solution shown to improve reader diagnosis under the FDA’s CADx classification, giving readers the peace-of-mind knowing that they have an extra level of decision-support when assessing patient eligibility for thrombectomy.
Apspects Augmenting your team: Validated through the rigorous FDA process, Rapid ASPECTS automatically delivers standardized ASPECTS regions and scores empowering physicians of all levels of experience to quickly identify areas of irreversible injury on non-contrast CT (NCCT) sans with confidence and consistency.
Areliablesecond Apspects
RapidMobileApp-1

Ready for a better work-life balance?

Request a demo of RapidAI today

Sources:

1. Fargen, Kyle, Arthur, Adam, Mazwi, Thabele et al., A survey of burnout and professional satisfaction among United States neurointerventionalists J Neurointerv Surg, November 2019, Vol. 11:11, pp. 1100-1104

2. Wilson TA, Leslie-Mazwi T, Hirsch JA, et al. A multicenter study evaluating the frequency and time requirement of mechanical thrombectomy. J Neurointerv Surg 2018;10:235–9.

3. Jha, Ashish, Iliff, Andrew, Chaoui, Alain, et al. A Crisis in Health Care: A Call to Action on Physician Burnout, Partnership with the Massachusetts Medical Society, Massachusetts Health and Hospital Association, Harvard T.H. Chan School of Public Health, and Harvard Global Health Institute, 2019

4. Han, Shasha, Shanafelt, Tait , Sinsky, Christine, et al. Estimating the Attributable Cost of Physician Burnout in the United States, Annals of Internal Medicine, June 4, 2019, doi.org/10.7326/M18-1422

5. Seena Dehkharghani, Seena, Lansberg, Maarten, Venkatsubramanian, Chitra et al., High-Performance Automated Anterior Circulation CT Angiographic Clot Detection in Acute Stroke, Radiology 2021; 00:1–6