Logistics and administration related stressors among young physicians working in the Emergency Medicine (EM) department and their perceived job satisfaction in EM department across hospitals of India - a nation-wide multicentric digital survey.

ABSTRACT: Objective: Emergency Medicine (EM) is a growing specialty in India with the board approving training program commencing only since 2009. This study aimed to identify the challenges faced by EM department personnel in the country and to obtain valuable insight into the concerns and problems experienced by them. Methods: This study was a cross-sectional digital survey conducted among EM department personnel in teaching institutions across India. The study involved 170 respondents, who completed an online questionnaire that covered various aspects of their work and identified the challenges they face. It also captured potential solutions as perceived by the respondents. Results: A total of 187 respondents gave the consent but only N = 170 completed the survey of which N = 164 fulfilled the eligibility criteria. The study revealed significant challenges faced by EM personnel in India. Administrative and clerical work consumed a considerable amount of respondents' time. Understaffing (n=144/164; 87.8%), followed by complains about delay in hospital processes (n=141/164; 85.9%) and delay in interhospital transfers (n=139/164; 84.8%) were the primary concerns spelt out by the respondents. Additionally, respondents experienced interpersonal conflicts, and verbal/ physical abuse and inappropriate behaviour from patients and their family members. Potential key solutions suggested were to improve resources including man power and take steps to prevent violence against EM staff. Conclusion: The study's results call for policymakers and hospital administrators to address the issues faced by EM department staff. Improving EM department operations can improve patient care and staff well-being. Future research should examine challenges in non-teaching institutions and potential solutions.