Addressing the Burden and Management Strategies for Disparities and Inequities Among Liver Transplant Professionals: The ILTS Experience.

Emmanouil Giorgakis, Nazia Selzner, Irene Scalera, Sher-Lu Pai, Anna Mrzljak, Martin I Montenovo, Iman F Montasser, Keri E Lunsford, Nyingi Kemmer, Oya Andacoglu, Simantika Ghosh, Gabriella A Berlakovich, Marina Berenguer, Chiara Becchetti, Victoria Aguilera, Dieter Adelmann, Manhal Izzy

Journal: Transplant international : official journal of the European Society for Organ Transplantation 2023;36():11240

PMID: 37334014

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Abstract

Medical professional environments are becoming increasingly multicultural, international, and diverse in terms of its specialists. Many transplant professionals face challenges related to gender, sexual orientation or racial background in their work environment or experience inequities involving access to leadership positions, professional promotion, and compensation. These circumstances not infrequently become a major source of work-related stress and burnout for these disadvantaged, under-represented transplant professionals. In this review, we aim to 1) discuss the current perceptions regarding disparities among liver transplant providers 2) outline the burden and impact of disparities and inequities in the liver transplant workforce 3) propose potential solutions and role of professional societies to mitigate inequities and maximize inclusion within the transplant community.

Address: Division of Transplantation, Department of Surgery, The University of Oklahoma College of Medicine, University of Oklahoma, Oklahoma City, OK, United States.; Division of Gastroenterology, Hepatology, and Nutrition, Vanderbilt University Medical Center, Nashville, TN, United States.; Department of Anesthesia and Perioperative Care, UCSF School of Medicine, University of California, San Francisco, San Francisco, CA, United States.; Hepatology and Liver Transplant Unit, IIS La Fe and CIBER-EHD, University of Valencia, Universitary and Politecnic Hospital La Fe, Valencia, Spain.; University Clinic for Visceral Surgery and Medicine, Inselspital, University Hospital of Bern, Bern, Switzerland.; Division of Transplantation, Medical University of Vienna, Vienna, Austria.; Department of Anesthesiology, Narayana Health, Narayana, India.; Department of Surgery, University of Arkansas for Medical Sciences, Little Rock, AR, United States.; Division of Gastroenterology, Tampa General Hospital, Tampa, FL, United States.; Department of Surgery, Division of Transplant and HPB Surgery, Rutgers New Jersey Medical School, Newark, NJ, United States.; Department of Tropical Medicine, Ain Shams University, Cairo, Egypt.; Division of Hepatobiliary Surgery and Liver Transplant, Vanderbilt University Medical Center, Nashville, TN, United States.; Department of Gastroenterology and Hepatology, University Hospital Center Zagreb, Zagreb, Croatia.; Department of Anesthesiology and Perioperative Medicine, Mayo Clinic, Jacksonville, FL, United States.; Division of Hepatobiliary Surgery and Liver Transplant, University Hospital Policlinic of Bari, Bari, Italy.; Ajmera Transplant Center, University of Toronto, Toronto, ON, Canada.

DOI: 10.3389/ti.2023.11240

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https://medlineplus.gov/livertransplantation.html

MeSH Terms: Female, Humans, Male, Burnout, Professional, Liver Transplantation, Health Workforce