I read with great interest Afonso et al.’s article on burnout rates and risk factors among anesthesiologists. I am very concerned that the entry of private equity firms and the resultant need to compete with these firms have increased the focus on profit (= revenue – costs).

Private equity firms are not organized for long-term consistent growth but are, by definition, looking for short-term growth. These short-term goals may allow for leadership to tolerate staffing shortages, resulting in longer work hours and high productivity pressures as well as failing to support the local anesthesiologist in the clinical setting. All these are high-risk factors identified by Afonso et al. for burnout and burnout syndrome. But from a short-term perspective, clinician burnout is a long-term issue!

Unfortunately, this issue for anesthesiologists is not new but...

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