Table 2.

Factors perceived to increase the stress of AHC psychologists

Factors	Respondents endorsing item
	N %
Clinical load/number of patients I am expected to see	64 (68.8)
Salary	51 (54.8)
Insufficient protected time for research	50 (53.8)
Insufficient protected time for teaching/education/supervision	50 (53.8)
Insufficient psychologists to meet the need	48 (51.6)
Non-billable clinical activities (e.g., phone calls, documentation, etc.)	48 (51.6)
Insufficient administrative staff	41 (44.1)
Research productivity expectations	38 (40.9)
Clinical duties precluding other meaningful endeavors (e.g., educational/research activities which are required for promotion)	38 (40.9)
Low value placed on teaching/education/supervision	37 (39.8)
EHR inefficiencies/burdens	37 (39.8)
Institutional decisions made without communication/input from faculty	37 (39.8)
Scarcity of research funding	36 (38.7)
Budget cuts	34 (36.6)
Work load inhibits attendance at professional education activities (e.g., Grand Rounds, faculty development, conferences, etc.)	29 (31.2)
Insufficient clinical support staff	26 (28.0)
Promotion and tenure process	25 (26.9)
Insufficient research support staff	24 (25.8)
Insufficient space for clinical activities	24 (25.8)
Required administrative/institutional paperwork	23 (24.7)
Promotion rates different than physicians	22 (23.7)
Patient scheduling (appointment center)	22 (23.7)
Poor communication between institutional leadership and faculty	20 (21.5)
Insufficient technical support/clinical load reduction during EHR changes	14 (15.1)
Insufficient education support staff	13 (14.0)
Required training modules	13 (14.0)
Relationship between psychologists and physicians	12 (12.9)
Insufficient space for research activities	12 (12.9)
Benefits	9 (9.7)
Insufficient space for educational activities	8 (8.6)
Inappropriate physician behavior	6 (6.5)
Malpractice issues	1 (1.1)

Percentages derived with denominator of 93