*Purpose: Burnout has been associated with worse patient outcomes with increased medical errors and nosocomial infections as well as adverse effect on healthcare providers, such as increased risk of cardiovascular disease, early death, and substance abuse. Limited adult data has shown that transplant providers are at increased risk for burnout and moral distress. There has been no investigation to examine burnout among pediatric solid organ transplant clinicians. This study sought to close that gap via a multi-center, multidisciplinary survey among pediatric transplant providers.

*Methods: A convenience sample of multidisciplinary pediatric solid organ transplant providers across four pediatric transplant centers were recruited via center list-serve to complete the 16-item Professional Fulfillment Index (PFI) and 22-item Impact of Events Scales, Revised (IES) electronically. The PFI was used to measure provider professional fulfillment, work exhaustion/burnout and interpersonal disengagement. The IES assessed provider distress related to patient deaths. Demographic and professional characteristics were obtained. Statistical analyses were performed, including descriptive and correlational analyses and two-sample t-tests. The PFI, work exhaustion, disengagement and IES were based on the Likert scale (0-4). Higher PFI was associated with more professional fulfillment, while a higher scale for work exhaustion and disengagement were associated with more exhaustion/disengagement.

*Results: 135 respondents completed survey with 76% female, 78% Caucasian and 49% less than 40 years old. For solid organ specialties: 48% cardiac 47% liver, 40% renal, 33% multi-visceral, 32% intestinal and 26% lung. 90% of respondents had experienced a death in the last year. The mean PFI was 2.71 (SD 0.65)), work exhaustion 1.5 (SD 0.8), disengagement 0.7 (SD 0.6). The mean IES 10.7 (SD 12.1). Overall 13% met criteria for clinically significant post traumatic stress. There was no statistically significant difference among race among all these scores. Females had a significantly higher risk of work exhaustion (p value 0.04) and IES (p value 0.01). Among subspecialties, the renal subspecialties carried a lower IES (p value 0.004) while intestinal and multi-visceral carried a higher IES score (p value 0.007, 0.02, respectively) that were statistically significant.

*Conclusions: Pediatric transplant clinicians carry a high rate of burnout with a high rate of professional fulfillment. Clinical PTSD is prevalent in 13% of providers. Female providers endorse a higher risk of work exhaustion and IES.

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