Results:
A total of 127 surveys were distributed, and 61 complete responses were recorded, for a response rate of 48%. Six responses (4 RT, 2 APP) with more than three missing MDS-R data points were received and not included in analysis. 13/13 pulmonology MD/DOs completed the survey, 16/18 of APPs completed the survey, 15/66 of RNs completed the survey and 17/30 of RTs fully completed the survey. Overall demographics are shown inTable 1 . The majority of respondents were female (73.3%), younger than 40 (78.3%) and worked in the TCC less than five years (56.67%).
Overall MDS-R scores, Uncertainty scores, and Burnout scores in are shown in Table 2 . Overall MDS-R scores ranged from 0-204, with a median score of 83 (IQR, 43-119). The mean burnout score was 7.4 (IQR 3-10), and this had a moderate positive correlation (R=0.58, p<0.01) with MDS-R scores.
Table 3 shows scores for the various provider groups. As a group, APPs had the highest MDS-R scores, with a median score of 112 (IQR, 72-138), while MD/DOs had the lowest mean MDS-R scores, with a median of 49 (IQR, 43-77). This was a statistically significant difference (p<0.01). RNs had a median MDS-R score of 91 (IQR, 41-123), and RTs had a median MDS-R score of 84 (IQR, 32.5-106). There were no other statistically significant differences by vocation. Females had a higher median MDS-R score compared to males (94 vs 54, p<0.01). There were no significant differences in MDS-R scores when looking at years of practice when controlling for vocation.