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Bloom-Feshbach K, Klimenko M, Fluet K, Lang VJ. Mentoring: Shaping the professional identity of the academic internal medicine hospitalist. J Hosp Med 2024. [PMID: 38965768 DOI: 10.1002/jhm.13452] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/16/2024] [Revised: 06/14/2024] [Accepted: 06/18/2024] [Indexed: 07/06/2024]
Abstract
BACKGROUND Burnout and lagging academic productivity are pressing challenges in hospital medicine, leading to stagnation and attrition. Mentoring shapes professional identity formation and enhances faculty vitality and retention, but has not been optimized among academic hospitalists. OBJECTIVES We sought to explore how mentoring impacts academic hospitalist professional identity and to elucidate barriers to mentoring in the field. METHODS We conducted focus groups at three academic medical centers. Informed by social-constructivist theory of identity development, we coded deidentified data and performed thematic analysis. RESULTS Thirty-one academic hospitalists participated with 1 to >20 years experience. Mentoring shaped professional identity formation in six core domains: choosing academic hospital medicine, identifying and focusing on an area of interest, progressing career, navigating work-life integration, staying in academic medicine, and becoming a mentor. Distinct models included dyadic mentoring, peer mentoring, organic mentoring, and mentoring teams, each with benefits and limitations. We identified nine key mentoring actions that influenced hospitalist professional identity formation and career development. Mentoring barriers included lack of time, awareness, and access to experienced mentors, as well as poor quality mentoring and mentor-mentee malalignment. Aspects of hospitalists' professional identity also posed barriers, including ambivalence around academic identity. CONCLUSIONS Mentoring fosters academic thriving and retention in academic hospitalists. Access to effective mentoring remains lacking due to few senior mentors in the relatively new field of hospital medicine and reticence in academic identity, among other factors. Mentoring training, impact on underrepresented minority hospitalists, and integration into institutional culture should be considered for enhancing the career development of academic hospitalists.
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Affiliation(s)
| | - Maria Klimenko
- Division of Hospital Medicine, University of Colorado School of Medicine, Aurora, Colorado, USA
| | - Kimberly Fluet
- Center for Professional Development and Education Reform, University of Rochester Margaret Warner Graduate School of Education, Rochester, New York, USA
| | - Valerie J Lang
- Hospital Medicine Division, University of Rochester School of Medicine and Dentistry, Rochester, New York, USA
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Bonafide CP, Maletsky KD, Kenyon C, Doupnik SK, Vasan A, Rasooly IR, Goldstein L, Galligan M, Hart J, Ruppel H, Feudtner C, Tenney-Soeiro R. Development and evaluation of a writing retreat program to build community and promote productivity in academic hospital medicine. J Hosp Med 2024; 19:559-564. [PMID: 38598748 DOI: 10.1002/jhm.13352] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/08/2024] [Revised: 03/21/2024] [Accepted: 03/23/2024] [Indexed: 04/12/2024]
Abstract
BACKGROUND Scientific writing is a core component of academic hospital medicine, and yet finding time to engage in deeply focused writing is difficult in part due to the highly clinical, 24/7 nature of the specialty that can limit opportunities for writing-focused collaboration and mentorship. OBJECTIVE Our objective was to develop and evaluate an academic writing retreat program. METHODS We drafted a set of key retreat features to guide implementation of a 3-day, 2-night retreat program held within a 2 h radius of our hospital. Agendas included writing blocks ranging from 45 to 90 min interspersed with breaks and opportunities for feedback, exercise, and preparing meals together. After each retreat, we distributed an evaluation with multiple choice and free text response options to characterize retreat helpfulness and later gathered data on the status of each paper and grant worked on. RESULTS We held 4 retreats between September 2022 and October 2023, engaging 18 faculty and fellows at a cost of $296 per attendee per retreat. In evaluations, nearly 80% reported that the retreat was extremely helpful, and comments praised the highly mentored environment, enriching community of colleagues, and release from commitments that get in the way of writing. Of the 24 papers attendees worked on, 12 have been accepted and 6 are under review. Of the 4 grant proposals, 2 are under review. CONCLUSIONS We implemented a low-cost, productive writing retreat program that attendees reported was helpful in supporting deep work and represented a meaningful step toward building a community centered around academic writing.
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Affiliation(s)
- Christopher P Bonafide
- Section of Pediatric Hospital Medicine, Division of General Pediatrics, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA
- Clinical Futures, A Center of Emphasis within the CHOP Research Institute, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA
- Department of Pediatrics, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania, USA
- Penn Implementation Science Center (PISCE), University of Pennsylvania, Philadelphia, Pennsylvania, USA
| | - Kristin D Maletsky
- Section of Pediatric Hospital Medicine, Division of General Pediatrics, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA
- Department of Pediatrics, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania, USA
| | - Chén Kenyon
- Section of Pediatric Hospital Medicine, Division of General Pediatrics, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA
- Clinical Futures, A Center of Emphasis within the CHOP Research Institute, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA
- Department of Pediatrics, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania, USA
| | - Stephanie K Doupnik
- Section of Pediatric Hospital Medicine, Division of General Pediatrics, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA
- Clinical Futures, A Center of Emphasis within the CHOP Research Institute, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA
- Department of Pediatrics, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania, USA
| | - Aditi Vasan
- Section of Pediatric Hospital Medicine, Division of General Pediatrics, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA
- Clinical Futures, A Center of Emphasis within the CHOP Research Institute, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA
- Department of Pediatrics, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania, USA
| | - Irit R Rasooly
- Section of Pediatric Hospital Medicine, Division of General Pediatrics, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA
- Clinical Futures, A Center of Emphasis within the CHOP Research Institute, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA
- Department of Pediatrics, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania, USA
| | - Laura Goldstein
- Section of Pediatric Hospital Medicine, Division of General Pediatrics, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA
- Department of Pediatrics, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania, USA
| | - Meghan Galligan
- Section of Pediatric Hospital Medicine, Division of General Pediatrics, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA
- Clinical Futures, A Center of Emphasis within the CHOP Research Institute, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA
- Department of Pediatrics, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania, USA
| | - Jessica Hart
- Section of Pediatric Hospital Medicine, Division of General Pediatrics, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA
- Department of Pediatrics, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania, USA
| | - Halley Ruppel
- Clinical Futures, A Center of Emphasis within the CHOP Research Institute, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA
- Department of Family and Community Health, University of Pennsylvania School of Nursing, Philadelphia, Pennsylvania, USA
| | - Chris Feudtner
- Section of Pediatric Hospital Medicine, Division of General Pediatrics, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA
- Clinical Futures, A Center of Emphasis within the CHOP Research Institute, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA
- Department of Pediatrics, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania, USA
| | - Rebecca Tenney-Soeiro
- Section of Pediatric Hospital Medicine, Division of General Pediatrics, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA
- Department of Pediatrics, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania, USA
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Sun VK, Chappell-Campbell L, Blankenburg R, Sznewajs A. Perspectives on Professional Development Among University and Community Pediatric Hospitalists. Clin Pediatr (Phila) 2024; 63:633-641. [PMID: 37776239 DOI: 10.1177/00099228231203299] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/02/2023]
Abstract
Multiple professional societies have emphasized the importance of professional development for physicians. This qualitative study aimed to explore pediatric hospitalists' perceptions of professional development needs and to refine a framework for professional development in pediatric hospital medicine (PHM). We conducted four focus groups in April to May 2019 with 19 pediatric hospitalists at six clinical sites within a single institution. Participants identified key components of professional development including skill development, personal growth, career satisfaction, and individualization. Hospitalists agreed upon 8 domains of professional development: clinical excellence, advocacy, global health, health care administration, informatics, medical education, quality improvement, and research. They also identified missing the mentorship necessary to change their passions into career advancement, highlighted barriers and facilitators, and noted that an alignment in personally meaningful projects to what is meaningful to the institution was in everyone's best interests. Faculty programs should build infrastructure to aid pediatric hospitalists in achieving their career goals.
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Affiliation(s)
- Vivien K Sun
- Division of Pediatric Hospital Medicine, School of Medicine, Stanford University, Stanford, CA, USA
| | - Laura Chappell-Campbell
- Division of Pediatric Hospital Medicine, School of Medicine, Stanford University, Stanford, CA, USA
| | - Rebecca Blankenburg
- Division of Pediatric Hospital Medicine, School of Medicine, Stanford University, Stanford, CA, USA
| | - Aimee Sznewajs
- Department of Pediatric Hospital Medicine, Children's Minnesota, Minneapolis, MN, USA
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Eid SM, Press VG, Kato H, Vaughn VM, Jenkins AM, Soong C, Gupta V, Michtalik HJ, Keniston A, Burden M, Bhandari S, Mueller SK. Enhancing professional development and promoting collaboration in hospital medicine through the visiting professor exchange program. J Hosp Med 2024; 19:424-428. [PMID: 37602533 DOI: 10.1002/jhm.13191] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/31/2023] [Revised: 07/27/2023] [Accepted: 07/30/2023] [Indexed: 08/22/2023]
Affiliation(s)
- Shaker M Eid
- Department of Medicine, Division of Hospital Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA
| | - Valerie G Press
- Section of General Internal Medicine, Department of Medicine, The University of Chicago, Chicago, Illinois, USA
| | - Hirotaka Kato
- Division of Hospital Medicine, University of Kentucky, Lexington, Kentucky, USA
| | - Valerie M Vaughn
- Division of General Internal Medicine, University of Utah, Salt Lake City, Utah, USA
| | - Ashley M Jenkins
- Department of Medicine, University of Rochester School of Medicine & Dentistry, Rochester, New York, USA
- Department of Pediatrics, University of Rochester School of Medicine & Dentistry, Rochester, New York, USA
| | - Christine Soong
- Division of Hospital Medicine, University of Toronto, Toronto, Ontario, Canada
| | - Vineet Gupta
- Division of Hospital Medicine, University of California San Diego, San Diego, California, USA
| | - Henry J Michtalik
- Department of Medicine, Division of Hospital Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA
| | - Angela Keniston
- Division of Hospital Medicine, University of Colorado, Aurora, Colorado, USA
| | - Marisha Burden
- Division of Hospital Medicine, University of Colorado, Aurora, Colorado, USA
| | - Sanjay Bhandari
- Division of Hospital Medicine, Medical College of Wisconsin, Madison, Wisconsin, USA
| | - Stephanie K Mueller
- Division of General Internal Medicine, Brigham and Women's Hospital, Boston, Massachusetts, USA
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Elias R, Sawatsky A, Ratelle J. Protected Time for Research Among Academic Hospitalists: a Qualitative Study of Hospitalist Group Leaders. J Gen Intern Med 2024; 39:723-730. [PMID: 37962727 PMCID: PMC11043272 DOI: 10.1007/s11606-023-08525-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/17/2023] [Accepted: 11/01/2023] [Indexed: 11/15/2023]
Abstract
BACKGROUND Protected time is an important determinant of scholarly success in academic hospital medicine but is a limited resource. OBJECTIVE To explore how hospitalists procure protected time for scholarship from the perspective of academic hospital medicine leaders. DESIGN Qualitative, thematic analysis of in-depth, semi-structured interviews. PARTICIPANTS Ten division leaders of academic hospital medicine groups in the USA (3 female, 7 male). APPROACH Thematic analysis, from a realist paradigm, of individually conducted interviews to explore how hospitalists obtain protected time with a focus from the leaders' perspectives on sources and strategies. Division leaders of groups known to have a reputation for regularly publishing peer-reviewed scholarship were purposively sampled and a snowball sampling technique was used to identify subsequent participants. Trustworthiness was verified by member-check with a subgroup of participants. KEY RESULTS Hospitalists wanting to pursue research must often start by utilizing personal time. Protected time from divisions is allocated to an individual, a project, or as administrative time. Sources of protected time are conceptualized as a hierarchy, beginning with personal time, and moving through divisional support, intramural support, and, principally for research track hospitalists, extramural support. Scaling the hierarchy is a process of demonstrating productivity and employing tactics to align projects with goals of the funders. Accessing the extramural funding tier is predicated on structured skills training, which is often acquired in early career and thus generally inaccessible to hospitalists not on a predetermined research track. CONCLUSIONS The prevailing paradigm for accessing protected time is one which encourages and rewards pursuing research work during non-work hours. As a hospitalist becomes more senior, the focus shifts from proving earnestness to becoming adept at navigating the institutional system as insiders.
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Affiliation(s)
- Richard Elias
- Division of Hospital Medicine, Mayo Clinic, Rochester, MN, USA.
| | - Adam Sawatsky
- Division of General Internal Medicine, Mayo Clinic, Rochester, MN, USA
| | - John Ratelle
- Division of Hospital Medicine, Mayo Clinic, Rochester, MN, USA
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Takigawa M, Kondo Y, Kobayashi Y, Iihoshi A, Kinoshita M, Ishitsuka Y, Masuda M. Factors promoting research activities among Japanese pharmacists: a questionnaire survey. Sci Rep 2024; 14:2890. [PMID: 38311621 PMCID: PMC10838898 DOI: 10.1038/s41598-024-53454-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/11/2023] [Accepted: 01/31/2024] [Indexed: 02/06/2024] Open
Abstract
Pharmacists are expected to demonstrate their expertise in clinical practice and conduct research activities to generate new evidence. However, the factors promoting research activities among pharmacists remain unclear. Therefore, we investigated the research activities of Japanese pharmacists through a questionnaire survey and examined the factors contributing to the promotion of research activities. A web-based questionnaire using Google Forms was disseminated across pharmacists working in community pharmacies, drugstores, hospitals, and clinics. The questionnaire included respondents' backgrounds, research activities, and research environments. Logistic regression analysis was used to examine the factors promoting pharmacists' research activities, with experience in research paper acceptance as the objective variable. In total, 401 responses were included in the analysis. Of the respondents, 54.1% were hospital pharmacists, and 77.1% were pharmacists with > 5 years of pharmacist experience. Furthermore, 50.4% of the pharmacists had presented at conferences, and 22.2% had experience in research paper acceptance. The influential factors were "master's degree or higher," "number of affiliated academic societies," "acquisition of specialists/certified pharmacists," and "daily availability of a consultant for writing research papers." This study revealed the factors contributing to the promotion of research activities among pharmacists. We believe that our findings will help promote research among pharmacists.
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Affiliation(s)
- Masaki Takigawa
- Department of Clinical Pharmaceutics, Faculty of Pharmaceutical Sciences, Toho University, 2-2-1 Miyama, Funabashi, Chiba, 274-8510, Japan.
| | - Yuki Kondo
- Department of Clinical Chemistry and Informatics, Graduate School of Pharmaceutical Sciences, Kumamoto University, 5-1 Oe-Honmachi, Chuo-Ku, Kumamoto, 862-0973, Japan.
| | - Yutaka Kobayashi
- Department of Pharmacy, Fujinomiya City General Hospital, 3-1 Nishiki-Cho, Fujinomiya, Shizuoka, 418-0076, Japan
| | - Akane Iihoshi
- Department of Pharmacy, Seirei Yokohama Hospital, 215, Hodogaya, Yokohama, Kanagawa, 240-8521, Japan
| | - Masako Kinoshita
- Department of Clinical Pharmaceutics, Faculty of Pharmaceutical Sciences, Toho University, 2-2-1 Miyama, Funabashi, Chiba, 274-8510, Japan
| | - Yoichi Ishitsuka
- Department of Clinical Chemistry and Informatics, Graduate School of Pharmaceutical Sciences, Kumamoto University, 5-1 Oe-Honmachi, Chuo-Ku, Kumamoto, 862-0973, Japan
| | - Masayuki Masuda
- Department of Clinical Pharmaceutics, Faculty of Pharmaceutical Sciences, Toho University, 2-2-1 Miyama, Funabashi, Chiba, 274-8510, Japan
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Lin D, Schmidt RM, Shah C, Caruso A, Huang X, Staggers KA, Fisher J. A Facilitated Peer Mentoring Program With a Dedicated Curriculum to Foster Career Advancement of Academic Hospitalists. MEDEDPORTAL : THE JOURNAL OF TEACHING AND LEARNING RESOURCES 2023; 19:11366. [PMID: 38076293 PMCID: PMC10704005 DOI: 10.15766/mep_2374-8265.11366] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 04/14/2023] [Accepted: 09/14/2023] [Indexed: 12/18/2023]
Abstract
Introduction In the field of hospital medicine, there is both a limited pool of senior faculty to mentor the rapidly growing number of junior faculty and a lack of career development curricula focused on scholarly activities specific to the needs of the hospitalist. These deficits have resulted in a disproportionately low number of academic hospitalists being promoted to associate and full professor. We implemented a facilitated peer mentoring program with a dedicated curriculum to foster career advancement of academic hospitalists. Methods We recruited 29 academic hospitalists and divided them into five small groups, each guided by one senior faculty. Peer members participated in a 9-month curriculum consisting of alternating large- and small-group sessions that reviewed topics important for academic advancement. Quantitative analysis assessed feasibility of the program, as measured by participation and knowledge improvement on curriculum topics, with pre- and postprogram surveys. Results Results demonstrated feasibility of the large-group sessions as measured through participation. Small-group participation was more variable. Pre- and postsurvey results showed significant knowledge improvement (p < .05) in nearly all of the curriculum topics. Discussion Currently, there is a gap in both mentorship and scholarly skills of academic hospitalists. Our facilitated peer mentoring program with a dedicated curriculum can be used as a framework for other hospitalist programs to support career development.
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Affiliation(s)
- Doris Lin
- Associate Professor, Department of Medicine, Baylor College of Medicine
| | | | - Chirayu Shah
- Associate Professor, Department of Medicine, Baylor College of Medicine
| | - Andrew Caruso
- Assistant Professor, Department of Medicine, Michael E. DeBakey Veterans Affairs Medical Center and Baylor College of Medicine
| | - Xiaofan Huang
- Statistician, Institute for Clinical and Translational Research, Baylor College of Medicine
| | - Kristen A. Staggers
- Statistician, Institute for Clinical and Translational Research, Baylor College of Medicine
| | - Joslyn Fisher
- Associate Professor, Department of Medicine, Baylor College of Medicine
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Patel V, Keniston A, McBeth L, Arogyaswamy S, Callister C, Dayton K, Mistry N, Mann S, Burden M. Impact of Clinical Demands on the Educational Mission in Hospital Medicine at 17 Academic Medical Centers : A Qualitative Analysis. Ann Intern Med 2023; 176:1526-1535. [PMID: 37956429 DOI: 10.7326/m23-1497] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/15/2023] Open
Abstract
BACKGROUND Clinical growth is outpacing the growth of traditional educational opportunities at academic medical centers (AMCs). OBJECTIVE To understand the impact of clinical growth on the educational mission for academic hospitalists. DESIGN Qualitative study using semistructured interviews that were analyzed using a mixed inductive and deductive method at the semantic level. SETTING Large AMCs across the United States that experienced clinical growth in the past 5 years. PARTICIPANTS Division heads, section heads, and other hospital medicine (HM) leaders who oversaw and guided academic and clinical efforts of HM programs. MEASUREMENTS Themes and subthemes. RESULTS From September 2021 to January 2022, HM leaders from 17 AMCs participated in the interviews, and 3 key themes emerged. First, AMCs' disproportionate clinical growth highlighted the tension between clinical and educational missions. This included a mismatch in supply and demand for traditional teaching time, competing priorities, and clinical growth being seen as both an opportunity and a threat. Second, amid the shifting landscape of high clinical demands and evolving educational opportunities, hospitalists still strongly prefer traditional teaching. To address this mismatch, HM groups have had to alter recruitment strategies and create innovative solutions to help build academic careers. Third, participants noted a need to reimagine the role and identity of an academic hospitalist, emphasizing tailored career pathways and educational roles spanning well beyond traditional house staff teaching teams. LIMITATION The study focused on large AMCs. CONCLUSION Although HM groups have implemented many creative strategies to address clinical growth and keep education front and center, challenges remain, particularly heavy clinical workloads and a continued dilution of traditional teaching opportunities. PRIMARY FUNDING SOURCE Society of Hospital Medicine Student Scholar Grant.
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Affiliation(s)
- Vishruti Patel
- University of Colorado School of Medicine, Aurora, Colorado (V.P.)
| | - Angela Keniston
- Division of Hospital Medicine, University of Colorado School of Medicine, Aurora, Colorado (A.K., L.M., C.C., K.D., N.M., S.M., M.B.)
| | - Lauren McBeth
- Division of Hospital Medicine, University of Colorado School of Medicine, Aurora, Colorado (A.K., L.M., C.C., K.D., N.M., S.M., M.B.)
| | - Sagarika Arogyaswamy
- California University of Science and Medicine School of Medicine, and Department of Psychiatry, Arrowhead Regional Medical Center, Colton, California (S.A.)
| | - Catherine Callister
- Division of Hospital Medicine, University of Colorado School of Medicine, Aurora, Colorado (A.K., L.M., C.C., K.D., N.M., S.M., M.B.)
| | - Khooshbu Dayton
- Division of Hospital Medicine, University of Colorado School of Medicine, Aurora, Colorado (A.K., L.M., C.C., K.D., N.M., S.M., M.B.)
| | - Neelam Mistry
- Division of Hospital Medicine, University of Colorado School of Medicine, Aurora, Colorado (A.K., L.M., C.C., K.D., N.M., S.M., M.B.)
| | - Sarah Mann
- Division of Hospital Medicine, University of Colorado School of Medicine, Aurora, Colorado (A.K., L.M., C.C., K.D., N.M., S.M., M.B.)
| | - Marisha Burden
- Division of Hospital Medicine, University of Colorado School of Medicine, Aurora, Colorado (A.K., L.M., C.C., K.D., N.M., S.M., M.B.)
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Murphy EA, White K, Meltzer D, Martin SK. Developing hospitalist educators when teaching time is scarce: The Passport model as a professional development approach. J Hosp Med 2023; 18:860-864. [PMID: 36635876 DOI: 10.1002/jhm.13042] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/26/2022] [Revised: 12/20/2022] [Accepted: 12/23/2022] [Indexed: 01/14/2023]
Affiliation(s)
- Elizabeth A Murphy
- Department of Medicine, Section of Hospital Medicine, University of Chicago Medicine and Biological Sciences, Chicago, Illinois, USA
| | - Kara White
- Department of Medicine, Section of Hospital Medicine, University of Chicago Medicine and Biological Sciences, Chicago, Illinois, USA
| | - David Meltzer
- Department of Medicine, Section of Hospital Medicine, University of Chicago Medicine and Biological Sciences, Chicago, Illinois, USA
| | - Shannon K Martin
- Department of Medicine, Section of Hospital Medicine, University of Chicago Medicine and Biological Sciences, Chicago, Illinois, USA
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Cho HJ, Tsega S, Krouss M, Goetz C, Dunn AS, Di Capua J, Lee I, Linker AS, Makhni S, Korenstein D. Student High Value Care Initiative: a Longitudinal Model for Student-Led Implementation and Scholarship. J Gen Intern Med 2023; 38:1541-1546. [PMID: 36829048 PMCID: PMC10160281 DOI: 10.1007/s11606-023-08100-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/16/2022] [Accepted: 02/09/2023] [Indexed: 02/26/2023]
Abstract
BACKGROUND Educating medical trainees to practice high value care is a critical component to improving quality of care and should be introduced at the beginning of medical education. AIM To create a successful educational model that provides medical students and junior faculty with experiential learning in quality improvement and mentorship opportunities, and produce effective quality initiatives. SETTING A tertiary medical center affiliated with a medical school in New York City. PARTICIPANTS First year medical students, junior faculty in hospital medicine, and a senior faculty course director. PROGRAM DESCRIPTION The Student High Value Care initiative is a longitudinal initiative comprised of six core elements: (1) project development, (2) value improvement curriculum, (3) mentorship, (4), Institutional support, (5) scholarship, and (6) student leadership. PROGRAM EVALUATION During the first 3 years, 68 medical students and ten junior faculty participated in 10 quality improvement projects. Nine projects were successful in their measured outcomes, with statistically significant improvements. Nine had an abstract accepted to a regional or national meeting, and seven produced publications in peer-reviewed literature. DISCUSSION In the first 3 years of the initiative, we successfully engaged medical students and junior faculty to create and support the implementation of successful quality improvement initiatives. Since that time, the program continues to offer meaningful mentorship and scholarship opportunities.
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Affiliation(s)
- Hyung J Cho
- New York City Health + Hospitals Corporation, New York, NY, USA
- Department of Medicine, NYU Grossman School of Medicine, New York, NY, USA
| | - Surafel Tsega
- New York City Health + Hospitals Corporation, New York, NY, USA.
| | - Mona Krouss
- New York City Health + Hospitals Corporation, New York, NY, USA
- Division of Hospital Medicine, Department of Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, USA
| | - Celine Goetz
- Division of Hospital Medicine, Department of Internal Medicine, Rush University Medical Center, Chicago, IL, USA
| | - Andrew S Dunn
- Division of Hospital Medicine, Department of Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, USA
| | - John Di Capua
- Department of Radiology, Massachusetts General Hospital, Boston, MA, USA
| | - Irene Lee
- Department of Ophthalmology and Visual Sciences, Vanderbilt University Medical Center, Nashville, TN, USA
| | - Anne S Linker
- Division of Hospital Medicine, Department of Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, USA
| | - Sonya Makhni
- Division of Hospital Medicine, Mayo Clinic, Rochester, MN, USA
| | - Deborah Korenstein
- Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, USA
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Simonson M, Arundel C, Nemeth A. Finding your niche as a generalist: The key to growth and career longevity. J Hosp Med 2023; 18:267-269. [PMID: 36562108 DOI: 10.1002/jhm.13026] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/06/2022] [Revised: 12/06/2022] [Accepted: 12/07/2022] [Indexed: 12/24/2022]
Affiliation(s)
- Michael Simonson
- University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA
| | - Cherinne Arundel
- Veterans Affairs Medical Center, Washington, District of Columbia, USA
- George Washington University, Washington, District of Columbia, USA
- Georgetown University, Washington, District of Columbia, USA
| | - Attila Nemeth
- VA Northeast Ohio Healthcare System, Cleveland, Ohio, USA
- Case Western Reserve University School of Medicine, Cleveland, Ohio, USA
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12
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Flanagan RF, Stein DJ. Does Sharpening the Focus Broaden the Depth of the Field? Defining the Scope of the GI Hospitalist Model. Dig Dis Sci 2023; 68:1080-1081. [PMID: 36797511 DOI: 10.1007/s10620-023-07832-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/14/2022] [Accepted: 01/05/2023] [Indexed: 02/18/2023]
Affiliation(s)
- Ryan F Flanagan
- Division of Gastroenterology, Hepatology and Endoscopy, Brigham and Women's Hospital and Harvard Medical School, 75 Francis St, Boston, MA, 02115, USA.
| | - Daniel J Stein
- Division of Gastroenterology, Hepatology and Endoscopy, Brigham and Women's Hospital and Harvard Medical School, 75 Francis St, Boston, MA, 02115, USA
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Huang D, Qureshi MM, Sarfaty S, Truong MT, Dyer MA, Mak KS, Hirsch AE. Longitudinal Outcomes of Medical Student Research Mentorship: a 15-Year Analysis of the Radiation Oncology Mentorship Initiative. JOURNAL OF CANCER EDUCATION : THE OFFICIAL JOURNAL OF THE AMERICAN ASSOCIATION FOR CANCER EDUCATION 2023; 38:153-160. [PMID: 34558038 DOI: 10.1007/s13187-021-02091-2] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 09/11/2021] [Indexed: 05/13/2023]
Abstract
At our institution, students can be mentored by radiation oncology faculty through structured research programs, such as the Medical Student Summer Research Program (MSSRP). The purpose of this study is to report the research productivity of students who engaged in radiation oncology research mentorship, whether through the MSSRP or other avenues of research mentorship. We compiled a database of abstracts and manuscripts co-authored by 58 students who conducted research with radiation oncology faculty from 2005 to 2020. The means, medians, ranges, and interquartile ranges (IQR) of co-authorships and first authorships were calculated for the overall cohort and compared for MSSRP and non-MSSRP students, who matched into radiation oncology and those who did not, and male versus female students. Among all 58 students, 106 abstracts and 70 manuscripts were identified. Of those students, 54 (93.1%) published at least one abstract or manuscript. The mean number of abstract co-authorships per student was 3.07 (median 2, range 0-25, IQR 0-4), and the mean number of manuscript co-authorships per student was 2.22 (median 1, range 0-18, IQR 1-3). There were no significant differences in research output between MSSRP and non-MSSRP students or male and female students. However, the students who matched into radiation oncology published more co-author (3.67 vs. 1.63, p = 0.01) and first-author (1.62 vs. 0.53, p = 0.006) manuscripts than those who did not. Further research is warranted to assess whether skills gained from student-directed research translate into residency and beyond.
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Affiliation(s)
- Daniel Huang
- Department of Radiation Oncology, Boston University School of Medicine, 830 Harrison Ave, Moakley Building, Lower Level, Boston, MA, 02118, USA
| | - Muhammad M Qureshi
- Department of Radiation Oncology, Boston University School of Medicine, 830 Harrison Ave, Moakley Building, Lower Level, Boston, MA, 02118, USA
| | - Suzanne Sarfaty
- Department of Medicine, Boston University School of Medicine, Boston, MA, USA
| | - Minh Tam Truong
- Department of Radiation Oncology, Boston University School of Medicine, 830 Harrison Ave, Moakley Building, Lower Level, Boston, MA, 02118, USA
| | - Michael A Dyer
- Department of Radiation Oncology, Boston University School of Medicine, 830 Harrison Ave, Moakley Building, Lower Level, Boston, MA, 02118, USA
| | - Kimberley S Mak
- Department of Radiation Oncology, Boston University School of Medicine, 830 Harrison Ave, Moakley Building, Lower Level, Boston, MA, 02118, USA
| | - Ariel E Hirsch
- Department of Radiation Oncology, Boston University School of Medicine, 830 Harrison Ave, Moakley Building, Lower Level, Boston, MA, 02118, USA.
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Watari T, Gupta A. Comparing Japanese University Hospitals' and Community Healthcare Facilities' Research Contributions on PubMed. Int J Gen Med 2023; 16:951-960. [PMID: 36945702 PMCID: PMC10024878 DOI: 10.2147/ijgm.s398413] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/28/2022] [Accepted: 03/01/2023] [Indexed: 03/17/2023] Open
Abstract
Purpose Although research in general medicine is important, the contributions and characteristics of general medicine physicians (GMPs) in university hospitals (UH) and community healthcare facilities (CHF) remains unclear. Therefore, this study examines the popularity of research by affiliation, characteristics of journal publication, annual trends, and differences in impact factors (IFs) of journal publications. Methods This study is a secondary bibliometric analysis of articles in international journals published in PubMed over the past six years (2015-2020). The analysis compared English articles published by either UH- or CHF-affiliated GMPs in Japan in terms of, among other things, article type, research field, and IF. Results Of the 2372 articles analyzed, 1688 (71.2%) were published by physicians affiliated with UHs, 62.6% of which were original. Basic research, international collaboration, and ratio of IFs were significantly higher for such papers. In contrast, the number of CHF articles were significantly higher in the areas of clinical research and practice, with a greater proportion of case reports. There was no significant difference in IF between the disciplines within each affiliation, but the IF was the highest in experimental basic research and the lowest in medical and clinical education. In the six-year time series, the number of original papers by UHs and CHFs increased roughly twofold between 2015 and 2020, but the number of articles in the areas of medical education and healthcare quality and safety remained mostly unchanged. Conclusion The number of international papers published by Japanese GMPs has increased since 2015, particularly in terms of original papers and clinical research from UHs. However, there was no significant difference in the IF between UH and CHF publications. Our findings can guide the development of indicators, research, and education strategies regarding Japanese GMPs' research performance.
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Affiliation(s)
- Takashi Watari
- General Medicine Center, Shimane University, Izumo, Shimane, Japan
- Department of Medicine, University of Michigan Medical School, Ann Arbor, MI, USA
- Medicine Service, VA Ann Arbor Healthcare System, Ann Arbor, MI, USA
- Correspondence: Takashi Watari, Shimane University Hospital, General Medicine Center, 89-1, Enya-cho, Izumo shi, Shimane, 693-8501, Japan, Tel +81-853-20-2005, Fax +81-853-20-2375, Email
| | - Ashwin Gupta
- Department of Medicine, University of Michigan Medical School, Ann Arbor, MI, USA
- Medicine Service, VA Ann Arbor Healthcare System, Ann Arbor, MI, USA
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Alqanatish J, Alfadhel A, Albelali A, Alqahtani D. Paediatric career decision: a literature review of motivational factors. Sudan J Paediatr 2023; 23:112-125. [PMID: 38380399 PMCID: PMC10876274 DOI: 10.24911/sjp.106-1696066895] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/30/2023] [Accepted: 11/14/2023] [Indexed: 02/22/2024]
Abstract
Unless decision-makers for the future paediatric workforce are aware of different factors that influence the career choices of candidates, they may not be able to meet the needs of this major specialty. Paediatricians should be perceptive, effective communicators and endlessly patient with children. In this article, we conducted a thorough literature search to explore factors affecting career choices among undergraduate and postgraduate students who choose paediatrics or paediatric subspecialties. We assessed the similarities and differences in decision-making in paediatric, medicine, surgery and orthopaedic career contexts to help the candidates in ranking their career options. The authors found that both intrinsic and extrinsic factors shape the career choices of those seeking to work in paediatrics or paediatric subspecialties. A well-structured career development curriculum and clinical experience are considered the most important extrinsic factors, whereas personal characteristics of the candidate and career needs are considered the most important intrinsic factors. These factors may vary across specialties, and even between different subspecialties within the same major specialty. Some factors are considered very important, while others are deemed less so in comparison. The role of mentoring in career selection is crucial. It has been documented in a sizable body of literature that residents are inspired to pursue the careers of their mentors. Paediatrics is no exception. The decision to pursue a subspecialty training is complex and is affected by multiple factors. Those engaged in managing the workforce of the future in the field of paediatrics must familiarise themselves with the intrinsic and extrinsic factors that affect the candidates' career choices.
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Affiliation(s)
- Jubran Alqanatish
- King Abdullah Specialized Children’s Hospital, King Abdulaziz Medical City, Ministry of National Guard Health Affairs, Riyadh, Saudi Arabia
- King Abdullah International Medical Research Center, Ministry of National Guard Health Affairs, Riyadh, Saudi Arabia
- King Saud Bin Abdulaziz University for Health Sciences, Ministry of National Guard Health Affairs, Riyadh, Saudi Arabia
| | - Abdulmajeed Alfadhel
- King Abdullah Specialized Children’s Hospital, King Abdulaziz Medical City, Ministry of National Guard Health Affairs, Riyadh, Saudi Arabia
- King Abdullah International Medical Research Center, Ministry of National Guard Health Affairs, Riyadh, Saudi Arabia
- King Saud Bin Abdulaziz University for Health Sciences, Ministry of National Guard Health Affairs, Riyadh, Saudi Arabia
| | - Areej Albelali
- King Abdullah Specialized Children’s Hospital, King Abdulaziz Medical City, Ministry of National Guard Health Affairs, Riyadh, Saudi Arabia
- King Abdullah International Medical Research Center, Ministry of National Guard Health Affairs, Riyadh, Saudi Arabia
- King Saud Bin Abdulaziz University for Health Sciences, Ministry of National Guard Health Affairs, Riyadh, Saudi Arabia
| | - Dhafer Alqahtani
- Department of Cardiology, Prince Sultan Cardiac Center, Riyadh, Saudi Arabia
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Lin D, Schmidt RM. Strategies to Improve Mentorship and Foster Career Advancement in Academic Hospital Medicine. J Gen Intern Med 2022; 37:2556-2558. [PMID: 35015262 PMCID: PMC9360283 DOI: 10.1007/s11606-021-07371-7] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/17/2021] [Accepted: 12/16/2021] [Indexed: 10/19/2022]
Affiliation(s)
- Doris Lin
- Department of Medicine, Baylor College of Medicine, 1504 Taub Loop, 2PA 71009, Houston, TX, 77030, USA.
| | - R Michelle Schmidt
- Department of Medicine, Baylor College of Medicine, 1504 Taub Loop, 2PA 71009, Houston, TX, 77030, USA
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Renner CS, Sumarsono A, Mathew A, Warsi M, Niaz U, Patel V, Chu ES. Scholarly productivity and growth of academic hospital medicine full professors. J Hosp Med 2022; 17:509-516. [PMID: 35761782 DOI: 10.1002/jhm.12894] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/08/2022] [Revised: 05/23/2022] [Accepted: 05/25/2022] [Indexed: 11/10/2022]
Abstract
BACKGROUND Scholarship remains the principal currency for faculty promotion in academic medicine. Reference points for scholarly growth and productivity at academic medical centers (AMCs) are lacking. METHODS We identified hospital medicine full professors (HMFPs) at AMCs ranked in research by US News & World Report. Scopus was used to identify each HMFP's publications, citations, and Hirsch-index (H-index). Publications; citations; and first, middle, and senior author papers were measured in 3-year intervals postresidency. Scholarly productivity was analyzed by quintile based on publications, AMC research ranking, years postresidency, and grant funding. RESULTS Data were extracted for 128 HMFPs from 54 AMCs. HMFPs were a mean of 20.5 (SD: 5.4) years postresidency. The median H-index was 7.0 (interquartile range [IQR]: 2.0-16.0); the median number of publications was 15.0 (IQR: 4.0-51.0). Top quintile HMFPs had a median of 175.5 (IQR: 101.5-248.0) publications, whereas fifth quintile HMFPs had a median of 0.0 (IQR: 0.0-1.0) (p < .001). HMFPs on faculty at the top 20 AMCs had a median of 35.5 (IQR: 11.0-108.0) publications, whereas HMFPs in AMCs ranked 81-122 had a median of 3.0 (IQR: 1.0-9.0) (p < .001). Grant-funded HMFPs had a median of 177.0 (IQR: 71.0-278.0) publications, while nongrant-funded HMFPs had a median of 11.0 (IQR: 3.0-25.0) (p < .001). At 3, 6, and 9 years postresidency, HMFPs had a median of 0.0 (IQR: 0.0-1.0), 1.5 (IQR: 0.0-5.0), and 3.5 (IQR: 0.0-11.0) publications. Fellowship training, additional degrees, and top 25 residency programs correlated with the top half of scholarly productivity. CONCLUSIONS Scholarly productivity among HMFPs varies considerably. At 3, 6, and 9 years postresidency, it is minimal to modest. Grant funding and AMC research rank may establish separate frames of reference for scholarly growth.
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Affiliation(s)
- Christiana S Renner
- Department of Internal Medicine, Division of Hospital Medicine at Parkland Memorial Hospital, University of Texas Southwestern Medical Center, Dallas, Texas, USA
| | - Andrew Sumarsono
- Department of Internal Medicine, Division of Hospital Medicine at Parkland Memorial Hospital, University of Texas Southwestern Medical Center, Dallas, Texas, USA
| | - Achsah Mathew
- Department of Internal Medicine, University of Texas Health Science Center at Tyler, Tyler, Texas, USA
| | - Maryam Warsi
- Fred Hutchinson Cancer Research Center, University of Washington School of Medicine, Seattle, Washington, USA
| | - Usman Niaz
- Department of Internal Medicine, Division of Hospital Medicine at Parkland Memorial Hospital, University of Texas Southwestern Medical Center, Dallas, Texas, USA
| | - Vivek Patel
- Department of Internal Medicine, Division of Hospital Medicine at Parkland Memorial Hospital, University of Texas Southwestern Medical Center, Dallas, Texas, USA
| | - Eugene S Chu
- Department of Internal Medicine, Division of Hospital Medicine at Parkland Memorial Hospital, University of Texas Southwestern Medical Center, Dallas, Texas, USA
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Kulkarni SA, Fang MC, Glasheen JJ, Parekh V, Sharpe BA. Characteristics, satisfiers, development needs, and barriers to success for early-career academic hospitalists. BMC MEDICAL EDUCATION 2022; 22:278. [PMID: 35418211 PMCID: PMC9008903 DOI: 10.1186/s12909-022-03356-0] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 05/28/2021] [Accepted: 04/04/2022] [Indexed: 06/14/2023]
Abstract
BACKGROUND Academic hospitalists engage in many non-clinical domains. Success in these domains requires support, mentorship, protected time, and networks. To address these non-clinical competencies, faculty development programs have been implemented. We aim to describe the demographics, job characteristics, satisfiers, and barriers to success of early-career academic hospitalists who attended the Academic Hospitalist Academic (AHA), a professional development conference from 2009 to 2019. METHODS Survey responses from attendees were evaluated; statistical analyses and linear regression were performed for numerical responses and qualitative coding was performed for textual responses. RESULTS A total of 965 hospitalists attended the AHA from 2009 to 2019. Of those, 812 (84%) completed the survey. The mean age of participants was 34 years and the mean time in hospitalist practice was 3.2 years. Most hospitalists were satisfied with their job, and teaching and clinical care were identified as the best parts of the job. The proportion of female hospitalists increased from 42.2% in 2009 to 60% in 2019 (p = 0.001). No other demographics or job characteristics significantly changed over the years. Lack of time and confidence in individual skills were the most common barriers identified in both bedside teaching and providing feedback, and providing constructive feedback was an additional challenge identified in giving feedback. CONCLUSIONS Though early-career hospitalists reported high levels of job satisfaction driven by teaching and clinical care, barriers to success include time constraints and confidence. Awareness of these factors of satisfaction and barriers to success can help shape faculty development curricula for early-career hospitalists.
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Affiliation(s)
- Shradha A Kulkarni
- Division of Hospital Medicine, Department of Medicine, University of California, 521 Parnassus Avenue, Box 0131, San Francisco, CA, 94143, USA.
| | - Margaret C Fang
- Division of Hospital Medicine, Department of Medicine, University of California, 521 Parnassus Avenue, Box 0131, San Francisco, CA, 94143, USA
| | | | - Vikas Parekh
- Department of Internal Medicine, University of Michigan, Ann Arbor, MI, USA
| | - Bradley A Sharpe
- Division of Hospital Medicine, Department of Medicine, University of California, 521 Parnassus Avenue, Box 0131, San Francisco, CA, 94143, USA
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Sheffield V, Hartley S, Stansfield RB, Mack M, Blackburn S, Vaughn VM, Heidemann L, Chang R, Lukela JR. Gendered Expectations: the Impact of Gender, Evaluation Language, and Clinical Setting on Resident Trainee Assessment of Faculty Performance. J Gen Intern Med 2022; 37:714-722. [PMID: 34405349 PMCID: PMC8904706 DOI: 10.1007/s11606-021-07093-w] [Citation(s) in RCA: 10] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/30/2020] [Accepted: 07/30/2021] [Indexed: 10/20/2022]
Abstract
BACKGROUND Gender inequity is pervasive in academic medicine. Factors contributing to these gender disparities must be examined. A significant body of literature indicates men and women are assessed differently in teaching evaluations. However, limited data exist on how faculty gender affects resident evaluation of faculty performance based on the skill being assessed or the clinical practice settings in which the trainee-faculty interaction occurs. OBJECTIVE Evaluate for gender-based differences in the assessment of general internal medicine (GIM) faculty physicians by trainees in inpatient and outpatient settings. DESIGN Retrospective cohort study SUBJECTS: Inpatient and outpatient GIM faculty physicians in an Internal Medicine residency training program from July 1, 2015, to December 31, 2018. MAIN MEASURES Faculty scores on trainee teaching evaluations including overall teaching ability and Accreditation Council for Graduate Medical Education (ACGME) competencies (medical knowledge [MK], patient care [PC], professionalism [PROF], interpersonal and communication skills [ICS], practice-based learning and improvement [PBLI], and systems-based practice [SBP]) based on the institutional faculty assessment form. KEY RESULTS In total, 3581 evaluations by 445 trainees (55.1% men, 44.9% women) assessing 161 GIM faculty physicians (50.3% men, 49.7% women) were included. Male faculty were rated higher in overall teaching ability (male=4.69 vs. female=4.63, p=0.003) and in four of the six ACGME competencies (MK, PROF, PBLI, and SBP) based on our institutional evaluation form. In the inpatient setting, male faculty were rated more favorably for overall teaching (male = 4.70, female = 4.53, p=<0.001) and across all ACGME competencies. The only observed gender difference in the outpatient setting favored female faculty in PC (male = 4.65, female = 4.71, p=0.01). CONCLUSIONS Male and female GIM faculty performance was assessed differently by trainees. Gender-based differences were impacted by the setting of evaluation, with the greatest difference by gender noted in the inpatient setting.
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Affiliation(s)
- Virginia Sheffield
- Department of Internal Medicine, University of Michigan, Ann Arbor, MI, USA
| | - Sarah Hartley
- Department of Internal Medicine, University of Michigan, Ann Arbor, MI, USA
| | | | - Megan Mack
- Department of Internal Medicine, University of Michigan, Ann Arbor, MI, USA
| | - Staci Blackburn
- Department of Internal Medicine, University of Michigan, Ann Arbor, MI, USA
| | - Valerie M Vaughn
- Department of Internal Medicine, University of Michigan, Ann Arbor, MI, USA.,Department of Internal Medicine, University of Utah School of Medicine, Salt Lake City, UT, USA
| | - Lauren Heidemann
- Department of Internal Medicine, University of Michigan, Ann Arbor, MI, USA
| | - Robert Chang
- Department of Internal Medicine, University of Michigan, Ann Arbor, MI, USA
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Keniston A, Frank M, McBeth L, Barkoudah E, Pavon J, Rohatgi N, Vaughn V, Bhandari S, Burden M. Utilization of a National Writing Challenge to Promote Scholarly Work: A Pilot Study. Cureus 2022; 14:e21935. [PMID: 35273876 PMCID: PMC8900829 DOI: 10.7759/cureus.21935] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/08/2022] [Indexed: 11/12/2022] Open
Abstract
Background Hospitalists value mentorship and scholarly work, yet often struggle to find time and mentors amid busy clinical workloads. Objective To help catalyze writing for hospitalists nationally, we created a Writing Challenge, where we asked hospitalists to commit to the goal of writing 400 words a day, four days a week, for four weeks. Methods Prospective, programmatic evaluation with daily logs followed by a survey at the completion of the project. The four-week Writing Challenge occurred between June 7 and July 5, 2021. Email invitations to participate in the challenge were disseminated to peer networks, and the challenge was promoted using social media. Participants agreed to attempt to write 400 words per day, four days per week, for four weeks. Results Seventy-four individuals from 28 institutions registered for the Writing Challenge, with 36 (49%) participating in the challenge by logging their writing. Participants wrote an average of 4,372 +/- 4,324 words during the challenge. Sixty-eight percent of the participants reported that their amount of writing increased during the challenge and 50% of the participants stated they planned to publish their work, though many participants (46%) reported struggling to write each day. Conclusions The Writing Challenge is one way to generate increased writing and may result in increased scholarly output for academic hospitalists.
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Elias RM, Fischer KM, Coons T, Kashiwagi D. Successful recruitment and retention of academic physicians: hiring for longevity, productivity, and leadership in hospital medicine. Hosp Pract (1995) 2022; 50:42-48. [PMID: 34933645 DOI: 10.1080/21548331.2021.2022329] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
BACKGROUND Considerable resources are expended by hospitals to recruit and retain physicians that will be successful. Healthcare managers lack data to guide these decisions. In that vacuum, suppositions regarding what attributes contribute to physician success predominate. OBJECTIVES To evaluate the relationship between candidate factors known at the time of hiring and subsequent longevity and success of physicians in an academic division of hospital internal medicine. RESEARCH DESIGN A retrospective review of all physicians hired in an academic hospital internal medicine division. Measures of longevity, research productivity, academic promotion and division leadership roles were compared to personal and professional characteristics at the time of hiring. Success was quantified in those four domains and associations explored for between success and hiring factors. RESULTS Female physicians had greater longevity at the institution. Physicians from the hospital region were no more likely to stay long-term as compared to those from other regions. United States medical graduates were more likely to attain leadership positions than international graduates. There was an inverse relationship between research productivity and administrative leadership. CONCLUSIONS Factors commonly sought by academic healthcare institutions were not associated with long term success in academic hospital medicine. Less research productivity was associated with greater divisional leadership involvement, suggesting that scholarship and administrative leadership may represent separate tracks for physicians at academic institutions.
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Affiliation(s)
- Richard M Elias
- Division of Hospital Internal Medicine, Department of Medicine, Mayo Clinic, Rochester, MN, USA
| | - Karen M Fischer
- Health Sciences Research Biomedical Statistics and Informatics, Mayo Clinic, Rochester, Mn, USA
| | - Trevor Coons
- Division of Hospital Internal Medicine, Department of Medicine, Mayo Clinic, Rochester, MN, USA
| | - Deanne Kashiwagi
- Division of Hospital Internal Medicine, Department of Medicine, Mayo Clinic, Rochester, MN, USA
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Tago M, Watari T, Shikino K, Yamashita S, Katsuki NE, Fujiwara M, Yamashita S. A survey of the research practice in general medicine departments of Japanese universities: A cross-sectional study. J Gen Fam Med 2022; 23:56-60. [PMID: 35004114 PMCID: PMC8721328 DOI: 10.1002/jgf2.473] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/20/2021] [Revised: 05/24/2021] [Accepted: 06/03/2021] [Indexed: 11/16/2022] Open
Abstract
BACKGROUND Few studies have focused on research practice in Japanese university general medicine (GM) departments. METHODS This is a questionnaire-based cross-sectional study to clarify the research achievement and associated factors of Japanese university GM department. Univariate analysis was performed to compare the number of English-language research publications and explanatory variables. RESULTS Forty-seven universities responded. Over a 3 years period, the median number of English-language research publications was 6. Perceived degree of research necessity, staff numbers, collaborative research, conference presentations, and obtaining research grants were significantly associated with a higher number of English-language research publications. CONCLUSIONS While GM research output was found to be limited, numerous associated factors can potentially change Japanese GM departments' research environments.
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Affiliation(s)
- Masaki Tago
- Department of General MedicineSaga University HospitalSagaJapan
| | - Takashi Watari
- General Medicine CenterShimane University HospitalShimaneJapan
| | - Kiyoshi Shikino
- Department of General MedicineChiba University HospitalChibaJapan
| | - Shun Yamashita
- Department of General MedicineSaga University HospitalSagaJapan
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Chang A, Schwartz BS, Harleman E, Johnson M, Walter LC, Fernandez A. Guiding Academic Clinician Educators at Research-Intensive Institutions: a Framework for Chairs, Chiefs, and Mentors. J Gen Intern Med 2021; 36:3113-3121. [PMID: 33846943 PMCID: PMC8481436 DOI: 10.1007/s11606-021-06713-9] [Citation(s) in RCA: 17] [Impact Index Per Article: 5.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/09/2020] [Accepted: 03/09/2021] [Indexed: 11/21/2022]
Abstract
Department chairs and division chiefs at research-intensive academic medical centers often find mentoring clinician educators challenging. These faculty constitute the majority of academic physicians. Supporting excellent clinician educators is key to ensuring high-quality patient care and developing tomorrow's physicians. Little has been written for leaders on strategies to advance academic clinician educators' career success. We present a framework to guide chairs, chiefs, and mentors seeking to address clinician educator retention and satisfaction in academic medical centers.
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Affiliation(s)
- Anna Chang
- Division of Geriatrics, Department of Medicine, University of California San Francisco School of Medicine (UCSF), San Francisco, CA, USA.
- San Francisco Veterans Affairs Health Care System (SFVAHCS), San Francisco, CA, USA.
| | - Brian S Schwartz
- Division of Infectious Diseases, Department of Medicine, University of California San Francisco School of Medicine (UCSF), San Francisco, CA, USA
| | - Elizabeth Harleman
- Division of Hospital Medicine at Zuckerberg San Francisco General Hospital, Department of Medicine, University of California San Francisco School of Medicine (UCSF), San Francisco, CA, USA
| | - Meshell Johnson
- San Francisco Veterans Affairs Health Care System (SFVAHCS), San Francisco, CA, USA
- Division of Pulmonary Medicine, Department of Medicine, University of California San Francisco School of Medicine (UCSF), San Francisco, CA, USA
| | - Louise C Walter
- Division of Geriatrics, Department of Medicine, University of California San Francisco School of Medicine (UCSF), San Francisco, CA, USA
- San Francisco Veterans Affairs Health Care System (SFVAHCS), San Francisco, CA, USA
| | - Alicia Fernandez
- Division of General Internal Medicine at Zuckerberg San Francisco General Hospital, Department of Medicine, University of California San Francisco School of Medicine (UCSF), San Francisco, CA, USA
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The Experience of Women in Hospital Medicine Leadership: a Qualitative Study. J Gen Intern Med 2021; 36:2678-2682. [PMID: 33532961 PMCID: PMC8390599 DOI: 10.1007/s11606-020-06458-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/31/2020] [Accepted: 12/13/2020] [Indexed: 10/22/2022]
Abstract
BACKGROUND Since 2017, women have made up over 50% of medical school matriculants; however, only 16% of department chairs are women-a number that has remained stagnant and demonstrates the underrepresentation of women in leadership positions in medicine. OBJECTIVE To better understand the challenges women face in leadership positions and to inform how best to advance women leaders in Hospital Medicine. DESIGN, SETTING, AND PARTICIPANTS Using hermeneutical phenomenological methods, we performed semi-structured qualitative interviews of ten female division heads from hospital medicine groups in the USA, transcribed verbatim, and coded for thematic saturation using Atlas.ti software. MEASUREMENTS Qualitative themes and subthemes. KEY RESULTS Ten women hospitalist leaders were interviewed from September through November 2019. Participants identified four key challenges in their leadership journeys: lack of support to pursue leadership training, bullying, a sense of sacrifice in order to achieve balance, and the need for internal and external validation. Participants also suggested key interventions in order to support women leaders in the future: recommending a platform to share experiences, combat bullying, advocate for themselves, and bolster each other in sponsorship and mentorship roles. Finally, participants identified how they have unique strengths as women in leadership, and are transforming the culture of medicine with a focus on diversity and flexibility. CONCLUSION Women in leadership positions face unique challenges, but also have a unique perspective as to how to support the next generation of leaders.
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Women in anesthesiology: is it different in the Arab world? Int Anesthesiol Clin 2021; 58:78-83. [PMID: 32756219 DOI: 10.1097/aia.0000000000000288] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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Sumarsono A, Keshvani N, Saleh SN, Sumarsono N, Tran M, Warsi M, Renner C, Chu ES. Scholarly Productivity and Rank in Academic Hospital Medicine. J Hosp Med 2021; 16:jhm.3631. [PMID: 34197300 DOI: 10.12788/jhm.3631] [Citation(s) in RCA: 25] [Impact Index Per Article: 8.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/31/2020] [Accepted: 03/30/2021] [Indexed: 11/20/2022]
Abstract
Despite the rapid growth of academic hospital medicine, scholarly productivity remains poorly characterized. In this cross-sectional study, distribution of academic rank and scholarly output of academic hospital medicine faculty are described. We extracted data for 1,554 hospitalists on faculty at the top 25 internal medicine residency programs. Only 11.7% of faculty had reached associate (9.0%) or full professor (2.7%). The median number of publications was 0.0 (interquartile range [IQR], 0.0-4.0), with 51.4% without a single publication. Faculty 6 to 10 years post residency had a median of 1.0 (IQR, 0.0-4.0) publication, with 46.8% of these faculty without a publication. Among men, 54.3% had published at least one manuscript, compared to 42.7% of women (P < .0001). Predictors of promotion included H-index, number of years post residency graduation, completion of chief residency, and graduation from a top 25 medical school. Promotion remains uncommon in academic hospital medicine, which may be partially due to low rates of scholarly productivity.
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Affiliation(s)
- Andrew Sumarsono
- Department of Internal Medicine, University of Texas Southwestern Medical Center, Dallas, Texas
| | - Neil Keshvani
- Department of Internal Medicine, University of Texas Southwestern Medical Center, Dallas, Texas
- Division of Cardiology, University of Texas Southwestern Medical Center, Dallas, Texas
| | - Sameh N Saleh
- Department of Internal Medicine, University of Texas Southwestern Medical Center, Dallas, Texas
- Division of Hospital Medicine, Parkland Memorial Hospital, Dallas, Texas
- Clinical Informatics Center, University of Texas Southwestern Medical Center, Dallas, Texas
| | - Nathan Sumarsono
- University of Texas Southwestern School of Medicine, Dallas, Texas
| | - Mindy Tran
- Columbia University Mailman School of Public Health, New York, New York
| | - Maryam Warsi
- Division of Hospital Medicine, Parkland Memorial Hospital, Dallas, Texas
| | - Christiana Renner
- Department of Internal Medicine, University of Texas Southwestern Medical Center, Dallas, Texas
- Division of Hospital Medicine, Parkland Memorial Hospital, Dallas, Texas
| | - Eugene S Chu
- Department of Internal Medicine, University of Texas Southwestern Medical Center, Dallas, Texas
- Division of Hospital Medicine, Parkland Memorial Hospital, Dallas, Texas
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Watari T, Tago M, Shikino K, Yamashita S, Katsuki NE, Fujiwara M, Yamashita SI. Research Trends in General Medicine Departments of University Hospitals in Japan. Int J Gen Med 2021; 14:1227-1230. [PMID: 33854364 PMCID: PMC8039201 DOI: 10.2147/ijgm.s306543] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/13/2021] [Accepted: 03/18/2021] [Indexed: 11/23/2022] Open
Abstract
Purpose The training of generalist physicians in university hospitals needs to emphasize development of their research role in order to continue improving their research capacity and their standing in academic hospitals in Japan. This cross-sectional descriptive study aimed to survey departments of general medicine (GM) in university hospitals in Japan to identify the research areas and themes pursued by academic generalist physicians. Patients and Methods The heads of the departments of GM from 71 university hospitals in Japan were enrolled. The main outcomes studied were the identification of the main research areas and themes in academic departments of GM, based on the classification of the National Grants-in-Aid for Scientific Research (KAKENHI): clinical research, public health, preventive medicine, medical education, basic science, health services and safety and quality. Results We received 47 of 71 replies (66.2% response rate). Clinical research was the most common area of research (62%), followed by public health and preventive medicine (14%), medical education (11%), and basic sciences (9%). Only one department identified health services and safety and quality as a research area (2%). There was marked variability in research areas across the different departments, with 23% of the research targeting the highest specialties, particularly organ-specific research in the fields of gastroenterology, cardiology, immunology, neurology, metabolic endocrinology, and hematology-oncology. Conclusion The training of generalist physicians in university hospitals needs to emphasize development of their research role in order to continue improving the research capacity and the standing generalist physicians in academic hospitals in Japan.
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Affiliation(s)
- Takashi Watari
- General Medicine Center, Shimane University Hospital, Shimane, Japan.,Master of Healthcare Quality and Patient Safety, Harvard Medical School, Boston, MA, USA
| | - Masaki Tago
- Department of General Medicine, Saga University Hospital, Saga, Japan
| | - Kiyoshi Shikino
- Department of General Medicine, Chiba University Hospital, Chiba, Japan
| | - Shun Yamashita
- Department of General Medicine, Saga University Hospital, Saga, Japan
| | - Naoko E Katsuki
- Department of General Medicine, Saga University Hospital, Saga, Japan
| | - Motoshi Fujiwara
- Department of General Medicine, Saga University Hospital, Saga, Japan
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Rachid E, Noureddine T, Tamim H, Makki M, Naalbandian S, Al-Haddad C. Gender disparity in research productivity across departments in the faculty of medicine: a bibliometric analysis. Scientometrics 2021. [DOI: 10.1007/s11192-021-03953-8] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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29
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Shannon EM, Chopra V, Greysen SR, Herzig SJ, Kripalani S, O’Leary KJ, Vasilevskis EE, Williams MV, Mueller SK, Auerbach AD, Schnipper JL. Dearth of Hospitalist Investigators in Academic Medicine: A Call to Action. J Hosp Med 2021; 16:189-191. [PMID: 33617444 PMCID: PMC7929609 DOI: 10.12788/jhm.3536] [Citation(s) in RCA: 16] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/30/2020] [Accepted: 09/15/2020] [Indexed: 11/20/2022]
Affiliation(s)
- Evan Michael Shannon
- Division of General Internal Medicine and Primary Care, Brigham and Women’s Hospital, Boston, Massachusetts
- Harvard Medical School, Boston, Massachusetts
- Corresponding Author: Evan Michael Shannon, MD, MPH; ; Twitter: @EMShan_MD
| | - Vineet Chopra
- Division of Hospital Medicine, University of Michigan Medicine, Ann Arbor, Michigan
| | - S Ryan Greysen
- Section of Hospital Medicine, Division of General Internal Medicine, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania
- Leonard Davis Institute of Health Economics, The Wharton School at the University of Pennsylvania, Philadelphia, Pennsylvania
| | - Shoshana J Herzig
- Harvard Medical School, Boston, Massachusetts
- Division of General Medicine, Beth Israel Deaconess Medical Center, Boston, Massachusetts
| | - Sunil Kripalani
- Section of Hospital Medicine, Division of General Internal Medicine and Public Health, Vanderbilt University, Nashville, Tennessee
- Center for Clinical Quality and Implementation Research, Vanderbilt University, Nashville, Tennessee
| | - Kevin J O’Leary
- Division of Hospital Medicine, Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois
| | - Eduard E Vasilevskis
- Section of Hospital Medicine, Division of General Internal Medicine and Public Health, Vanderbilt University, Nashville, Tennessee
- Geriatric Research Education and Clinical Center, VA Tennessee Valley, Nashville, Tennessee
| | - Mark V Williams
- Center for Health Services Research, University of Kentucky, Lexington, Kentucky
| | - Stephanie K Mueller
- Division of General Internal Medicine and Primary Care, Brigham and Women’s Hospital, Boston, Massachusetts
- Harvard Medical School, Boston, Massachusetts
| | - Andrew D Auerbach
- Division of Hospital Medicine, University of California San Francisco, San Francisco, California
| | - Jeffrey L Schnipper
- Division of General Internal Medicine and Primary Care, Brigham and Women’s Hospital, Boston, Massachusetts
- Harvard Medical School, Boston, Massachusetts
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30
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Dugani SB, Geyer HL, Maniaci MJ, Schenzel HA, Burton MC. Perspectives on and barriers to research among advanced practice provider and physician hospitalists. Nurse Pract 2020; 45:41-47. [PMID: 32826539 DOI: 10.1097/01.npr.0000694720.63033.a5] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Abstract
Advanced practice providers and physicians at an academic healthcare system comprising more than 15 hospitals across four US states were surveyed to identify barriers to participation in research. Overall, barriers reported by advanced practice providers and physicians were more similar than different, highlighting system-level opportunities to build research skills and accelerate academic productivity.
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31
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Choi JJ, Evans AT, McNairy ML. Facilitated Peer Mentoring: Filling a Critical Gap in Academic Hospital Medicine. J Hosp Med 2020; 15:563-565. [PMID: 32118569 DOI: 10.12788/jhm.3371] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/31/2019] [Accepted: 12/07/2019] [Indexed: 11/20/2022]
Affiliation(s)
- Justin J Choi
- Section of Hospital Medicine, Department of Medicine, New York-Presbyterian/Weill Cornell Medical Center, New York, New York
| | - Arthur T Evans
- Section of Hospital Medicine, Department of Medicine, New York-Presbyterian/Weill Cornell Medical Center, New York, New York
| | - Margaret L McNairy
- Section of Hospital Medicine, Department of Medicine, New York-Presbyterian/Weill Cornell Medical Center, New York, New York
- Center for Global Health, Department of Medicine, New York-Presbyterian/Weill Cornell Medical Center, New York, New York
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32
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Mehta AK, Patel R, Patel D, Davis MP. Trends in Published Palliative Care Research: A 15-Year Review. Am J Hosp Palliat Care 2020; 38:489-493. [PMID: 32705878 DOI: 10.1177/1049909120944863] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
BACKGROUND There has been a call for palliative care (PC) published research to support the impact and need for more specialty PC services. OBJECTIVE The purpose of this study was to characterize research in PC over a 15-year period in 3 PC journals published in the United States. DESIGN The authors reviewed every issue of the Journal of Pain and Symptom Management, Journal of Palliative Medicine, and American Journal of Hospice and Palliative Medicine from 2004 through 2018. Studies included were original articles and brief reports. Study type (qualitative, quantitative), author (first and last), gender, and professional degree of the author (first and last) were recorded. RESULTS A total of 4881 articles were included in this study. The proportion of quantitative papers significantly increased across 3 time points from 63% to 67% to 78%. The proportion of women first authors increased across all 3 time points (54%, 2004-2008; 57%, 2009-2013; 60%, 2014-2018), and the proportion of women last authors increased across all time points (38%, 2004-2008; 44%, 2009-2013; 46%, 2014-2018). More than 40% of authors were physicians. CONCLUSIONS Published PC studies are increasingly quantitative in design. Gender authorship is female dominant for the first authors and increasingly equal across genders for the last authors.
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Affiliation(s)
- Ambereen K Mehta
- Palliative Care Program, 8783 University of California, Los Angeles Medical Center, CA, USA
| | - Rishi Patel
- Palliative Care Program, 8783 University of California, Los Angeles Medical Center, CA, USA.,Comprehensive Blood & Cancer Center, Bakersfield, CA, USA
| | - Dheer Patel
- 1259University of Michigan, Ann Arbor, MI, USA
| | - Mellar P Davis
- Department of Palliative Care, Geisinger Medical Center, Danville, PA, USA
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Dugani SB, Geyer HL, Maniaci MJ, Burton MC. Perception of barriers to research among internal medicine physician hospitalists by career stage. Hosp Pract (1995) 2020; 48:206-212. [PMID: 32510254 DOI: 10.1080/21548331.2020.1779537] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/22/2023]
Abstract
BACKGROUND Physician hospitalists may participate in research and generate knowledge for evidence-based hospital practice. Despite this, physician hospitalists are primarily involved in patient care, and there is sparse information on barriers for their participation in research and if these barriers differ by career stage. METHODS We conducted a survey of physician hospitalists at Mayo Clinic sites based in four states (Arizona, Florida, Minnesota, and Wisconsin). We surveyed physician hospitalists on demographics, academic rank, current research skills, barriers for participation in research, and research skills they aspire to acquire. Responses were summarized using descriptive statistics and categorized by early-career (<10 years), mid-career (10-20 years), and later-career (≥20 years) stages at Mayo Clinic. The survey was conducted from March to April 2019. RESULTS Of 188 physician hospitalists, there was a 52% response rate with 71% in early career, 21% mid-career, and 7% late career, with 39% female. Physician hospitalists at early-career (90%), mid-career (76%), and later-career (71%) stages were interested in participating in research. Among physician hospitalists with ≤3 peer-reviewed publications, barriers for participation in research included lack of mentorship, time, research skills, and funding. Among physician hospitalists with ≥4 peer-reviewed publications, factors for research success included mentorship (89% early-career, 38% mid-career, 75% later-career; p = 0.002) and membership in a research team. Compared to mid- and later-career physician hospitalists, a higher proportion of early-career hospitalists was interested in acquiring skills to both critically review the literature (70% early-career, 43% mid-career, 0% later-career; p = 0.006) and write manuscripts (86% early-career, 57% mid-career, 50% later-career; p = 0.02); there was generally similar interest across career stages to acquire skills to conduct literature searches and write grants. CONCLUSION The generally similar responses from physician hospitalists across career stages highlight system-level opportunities to increase research mentorship, promote the acquisition of research skills, and reduce barriers for participation in research.
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Affiliation(s)
- Sagar B Dugani
- Division of Hospital Internal Medicine, Mayo Clinic , Rochester, MN, USA
| | - Holly L Geyer
- Division of Hospital Internal Medicine, Mayo Clinic , Scottsdale, AZ, USA
| | - Michael J Maniaci
- Division of Hospital Internal Medicine, Mayo Clinic , Jacksonville, FL, USA
| | - M Caroline Burton
- Division of Hospital Internal Medicine, Mayo Clinic , Rochester, MN, USA
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34
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Northcutt N, Papp S, Keniston A, Kara A, Kisuule F, Mandel C, Mathews B, Del Pino-Jones A, Smith D, Vuernick K, Burden M. SPEAKers at the National Society of Hospital Medicine Meeting: A Follow-UP Study of Gender Equity for Conference Speakers from 2015 to 2019. The SPEAK UP Study. J Hosp Med 2020; 15:228-231. [PMID: 32281920 DOI: 10.12788/jhm.3401] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/05/2019] [Accepted: 01/31/2020] [Indexed: 11/20/2022]
Abstract
Women continue to be underrepresented as speakers at national conferences, and research has shown similar trends in hospital medicine. The Society of Hospital Medicine (SHM) Annual Meeting has historically had an open call peer review process for workshop speakers and, in 2019, expanded the process for didactic speakers. We aimed to assess the overall conference trends for women speakers and whether the systematic processes in recruitment procedures (ie, open call) resulted in improved representation of women speakers. We also sought to understand how the proportion of women speakers might affect overall scores of the conference. From 2015 to 2019, the overall representation of women speakers increased, as did evaluation scores during the same time period. When selection processes included the open call peer review process, there were higher proportions of women speakers. An open call process with peer review for speakers may be a systematic process that national meetings could replicate to reduce gender inequities.
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Affiliation(s)
- Noelle Northcutt
- Denver Health, Denver, Colorado
- Division of Hospital Medicine, University of Colorado School of Medicine, Aurora, Colorado
| | - Stephan Papp
- University of Colorado School of Medicine, Aurora, Colorado
| | - Angela Keniston
- Division of Hospital Medicine, University of Colorado School of Medicine, Aurora, Colorado
| | - Areeba Kara
- Indiana University School of Medicine, Indianapolis, Indiana
| | - Flora Kisuule
- Division of Hospital Medicine, Johns Hopkins School of Medicine, Baltimore, Maryland
| | - Chiara Mandel
- Society of Hospital Medicine, Philadelphia, Pennsylvania
| | - Benji Mathews
- Regions Hospital, HealthPartners, Saint Paul, Minnesota
| | - Amira Del Pino-Jones
- Division of Hospital Medicine, University of Colorado School of Medicine, Aurora, Colorado
| | - Dustin Smith
- Division of Hospital Medicine, Emory University School of Medicine, Atlanta, Georgia
| | - Kevin Vuernick
- Society of Hospital Medicine, Philadelphia, Pennsylvania
| | - Marisha Burden
- Division of Hospital Medicine, University of Colorado School of Medicine, Aurora, Colorado
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35
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Finding a Mentor. Health Serv Res 2020. [DOI: 10.1007/978-3-030-28357-5_26] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022] Open
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36
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Prasad S, Sopdie E, Meya D, Kalbarczyk A, Garcia PJ. Conceptual Framework of Mentoring in Low- and Middle-Income Countries to Advance Global Health. Am J Trop Med Hyg 2019; 100:9-14. [PMID: 30430983 PMCID: PMC6329351 DOI: 10.4269/ajtmh.18-0557] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022] Open
Abstract
Although mentoring is not a common practice in low- and middle-income countries (LMICs), there is a strong need for it. Conceptual frameworks provide the structure to design, study, and problem-solve complex phenomena. Following four workshops in South America, Asia, and Africa, and borrowing on theoretical models from higher education, this article proposes two conceptual frameworks of mentoring in LMICs. In the first model, we propose to focus the mentor–mentee relationship and interactions, and in the second, we look at mentoring activities from a mentees’ perspective. Our models emphasize the importance of an ongoing dynamic between the mentor and mentee that is mutually beneficial. It also emphasizes the need for institutions to create enabling environments that encourage mentorship. We expect that these frameworks will help LMIC institutions to design new mentoring programs, clarify expectations, and analyze problems with existing mentoring programs. Our models, while being framed in the context of global health, have the potential for wider application geographically and across disciplines.
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Affiliation(s)
- Shailendra Prasad
- Center for Global Health and Social Responsibility, University of Minnesota, Minneapolis, Minnesota
| | - Elizabeth Sopdie
- College of Education and Human Development, University of Minnesota, Minneapolis, Minnesota
| | - David Meya
- Infectious Disease Institute, Makerere University, Kampala, Uganda
| | - Anna Kalbarczyk
- Center for Global Health, Johns Hopkins University, Baltimore, Maryland
| | - Patricia J Garcia
- School of Public Health and Administration, Cayetano Heredia University, Lima, Peru
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37
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38
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Geagea A, Mehta S. Advancing women in academic medicine: ten strategies to use every day. Can J Anaesth 2019; 67:9-12. [PMID: 31338809 DOI: 10.1007/s12630-019-01447-z] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/24/2019] [Revised: 07/02/2019] [Accepted: 07/03/2019] [Indexed: 10/26/2022] Open
Affiliation(s)
- Anna Geagea
- Sunnybrook Health Sciences Centre, Toronto, ON, Canada.,North York General Hospital, North York, ON, Canada.,Interdepartmental Division of Critical Care Medicine, University of Toronto, Toronto, ON, Canada
| | - Sangeeta Mehta
- Interdepartmental Division of Critical Care Medicine, University of Toronto, Toronto, ON, Canada. .,Department of Medicine, Sinai Health System, 600 University Ave, Toronto, ON, M5G 1X5, Canada.
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Jha P, Quinn B, Durbin S, Bhandari S. Perceptions of Junior Faculty in General Internal Medicine Regarding Mentoring Medical Students and Residents in Scholarly Projects. J Gen Intern Med 2019; 34:1098-1099. [PMID: 30887433 PMCID: PMC6614280 DOI: 10.1007/s11606-019-04937-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Affiliation(s)
- Pinky Jha
- Section of Hospital Medicine, Division of General Internal Medicine, Department of Medicine, Medical College of Wisconsin, HUB for Collaborative Medicine, 7th Floor, 8701 W. Watertown Plank Road, Milwaukee, WI, 53226, USA.
| | - Brian Quinn
- Section of Hospital Medicine, Division of General Internal Medicine, Department of Medicine, Medical College of Wisconsin, HUB for Collaborative Medicine, 7th Floor, 8701 W. Watertown Plank Road, Milwaukee, WI, 53226, USA
| | - Samantha Durbin
- Medical School, Medical College of Wisconsin, Milwaukee, WI, USA
| | - Sanjay Bhandari
- Section of Hospital Medicine, Division of General Internal Medicine, Department of Medicine, Medical College of Wisconsin, HUB for Collaborative Medicine, 7th Floor, 8701 W. Watertown Plank Road, Milwaukee, WI, 53226, USA
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40
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Cheng TW, Farber A, Rajani RR, Jones DW, Flynn D, Rybin D, Doros G, Kalish JA, Meltzer AJ, Siracuse JJ. National criteria for academic appointment in vascular surgery. J Vasc Surg 2019; 69:1559-1565. [DOI: 10.1016/j.jvs.2018.08.178] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/08/2018] [Accepted: 08/16/2018] [Indexed: 11/27/2022]
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41
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Tuck MG, Holmes-Maybank K. Equal rights for general internists? J Gen Intern Med 2019; 34:171. [PMID: 29855862 PMCID: PMC6374262 DOI: 10.1007/s11606-018-4502-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Affiliation(s)
- Matthew Grayson Tuck
- Veterans Affairs Medical Center, Washington, DC, USA.
- George Washington University School of Medicine and Health Sciences, Washington, DC, USA.
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42
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Kirsch JD, Duran A, Kaizer AM, Buum HT, Robiner WN, Weber-Main AM. Career-Focused Mentoring for Early-Career Clinician Educators in Academic General Internal Medicine. Am J Med 2018; 131:1387-1394. [PMID: 30076827 DOI: 10.1016/j.amjmed.2018.07.028] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/30/2018] [Accepted: 07/25/2018] [Indexed: 11/17/2022]
Affiliation(s)
- Jonathan D Kirsch
- Division of General Internal Medicine, University of Minnesota Medical School, Minneapolis.
| | - Alisa Duran
- Section of Women's Health and General Internal Medicine, Minneapolis VA Health Care System, Minn
| | - Alexander M Kaizer
- Department of Biostatistics and Informatics, University of Colorado School of Public Health, Aurora
| | - Heather Thompson Buum
- Division of General Internal Medicine, University of Minnesota Medical School, Minneapolis
| | - William N Robiner
- Division of General Internal Medicine, University of Minnesota Medical School, Minneapolis
| | - Anne Marie Weber-Main
- Division of General Internal Medicine, University of Minnesota Medical School, Minneapolis
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43
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Desselle SP, Andrews B, Lui J, Raja GL. The scholarly productivity and work environments of academic pharmacists. Res Social Adm Pharm 2018; 14:727-735. [DOI: 10.1016/j.sapharm.2017.09.001] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/25/2017] [Revised: 08/29/2017] [Accepted: 09/05/2017] [Indexed: 10/18/2022]
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44
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Orthopaedic Academic Activity in the United States: Bibliometric Analysis of Publications by City and State. JOURNAL OF THE AMERICAN ACADEMY OF ORTHOPAEDIC SURGEONS GLOBAL RESEARCH AND REVIEWS 2018; 2:e027. [PMID: 30280140 PMCID: PMC6145550 DOI: 10.5435/jaaosglobal-d-18-00027] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Indexed: 12/12/2022]
Abstract
Background: The purpose of this study was to conduct a bibliometric analysis of orthopaedic academic output in the United States. Methods: Publications based on city and state origin, corrected for population size, median household income, total number of surgeons, and the number of various subspecialties were evaluated. The 15 highest-ranked orthopaedic journals were audited from 2010 to 2014 and then subdivided into anatomic regions and 14 subspecialties. Results: A total of 8,100 articles were published during the study period. Most originated from New York, California, Pennsylvania, Massachusetts, and Minnesota. New York published the greatest number by city, followed by Philadelphia, Boston, Chicago, and Rochester. When adjusted for the number of publications per city, surgeons per population, publications per surgeon population, publications per population, and publications per median income per capita, Vail and New York led in two and Stanford in one of the metrics. Conclusions: New York was the leader for the total publications, greatest activity within subspecialties, and publications per surgeon/population and per median income/capita. Vail was the leader for publications/surgeon and population. The top four cities of New York, Philadelphia, Boston, and Chicago were responsible for 28% of the academic output over the 5-year study period.
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45
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Cumbler E, Rendón P, Yirdaw E, Kneeland P, Pierce R, Jones CD, Herzke C. Keys to career success: resources and barriers identified by early career academic hospitalists. J Gen Intern Med 2018; 33:588-589. [PMID: 29423628 PMCID: PMC5910353 DOI: 10.1007/s11606-018-4336-7] [Citation(s) in RCA: 26] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Affiliation(s)
- Ethan Cumbler
- University of Colorado School of Medicine, Aurora, CO, USA.
| | | | - Essey Yirdaw
- University of Colorado School of Medicine, Aurora, CO, USA
| | | | - Read Pierce
- University of Colorado School of Medicine, Aurora, CO, USA
| | | | - Carrie Herzke
- Johns Hopkins University School of Medicine, Baltimore, MD, USA
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46
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Gazaway SB, Anderson L, Schumacher A, Alichnie C. Effect of mentoring on professional values in model C clinical nurse leader graduates. J Nurs Manag 2018; 26:1044-1050. [DOI: 10.1111/jonm.12633] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/20/2018] [Indexed: 10/17/2022]
Affiliation(s)
| | - Lori Anderson
- College of Nursing; Augusta University; Augusta GA USA
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47
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Nagarur A, O'Neill RM, Lawton D, Greenwald JL. Supporting Faculty Development in Hospital Medicine: Design and Implementation of a Personalized Structured Mentoring Program. J Hosp Med 2018; 13:96-99. [PMID: 29069117 DOI: 10.12788/jhm.2854] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
The guidance of a mentor can have a tremendous influence on the careers of academic physicians. The lack of mentorship in the relatively young field of hospital medicine has been documented, but the efficacy of formalized mentorship programs has not been well studied. We implemented and evaluated a structured mentorship program for junior faculty at a large academic medical center. Of the 16 mentees who participated in the mentorship program, 14 (88%) completed preintervention surveys and 10 (63%) completed postintervention surveys. After completing the program, there was a statistically significant improvement in overall satisfaction within 5 specific domains: career planning, professional connectedness, self-reflection, research skills, and mentoring skills. All mentees reported that they would recommend that all hospital medicine faculty participate in similar mentorship programs. In this small, single-center pilot study, we found that the addition of a structured mentorship program based on training sessions that focus on best practices in mentoring was feasible and led to increased satisfaction in certain career domains among early-career hospitalists. Larger prospective studies with a longer follow-up are needed to assess the generalizability and durability of our findings.
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Affiliation(s)
- Amulya Nagarur
- Department of Medicine, Massachusetts General Hospital, Boston, Massachusetts, USA.
| | - Regina M O'Neill
- Suffolk University, Sawyer Business School, Boston, Massachusetts, USA
| | - Donna Lawton
- Center for Faculty Development, Massachusetts General Hospital, Boston, Massachusetts, USA
| | - Jeffrey L Greenwald
- Department of Medicine, Massachusetts General Hospital, Boston, Massachusetts, USA
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Auerbach AD. The next 20 years of hospital medicine: Continuing to foster the mind, heart, and soul of our field. J Hosp Med 2016; 11:892-893. [PMID: 27373963 DOI: 10.1002/jhm.2631] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/03/2016] [Accepted: 06/03/2016] [Indexed: 11/11/2022]
Affiliation(s)
- Andrew D Auerbach
- Department of Medicine, UCSF School of Medicine, San Francisco, California
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49
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Measurement and determinants of academic research efficiency: a systematic review of the evidence. Scientometrics 2016. [DOI: 10.1007/s11192-016-2173-1] [Citation(s) in RCA: 29] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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50
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Sadowski E, Schrager S. Achieving Career Satisfaction: Personal Goal Setting and Prioritizing for the Clinician Educator. J Grad Med Educ 2016; 8:494-497. [PMID: 27777655 PMCID: PMC5061414 DOI: 10.4300/jgme-d-15-00304.1] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/06/2022] Open
Affiliation(s)
- Elizabeth Sadowski
- Corresponding author: Elizabeth Sadowski, MD, University of Wisconsin, Department of Radiology, 600 Highland Avenue, Madison, WI 53792-3252, 608.263.9028, fax 608.263.0140,
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