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Keniston A, Hall MAK, Kissler MJ. Penning the future: Cultivating writing and scholarship in hospital medicine. J Hosp Med 2024; 19:648-649. [PMID: 38678445 DOI: 10.1002/jhm.13387] [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: 04/19/2024] [Accepted: 04/21/2024] [Indexed: 04/30/2024]
Affiliation(s)
- Angela Keniston
- Division of Hospital Medicine, University of Colorado School of Medicine, Aurora, Colorado, USA
| | | | - Mark J Kissler
- Division of Hospital Medicine, University of Colorado School of Medicine, Aurora, Colorado, USA
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Linker AS, Astik GJ, Bowling G, Kangelaris KN, Kara A, Keniston A, Kulkarni SA, Sakumoto M, Schwatka N, Westergaard S, Leykum LK, Auerbach A, Burden M. Collaborative research: The power of multiorganizational affinity groups and adaptive research methods. J Hosp Med 2024. [PMID: 38862414 DOI: 10.1002/jhm.13424] [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: 01/28/2024] [Revised: 05/13/2024] [Accepted: 05/19/2024] [Indexed: 06/13/2024]
Affiliation(s)
- Anne S Linker
- Division of Hospital Medicine, Mount Sinai Hospital, New York, New York, USA
| | - Gopi J Astik
- Division of Hospital Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA
| | | | - Kirsten N Kangelaris
- Division of Hospital Medicine, University of California San Francisco, San Francisco, California, USA
| | - Areeba Kara
- Division of General Internal Medicine and Geriatrics, Indiana University School of Medicine, Indianapolis, Indiana, USA
| | - Angela Keniston
- Division of Hospital Medicine, University of Colorado School of Medicine, Aurora, Colorado, USA
| | - Shradha A Kulkarni
- Division of Hospital Medicine, University of California San Francisco, San Francisco, California, USA
| | - Matthew Sakumoto
- Division of Hospital Medicine, University of California San Francisco, San Francisco, California, USA
| | - Natalie Schwatka
- Center for Health, Work & Environment, Department of Environmental & Occupational Health, Colorado School of Public Health, University of Colorado Anschutz Medical Campus, Aurora, Colorado, USA
| | - Sara Westergaard
- Division of Hospital Medicine, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin, USA
| | - Luci K Leykum
- Department of Veterans Affairs, South Texas Veterans Health Care System, Medicine Service, San Antonio, Texas, USA
- Dell Medical School, The University of Texas at Austin, Austin, Texas, USA
| | - Andrew Auerbach
- Division of Hospital Medicine, University of California San Francisco, San Francisco, California, USA
| | - Marisha Burden
- Division of Hospital Medicine, University of Colorado School of Medicine, Aurora, Colorado, USA
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Ma SP, Rohatgi N, Chen JH. The promises and limitations of artificial intelligence for quality improvement, patient safety, and research in hospital medicine. J Hosp Med 2024. [PMID: 38751246 DOI: 10.1002/jhm.13404] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/14/2023] [Revised: 02/01/2024] [Accepted: 04/30/2024] [Indexed: 05/31/2024]
Affiliation(s)
| | - Nidhi Rohatgi
- Division of Hospital Medicine, Stanford University School of Medicine, Stanford, California, USA
| | - Jonathan H Chen
- Division of Hospital Medicine, Stanford University School of Medicine, Stanford, California, USA
- Stanford Center for Biomedical Informatics Research, Stanford University School of Medicine, Stanford, California, USA
- Clinical Excellence Research Center, Stanford University School of Medicine, Stanford, California, 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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Nelson RE, Farkhondehpour A, Hall AM, Martin SK, Kwan BK, Ricotta DN. Reframing hospital medicine as a destination career for trainees. J Hosp Med 2024; 19:333-336. [PMID: 37572073 DOI: 10.1002/jhm.13190] [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: 04/13/2023] [Revised: 07/19/2023] [Accepted: 07/30/2023] [Indexed: 08/14/2023]
Affiliation(s)
- Ryan E Nelson
- Harvard Medical School, Boston, Massachusetts, USA
- Harvard Medical School, Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA
| | - Ali Farkhondehpour
- San Diego School of Medicine, University of California, La Jolla, California, USA
| | - Alan M Hall
- University of Kentucky College of Medicine, Lexington, Kentucky, USA
| | - Shannon K Martin
- University of Chicago Pritzker School of Medicine, Chicago, Illinois, USA
| | - Brian K Kwan
- San Diego School of Medicine, University of California, La Jolla, California, USA
- VA San Diego Healthcare System, San Diego, California, USA
| | - Daniel N Ricotta
- Harvard Medical School, Boston, Massachusetts, USA
- Harvard Medical School, Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA
- Carl J. Shapiro Institute for Education and Research, Boston, Massachusetts, USA
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Nelson RE, Mallin EA, Martin SK. Develop Your CORE 2 for Career Flourishing: A Career Development Workshop for Hospitalists. MEDEDPORTAL : THE JOURNAL OF TEACHING AND LEARNING RESOURCES 2024; 20:11387. [PMID: 38495039 PMCID: PMC10940547 DOI: 10.15766/mep_2374-8265.11387] [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: 06/16/2023] [Accepted: 11/28/2023] [Indexed: 03/19/2024]
Abstract
Introduction Appreciative inquiry harnesses an individual's strengths to realize positive change, and a flourishing-focused mindset emphasizes engagement, social connectivity, and seeking meaningful work. Though the impact of these models on physician well-being and career planning has been evaluated in graduate medical education, their integration into career development initiatives for faculty has been limited. We designed a workshop to nurture hospitalist career development, based on our CORE2 conceptual framework (character strengths, overall vision, role assessment, explicit goals, and evaluation). Methods We presented the workshop at the 2022 and 2023 Society of Hospital Medicine (SHM) annual conferences. This 1.5-hour workshop comprised four modules and three small-group activities designed to help participants identify their signature character strengths, draft a professional vision statement, prioritize professional roles, and develop SMART goals aligned with these roles. Results At the 2023 SHM annual conference, 36 participants attended the workshop, and 32 (89%) completed pre- and postworkshop surveys. After workshop completion, participants' self-assessed familiarity with their signature character strengths, knowledge of evidence-based principles to develop SMART goals, and confidence in their ability to write a vision statement and SMART goals all increased significantly (p < .05). Discussion This workshop provides a valuable framework for self-directed longitudinal career development and reflection. We build on prior curricula on educator identity formation by guiding participants from identity definition to professional vision development to professional role evaluation to aligned goal creation and iterative evaluation. Our workshop's principles are readily generalizable to clinician-educators across medical disciplines.
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Affiliation(s)
- Ryan E. Nelson
- Instructor in Medicine, Department of Medicine, Harvard Medical School and Beth Israel Deaconess Medical Center
| | - Emily A. Mallin
- Professor of Medicine, Department of Medicine, University of Arizona College of Medicine – Phoenix
| | - Shannon K. Martin
- Associate Professor of Medicine, Department of Medicine, University of Chicago Pritzker School of Medicine
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Gallo RJ, Asch SM, Chan DC. K Grant Funding to Internal Medicine Specialties. J Gen Intern Med 2024; 39:348-350. [PMID: 37904071 PMCID: PMC10853154 DOI: 10.1007/s11606-023-08483-y] [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: 06/11/2023] [Accepted: 10/12/2023] [Indexed: 11/01/2023]
Affiliation(s)
- Robert J Gallo
- VA Palo Alto Health Care System, 795 Willow Road, 152-MPD, Menlo Park, CA, 94025, USA.
- Stanford Department of Health Policy, Stanford, USA.
| | - Steven M Asch
- VA Palo Alto Health Care System, 795 Willow Road, 152-MPD, Menlo Park, CA, 94025, USA
- Stanford Division of Primary Care and Population Health, Stanford, USA
| | - David C Chan
- VA Palo Alto Health Care System, 795 Willow Road, 152-MPD, Menlo Park, CA, 94025, USA
- Stanford Department of Health Policy, Stanford, USA
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Lin D. Leadership & professional development: Cultivating a path for hospitalist educators to achieve scholarly success. J Hosp Med 2024; 19:126-127. [PMID: 37751392 DOI: 10.1002/jhm.13211] [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: 07/19/2023] [Revised: 09/10/2023] [Accepted: 09/13/2023] [Indexed: 09/28/2023]
Affiliation(s)
- Doris Lin
- Section of General Internal Medicine, Department of Medicine, Baylor College of Medicine, Houston, Texas, USA
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McDaniel LM, Molloy MJ, Blanck J, Beck JB, Shilkofski NA. The Chief Residency in U.S. and Canadian Graduate Medical Education: A Scoping Review. TEACHING AND LEARNING IN MEDICINE 2024:1-10. [PMID: 38247430 DOI: 10.1080/10401334.2023.2298870] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/25/2023] [Accepted: 12/15/2023] [Indexed: 01/23/2024]
Abstract
PHENOMENON Despite the nearly universal presence of chief residents within U.S. and Canadian residency programs and their critical importance in graduate medical education, to our knowledge, a comprehensive synthesis of publications about chief residency does not exist. An understanding of the current state of the literature can be helpful to program leadership to make evidence-based improvements to the chief residency and for medical education researchers to recognize and fill gaps in the literature. APPROACH We performed a scoping review of the literature about chief residency. We searched OVID Medline, PsycINFO, ERIC, and Web of Science databases through January 2023 for publications about chief residency. We included publications addressing chief residency in ACGME specialties in the U.S. and Canada and only those using the term "chief resident" to refer to additional responsibilities beyond the typical residency training. We excluded publications using chief residents as a convenience sample. We performed a topic analysis to identify common topics among studies. FINDINGS We identified 2,064 publications. We performed title and abstract screening on 1,306 and full text review on 208, resulting in 146 included studies. Roughly half of the publications represented the specialties of Internal Medicine (n = 37, 25.3%) and Psychiatry (n = 30, 20.5%). Topic analysis revealed six major topics: (1) selection of chief residents (2) qualities of chief residents (3) training of chief residents (4) roles of chief residents (5) benefits/challenges of chief residency (6) outcomes after chief residency. INSIGHTS After reviewing our topic analysis, we identified three key areas warranting increased attention with opportunity for future study: (1) addressing equity and bias in chief resident selection (2) establishment of structured expectations, mentorship, and training of chief residents and (3) increased attention to chief resident experience and career development, including potential downsides of the role.
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Affiliation(s)
- Lauren M McDaniel
- Department of Pediatrics, Division of Hospital Medicine, University of Washington, Seattle Children's Hospital, Seattle, Washington, USA
| | - Matthew J Molloy
- Division of Hospital Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA
| | - Jaime Blanck
- Informationist Services, Welch Medical Library, Johns Hopkins University, Baltimore, Maryland, USA
| | - Jimmy B Beck
- Department of Pediatrics, Division of Hospital Medicine, University of Washington, Seattle Children's Hospital, Seattle, Washington, USA
| | - Nicole A Shilkofski
- Department of Pediatrics, Johns Hopkins University, Baltimore, Maryland, USA
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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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Busch JI, Keniston A, Astik GJ, Auerbach A, Kangelaris KN, Kulkarni SA, Leykum LK, Linker AS, Nieto K, Pierce RG, Sakumoto M, Burden M. Exploring the Impact of COVID-19 on Women Hospitalists: A Mixed-Gender Qualitative Analysis. J Gen Intern Med 2023; 38:3180-3187. [PMID: 37653202 PMCID: PMC10651559 DOI: 10.1007/s11606-023-08371-5] [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: 12/15/2022] [Accepted: 08/04/2023] [Indexed: 09/02/2023]
Abstract
BACKGROUND Women physicians have faced persistent challenges, including gender bias, salary inequities, a disproportionate share of caregiving and domestic responsibilities, and limited representation in leadership. Data indicate the COVID-19 pandemic further highlighted and exacerbated these inequities. OBJECTIVE To understand the pandemic's impact on women physicians and to brainstorm solutions to better support women physicians. DESIGN Mixed-gender semi-structured focus groups. PARTICIPANTS Hospitalists in the Hospital Medicine Reengineering Network (HOMERuN). APPROACH Six semi-structured virtual focus groups were held with 22 individuals from 13 institutions comprised primarily of academic hospitalist physicians. Rapid qualitative methods including templated summaries and matrix analysis were applied to identify major themes and subthemes. KEY RESULTS Four key themes emerged: (1) the pandemic exacerbated perceived gender inequities, (2) women's academic productivity and career development were negatively impacted, (3) women held disproportionate roles as caregivers and household managers, and (4) institutional pandemic responses were often misaligned with workforce needs, especially those of women hospitalists. Multiple interventions were proposed including: creating targeted workforce solutions and benefits to address the disproportionate caregiving burden placed on women, addressing hospitalist scheduling and leave practices, ensuring promotion pathways value clinical and COVID-19 contributions, creating transparency around salary and non-clinical time allocation, and ensuring women are better represented in leadership roles. CONCLUSIONS Hospitalists perceived and experienced that women physicians faced negative impacts from the pandemic in multiple domains including leadership opportunities and scholarship, while also shouldering larger caregiving duties than men. There are many opportunities to improve workplace conditions for women; however, current institutional efforts were perceived as misaligned to actual needs. Thus, policy and programmatic changes, such as those proposed by this cohort of hospitalists, are needed to advance equity in the workplace.
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Affiliation(s)
- Johanna I Busch
- Division of Hospital Medicine, Dell Medical School, The University of Texas at Austin, 1500 Red River Street, Austin, TX, 78701, USA.
| | | | - Gopi J Astik
- Northwestern University Feinberg School of Medicine, Chicago, IL, USA
| | - Andrew Auerbach
- University of California, San Francisco School of Medicine, San Francisco, CA, USA
| | - Kirsten N Kangelaris
- University of California, San Francisco School of Medicine, San Francisco, CA, USA
| | - Shradha A Kulkarni
- University of California, San Francisco School of Medicine, San Francisco, CA, USA
| | - Luci K Leykum
- Division of Hospital Medicine, Dell Medical School, The University of Texas at Austin, 1500 Red River Street, Austin, TX, 78701, USA
- South Texas Veterans Health Care System, San Antonio, TX, USA
| | - Anne S Linker
- Icahn School of Medicine at Mount Sinai, New York, NY, USA
| | - Kirsten Nieto
- Division of Hospital Medicine, Dell Medical School, The University of Texas at Austin, 1500 Red River Street, Austin, TX, 78701, USA
| | | | - Matthew Sakumoto
- University of California, San Francisco School of Medicine, San Francisco, CA, USA
| | - Marisha Burden
- University of Colorado School of Medicine, Aurora, CO, USA
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Hajibonabi F, Khalid H, Duszak R, Balthazar P, Lirette ST, Hanna TN. Are Academic Emergency Radiologists Systematically Disadvantaged Compared With Diagnostic Radiology Subspecialty Counterparts When It Comes to Promotion? J Am Coll Radiol 2023; 20:1063-1071. [PMID: 37400045 DOI: 10.1016/j.jacr.2023.03.019] [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: 01/06/2023] [Revised: 03/09/2023] [Accepted: 03/27/2023] [Indexed: 07/05/2023]
Abstract
PURPOSE The aim of this study was to assess academic rank differences between academic emergency and other subspecialty diagnostic radiologists. METHODS Academic radiology departments likely containing emergency radiology divisions were identified by inclusively merging three lists: Doximity's top 20 radiology programs, the top 20 National Institutes of Health-ranked radiology departments, and all departments offering emergency radiology fellowships. Within departments, emergency radiologists (ERs) were identified via website review. Each was then matched on career length and gender to a same-institutional nonemergency diagnostic radiologist. RESULTS Eleven of 36 institutions had no ERs or insufficient information for analysis. Among 283 emergency radiology faculty members from 25 institutions, 112 career length- and gender-matched pairs were included. Average career length was 16 years, and 23% were women. The mean h indices for ERs and non-ERs were 3.96 ± 5.60 and 12.81 ± 13.55, respectively (P < .0001). Non-ERs were twice as likely as ERs (0.21 versus 0.1) to be associate professors at h index < 5. Men had nearly 3 times the odds of advanced rank compared with women (odds ratio, 2.91; 95% confidence interval, 1.02-8.26; P = .045). Radiologists with at least one additional degree had nearly 3 times the odds of advancing rank (odds ratio, 2.75; 95% confidence interval, 1.02-7.40; P = .045). Each additional year of practice increased the odds of advancing rank by 14% (odds ratio, 1.14; 95% confidence interval, 1.08-1.21; P < .001). CONCLUSIONS Academic ERs are less likely to achieve advanced rank compared with career length- and gender-matched non-ERs, and this persists even after adjusting for h index, suggesting that academic ERs are disadvantaged in current promotions systems. Longer term implications for staffing and pipeline development merit further attention as do parallels to other nonstandard subspecialties such as community radiology.
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Affiliation(s)
- Farid Hajibonabi
- Department of Radiology and Imaging Sciences, Emory University School of Medicine, Atlanta, Georgia.
| | | | - Richard Duszak
- Chair, Department of Radiology, University of Mississippi Medical Center, Jackson, Mississippi; and Chancellor, American College of Radiology
| | - Patricia Balthazar
- Department of Radiology and Imaging Sciences, Emory University School of Medicine, Atlanta, Georgia
| | - Seth T Lirette
- Department of Data Science, University of Mississippi Medical Center, Jackson, Mississippi
| | - Tarek N Hanna
- Vice Chair for Diagnostic Imaging and Division Director of Emergency and Trauma Imaging, Department of Radiology and Imaging Sciences, Emory University School of Medicine, Atlanta, Georgia
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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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Misky GJ, Sharpe B, Weaver AC, Niranjan-Azadi A, Gupta A, Rennke S, Ludwin S, Piper C, Mlis, Sun VK, Brotman DJ, Frank M. Faculty Development in Academic Hospital Medicine: a Scoping Review. J Gen Intern Med 2023; 38:1955-1961. [PMID: 36877213 PMCID: PMC10271943 DOI: 10.1007/s11606-023-08089-4] [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] [Received: 11/25/2022] [Accepted: 02/07/2023] [Indexed: 03/07/2023]
Abstract
This scoping review sought to identify and describe the state of academic faculty development programs in hospital medicine and other specialties. We reviewed faculty development content, structure, metrics of success including facilitators, barriers, and sustainability to create a framework and inform hospital medicine leadership and faculty development initiatives. We completed a systematic search of peer-reviewed literature and searched Ovid MEDLINE ALL (1946 to June 17, 2021) and Embase (via Elsevier, 1947 to June 17, 2021). Twenty-two studies were included in the final review, with wide heterogeneity in program design, program description, outcomes, and study design. Program design included a combination of didactics, workshops, and community or networking events; half of the studies included mentorship or coaching for faculty. Thirteen studies included program description and institutional experience without reported outcomes while eight studies included quantitative analysis and mixed methods results. Barriers to program success included limited time and support for faculty attendance, conflicting clinical commitments, and lack of mentor availability. Facilitators included allotted funding and time for faculty participation, formal mentoring and coaching opportunities, and a structured curriculum with focused skill development supporting faculty priorities. We identified heterogeneous historical studies addressing faculty development across highly variable program design, intervention, faculty targeted, and outcomes assessed. Common themes emerged, including the need for program structure and support, aligning areas of skill development with faculty values, and longitudinal mentoring/coaching. Programs require dedicated program leadership, support for faculty time and participation, curricula focused on skills development, and mentoring and sponsorship.
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Affiliation(s)
- Gregory J Misky
- Division of Hospital Medicine, University of Colorado, P.O. Box 6510, 12605 E. 16th Ave., Aurora, CO, 80045, USA.
| | - Bradley Sharpe
- Division of Hospital Medicine, University of California, San Francisco (UCSF), 450 Stanyan St, San Francisco, CA, 94117, USA
| | - A Charlotta Weaver
- Division of Hospital Medicine, Northwestern University, 251 E Huron St Ste 16-738, Chicago, IL, 60611, USA
| | - Ashwini Niranjan-Azadi
- Division of Hospital Medicine, Johns Hopkins School of Medicine, 600 N Wolfe St, Baltimore, MD, 21287, USA
| | - Ashwin Gupta
- Division of Hospital Medicine, University of Michigan, 1500 E Medical Center Dr, Ann Arbor, MI, 48109, USA
| | - Stephanie Rennke
- Division of Hospital Medicine, University of California, San Francisco (UCSF), 450 Stanyan St, San Francisco, CA, 94117, USA
| | - Steve Ludwin
- Division of Hospital Medicine, University of California, San Francisco (UCSF), 450 Stanyan St, San Francisco, CA, 94117, USA
| | - Christi Piper
- Strauss Health Sciences Library, University of Colorado Anschutz Medical Campus, 12950 E. Montview Boulevard, Aurora, CO, 80045, USA
| | | | - Vivien K Sun
- Division of Pediatric Hospital Medicine, Stanford University, 300 Pasteur Dr. MC 5776, Stanford, CA, 94305, USA
| | - Daniel J Brotman
- Division of Hospital Medicine, Johns Hopkins School of Medicine, 600 N Wolfe St, Baltimore, MD, 21287, USA
| | - Maria Frank
- Division of Hospital Medicine, University of Colorado, P.O. Box 6510, 12605 E. 16th Ave., Aurora, CO, 80045, USA
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Urry RC, Radetich E, Tak C, Munger MA. Scholarly Activity of Tenure-Track Faculty in US Departments of Pharmacy Practice. AMERICAN JOURNAL OF PHARMACEUTICAL EDUCATION 2023; 87:ajpe9150. [PMID: 36347541 PMCID: PMC10159024 DOI: 10.5688/ajpe9150] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/13/2022] [Accepted: 07/22/2022] [Indexed: 05/03/2023]
Abstract
Objective. To quantitatively determine scholarly activity among tenure-track faculty at US departments of pharmacy practice over a 10-year period.Methods. A search of PubMed was performed for articles by department of pharmacy practice tenure track (DPP-TT) faculty from January 1, 2010, through December 31, 2019. DPP-TT faculty working in departments of pharmacy practice were identified through faculty rosters published on the American Association Colleges of Pharmacy website or college or school internet sites. Tenure-track faculty listed as working in a department of pharmacy practice, clinical pharmacy, or pharmacotherapy were included. An objective third party confirmed the data obtained. Each publication was classified by scope (eg, clinical pharmacology, health economics/outcome research, biomedical informatics, basic science, review, editorial/letter, or case report). DPP-TT faculty productivity was calculated by dataset frequency distribution. Descriptive statistics and analysis of variance were used to compare data across demographic strata.Results. One hundred thirty-seven institutions employed 2147 pharmacy practice faculty. These faculty published 20,059 (9.3±16.3/10 years/faculty member) papers. Six institutions had no tenure-track designation. There was a 2.5-fold increase in publication rates from 2010-2019 (P < 0001). Public vs private schools' productivity was 207.8 vs 69.0 publications per institution, respectively (P < 001). The ratio of male to female DPP-TT faculty per institution was 62% to 38%, with male faculty publishing an average of 12.1±19.1 each, and female faculty publishing an average of 7.4±13.8 each (P < 0001). Faculty ranks were 37% assistant professor; 36% associate professor; and 26% professor, with an average of 4.0±7.3, 8.6±12.4, and 17.4±24.6 publications per faculty, respectively. Regionally, US pharmacy practice faculty located in the West produced the most publications, followed by those in the Northeast, South, and Midwest (P < 0001).Conclusions. These national DPP-TT publication data demonstrate that scholarly productivity increased from 2010 through 2019, across a wide variety of publication scopes.
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Affiliation(s)
- Ross C Urry
- University of Utah, Department of Pharmacotherapy, Salt Lake City, Utah
| | - Emi Radetich
- University of Utah, Department of Pharmacotherapy, Salt Lake City, Utah
| | - Casey Tak
- University of Utah, Department of Pharmacotherapy, Salt Lake City, Utah
| | - Mark A Munger
- University of Utah, Department of Pharmacotherapy, Salt Lake City, Utah
- University of Utah, Department of Internal Medicine, Salt Lake City, Utah
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Jones D, Fluker SAN, Walker TA, Manning KD, Bussey-Jones JC. An innovative approach to career development and promotion of diverse faculty. J Hosp Med 2023; 18:234-238. [PMID: 36598085 DOI: 10.1002/jhm.13039] [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] [Received: 07/12/2022] [Revised: 12/07/2022] [Accepted: 12/16/2022] [Indexed: 01/05/2023]
Abstract
Women and persons from racial and ethnic populations underrepresented in medicine (URiM) comprise a substantially lower proportion of academic internal medicine faculty, particularly at senior ranks (associate professors and professors). Numerous factors lead to this inequity which has broad implications for medical education and healthcare. The Emory University Division of General Internal Medicine Grady Section (GIMG) formed the Faculty Review Committee (FRC) in 2013 to address low promotion rates to senior ranks as part of a strategy to foster a more inclusive, equitable environment. The FRC systematically and proactively reviews all GIMG faculty years prior to possible promotion to provide tailored recommendations to bolster professional development and with a goal to expedite successful advancement to senior ranks. Deidentified GIMG academic rank data was compared with aggregate data from Emory University School of Medicine and the American Association of Medical Colleges. In 2020, GIMG had significantly more senior faculty compared with pre-FRC intervention (odds ratio [OR]: 3.94, 95% confidence interval [CI]: 1.65-9.42). Subgroup analyses of non-URiM women GIMG senior faculty compared with preintervention (OR: 11.6, 95% CI: 2.52-53.7), showed a significant increase. A trend toward increased URiM women faculty was also seen. Descriptive analysis suggests that the GIMG group had a higher promotion to senior ranks among women and URiM compared with national and institutional comparators. The FRC is associated with significant increases in the promotion of all faculty and non-URiM women faculty, and an increasing trend of URiM women faculty, effects which help contribute to an equitable academic medicine environment, fostering a more diverse workforce and improved patient outcomes.
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Affiliation(s)
- Danielle Jones
- Department of Medicine, Emory University School of Medicine, Atlanta, Georgia, USA
| | - Shelly-Ann N Fluker
- Department of Medicine, Emory University School of Medicine, Atlanta, Georgia, USA
| | - Tiffany A Walker
- Department of Medicine, Emory University School of Medicine, Atlanta, Georgia, USA
| | - Kimberly D Manning
- Department of Medicine, Emory University School of Medicine, Atlanta, Georgia, USA
| | - Jada C Bussey-Jones
- Department of Medicine, Emory University School of Medicine, Atlanta, Georgia, 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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19
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Kaiksow FA, Shah SS. Finding your niche. J Hosp Med 2023; 18:207-208. [PMID: 36573395 DOI: 10.1002/jhm.13035] [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: 12/12/2022] [Accepted: 12/14/2022] [Indexed: 12/28/2022]
Affiliation(s)
- Farah A Kaiksow
- Department of Medicine, Division of Hospital Medicine, University of Wisconsin-Madison School of Medicine and Public Health, Madison, Wisconsin, USA
| | - Samir S Shah
- Division of Hospital Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA
- Departmentof Pediatrics, University of Cincinnati College of Medicine, Cincinnati, Ohio, USA
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20
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Linker AS, Jones C. Creating a path forward: Reimagining pathways to improve gender equity in authorship. J Hosp Med 2023; 18:283-284. [PMID: 36802101 DOI: 10.1002/jhm.13069] [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: 01/27/2023] [Revised: 02/03/2023] [Accepted: 02/03/2023] [Indexed: 02/22/2023]
Affiliation(s)
- Anne S Linker
- Division of Hospital Medicine, Icahn School of Medicine at Mount Sinai, Mount Sinai Hospital, New York City, New York, USA
| | - Christine Jones
- Division of Hospital Medicine, University of Colorado School of Medicine, University of Colorado Anschutz Medical Campus, Aurora, Colorado, USA
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21
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Kennedy K, Briggs H, Tuck M. Finding your niche as a generalist: A niche is not your identity. J Hosp Med 2023; 18:274-277. [PMID: 36573402 DOI: 10.1002/jhm.13036] [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: 10/04/2022] [Revised: 12/13/2022] [Accepted: 12/14/2022] [Indexed: 12/28/2022]
Affiliation(s)
- Kierstin Kennedy
- Hospital Medicine, University of Alabama, Birmingham, Alabama, USA
| | - Heather Briggs
- Division of Hospital Medicine, Department of Medicine, University of Colorado School of Medicine, Aurora, Colorado, USA
| | - Matthew Tuck
- Medical Service, VA Medical Center, Washington, District of Columbia, USA
- Department of Medicine, George Washington University, Washington, District of Columbia, USA
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22
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Bonk N, Elias R, White A, Payne S, Wagner C, Kaiksow F, Sheehy A, Auerbach A, Vaughn VM. COVID-19-Related Publications by Hospitalists in the United States. Cureus 2023; 15:e35553. [PMID: 37007364 PMCID: PMC10058386 DOI: 10.7759/cureus.35553] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/27/2023] [Indexed: 03/01/2023] Open
Abstract
Objective To determine the degree to which hospitalists published academic manuscripts related to COVID-19 during the first year of the pandemic. Patients and methods The study was a cross-sectional analysis of the author's specialty, defined by byline or professional online biography, from articles related to COVID-19 published between March 1, 2020, and February 28, 2021. It included the top four internal medicine journals by impact factor: New England Journal of Medicine, Journal of the American Medical Association, Journal of the American Medical Association Internal Medicine, and Annals of Internal Medicine. Participants were all United States (US)-based physician authors contributing to COVID-19 publications. Our primary outcome was the percentage of US-based physician authors of COVID-19 articles who were hospitalists. Subgroup analyses characterized author specialty by authorship position (first, middle, last) and article type (research vs. non-research). Results Between March 1, 2020, and February 28, 2021, the top four US-based medical journals published 870 articles related to COVID-19 of which 712 articles with 1940 US-based physician authors were included. Hospitalists accounted for 4.2% (82) of authorship positions including 4.7% (49/1038) of authorship positions in research articles and 3.7% (33/902) of authorship positions in non-research articles. First, middle, and last authorship positions were held by hospitalists at 3.7% (18/485), 4.4% (45/1034), and 4.5% (19/421) of the time, respectively. Conclusions Despite caring for a large number of patients with COVID-19, hospitalists were rarely involved in disseminating COVID-19 knowledge. Limited authorship by hospitalists could constrain the dissemination of inpatient medicine knowledge, impact patient outcomes, and affect the academic promotion of early-career hospitalists.
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Felde L, Burden M, Shah N, Ramos P, Chu ES. Characteristics of adult hospital medicine fellowships in the United States: A cross-sectional survey study. J Hosp Med 2023; 18:287-293. [PMID: 36779314 DOI: 10.1002/jhm.13052] [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: 09/27/2022] [Revised: 12/23/2022] [Accepted: 01/16/2023] [Indexed: 02/14/2023]
Abstract
BACKGROUND Hospitalists who seek academic careers are interested in developing skills in research, education, and quality improvement (QI). Since these are not major foci of residency programs, hospitalists may pursue a hospital medicine fellowship to acquire these skill sets. OBJECTIVE We sought to characterize the current state of hospital medicine fellowships in the United States, including demographics, clinical requirements, curricular focus, financial structure, and scholarly outputs. DESIGNS, SETTINGS, AND PARTICIPANTS: This was a cross-sectional study of 32 hospital medicine fellowship programs across the United States in 2020-2021. An electronic survey was emailed to program leaders. RESULTS Out of 32 eligible programs contacted, 19 (59.4%) programs responded, representing 22 fellowship tracks. Most (63.2%) programs have been in existence for 5 years or less. Fourteen (63.6%) of the tracks had multiple focus areas, while 8 (36.4%) had a single focus. Of the 14 fellowship tracks with multiple focus areas, 6 (42.8%) reported research, QI and medical education as curricular elements. All 14 reported research as one of the curricular elements. The majority (68.4%) of programs offered opportunities to obtain a master's degree, though the field of degree varied widely. A median of 50% (IQR 0) of fellows' time was spent in clinical activities. Considerable heterogeneity exists among adult hospital medicine fellowship programs. The majority focus on research, QI, and/or medical education. Hospital medicine fellowships offer opportunities for intesive faculty development and unique career pathways.
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Affiliation(s)
- Lanna Felde
- Division of Hospital Medicine, Department of Internal Medicine, University of Texas Southwestern Medical Center, Dallas, Texas, USA
- Parkland Health, Dallas, Texas, USA
| | - Marisha Burden
- Division of Hospital Medicine, University of Colorado School of Medicine, Aurora, Colorado, USA
| | - Nainesh Shah
- Division of Hospital Medicine, Department of Internal Medicine, University of Texas Southwestern Medical Center, Dallas, Texas, USA
- Parkland Health, Dallas, Texas, USA
| | - Pedro Ramos
- Division of Hospital Medicine, University of California San Diego, San Diego, California, USA
| | - Eugene S Chu
- Division of Hospital Medicine, Department of Internal Medicine, University of Texas Southwestern Medical Center, Dallas, Texas, USA
- Parkland Health, Dallas, Texas, USA
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Kamalapathy PN, Raso J, Rahman R, Harihar S, Lozano-Calderon S, Hassanzadeh H. Orthopedic Surgery Fellowship Directors: Trends in Demographics, Education, Employment, and Institutional Familiarity. HSS J 2023; 19:113-119. [PMID: 36776521 PMCID: PMC9837408 DOI: 10.1177/15563316221091798] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/13/2022] [Accepted: 01/31/2022] [Indexed: 02/14/2023]
Abstract
Background: Fellowship directors are assumed to be distinguished in orthopedics, but the traits and training that have enabled them to achieve their leadership positions have not been assessed. Purpose: We sought to identify common demographics, research output, and educational trends of fellowship directors in orthopedics, with an emphasis on racial, ethnic, and gender diversity. Methods: We conducted a literature review to identify published studies on fellowship directors in orthopedic surgery and found 4 cross-sectional studies of fellowship directors in spine, arthroplasty, pediatrics, and sports medicine subspecialties. Another 4 accredited orthopedic subspecialties and their fellowship directors were identified using the American College of Graduate Medical Education Public Accreditation Data System for 2020-2021 and national fellowship directories. Data endpoints included race/ethnicity, age, sex, residency and fellowship training institutions, year of fellowship completion, year of hire at current institution, year of fellowship directors appointment, and h-index. The demographics and educational backgrounds for listed fellowship directors were collected from curricula vitae (CVs). Results: Of the 537 fellowship directors identified among 8 orthopedic subspecialties, the average age was 52.9 ± 2.2 years, 5.6% (N = 30) were women, 79.1% (N = 406) were white, 12.5% (N = 64) were Asian American, 3.7% (N = 19) were African American, 2.9% (N = 15) were Middle Eastern, and 1.7% (N = 9) were Hispanic/Latino. Oncology 20% (N = 4) had the highest percentage of female fellowship directors; 37.6% (N = 202) of fellowship directors were at the same institution they trained at for residency or fellowship. Their average h-index was 18.6 ± 3.7. Conclusion: This study of fellowship directors in orthopedics found that they have a high research output and a high level of institutional familiarity. We identified a need for greater diversity in these leadership positions in both gender and race/ethnicity.
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Affiliation(s)
| | - Jon Raso
- Department of Orthopaedic Surgery, University of Virginia, Charlottesville, VA, USA
| | - Rana Rahman
- Department of Orthopaedic Surgery, University of Virginia, Charlottesville, VA, USA
| | - Sanjana Harihar
- Department of Neuroscience, University of Pittsburgh, Pittsburgh, PA, USA
| | | | - Hamid Hassanzadeh
- Department of Orthopaedic Surgery, University of Virginia, Charlottesville, VA, USA
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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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Salib S, Kulkarni-Date M, Pierce RG. Unfinished Business: Bringing Greater Equity to Career Advancement and Promotions for Clinician Educators in Academic Medicine. Am J Med 2022; 135:555-557. [PMID: 35114176 DOI: 10.1016/j.amjmed.2021.12.016] [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: 12/15/2021] [Accepted: 12/16/2021] [Indexed: 11/01/2022]
Affiliation(s)
- Sherine Salib
- Department of Internal Medicine, Dell Medical School, The University of Texas at Austin.
| | - Mrinalini Kulkarni-Date
- Department of Internal Medicine, Dell Medical School, The University of Texas at Austin; Division of Endocrinology; Department of Medical Education
| | - Read G Pierce
- Department of Internal Medicine, Dell Medical School, The University of Texas at Austin; Division of Hospital Medicine
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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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