Building a thriving academic hospitalist workforce: A rapid qualitative analysis identifying key areas of focus in the field

Shradha A. Kulkarni, Angela Keniston, Anne S. Linker, Gopi J. Astik, Kirsten N. Kangelaris, Luci K. Leykum, Matthew Sakumoto, Andrew Auerbach, Marisha Burden

Research output: Contribution to journalArticlepeer-review

9 Scopus citations

Abstract

Background: The hospitalist workforce has been at the forefront of the pandemic and has been stretched in both clinical and nonclinical domains. We aimed to understand current and future workforce concerns, as well as strategies to cultivate a thriving hospital medicine workforce. Design, Setting, and Participants: We conducted qualitative, semistructured focus groups with practicing hospitalists via video conferencing (Zoom). Utilizing components from the Brainwriting Premortem Approach, attendees were split into small focus groups and listed their thoughts about workforce issues that hospitalists may encounter in the next 3 years, identifying the highest priority workforce issues for the hospital medicine community. Each small group discussed the most pressing workforce issues. These ideas were then shared across the entire group and ranked. We used rapid qualitative analysis to guide a structured exploration of themes and subthemes. Results: Five focus groups were held with 18 participants from 13 academic institutions. We identified five key areas: (1) support for workforce wellness; (2) staffing and pipeline development to maintain an adequate workforce to match clinical growth; (3) scope of work, including how hospitalist work is defined and whether the clinical skillset should be expanded; (4) commitment to the academic mission in the setting of rapid and unpredictable clinical growth; and (5) alignment between the duties of hospitalists and resources of hospitals. Hospitalists voiced numerous concerns about the future of our workforce. Several domains were identified as high-priority areas of focus to address current and future challenges.

Original languageEnglish
Pages (from-to)329-336
Number of pages8
JournalJournal of Hospital Medicine
Volume18
Issue number4
DOIs
StatePublished - Apr 2023

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