Impact of Clinical Demands on the Educational Mission in Hospital Medicine at 17 Academic Medical Centers : A Qualitative Analysis.
Journal
Annals of internal medicine
ISSN: 1539-3704
Titre abrégé: Ann Intern Med
Pays: United States
ID NLM: 0372351
Informations de publication
Date de publication:
Nov 2023
Nov 2023
Historique:
medline:
22
11
2023
pubmed:
13
11
2023
entrez:
13
11
2023
Statut:
ppublish
Résumé
Clinical growth is outpacing the growth of traditional educational opportunities at academic medical centers (AMCs). To understand the impact of clinical growth on the educational mission for academic hospitalists. Qualitative study using semistructured interviews that were analyzed using a mixed inductive and deductive method at the semantic level. Large AMCs across the United States that experienced clinical growth in the past 5 years. Division heads, section heads, and other hospital medicine (HM) leaders who oversaw and guided academic and clinical efforts of HM programs. Themes and subthemes. 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. The study focused on large AMCs. 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. Society of Hospital Medicine Student Scholar Grant.
Sections du résumé
BACKGROUND
UNASSIGNED
Clinical growth is outpacing the growth of traditional educational opportunities at academic medical centers (AMCs).
OBJECTIVE
UNASSIGNED
To understand the impact of clinical growth on the educational mission for academic hospitalists.
DESIGN
UNASSIGNED
Qualitative study using semistructured interviews that were analyzed using a mixed inductive and deductive method at the semantic level.
SETTING
UNASSIGNED
Large AMCs across the United States that experienced clinical growth in the past 5 years.
PARTICIPANTS
UNASSIGNED
Division heads, section heads, and other hospital medicine (HM) leaders who oversaw and guided academic and clinical efforts of HM programs.
MEASUREMENTS
UNASSIGNED
Themes and subthemes.
RESULTS
UNASSIGNED
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
UNASSIGNED
The study focused on large AMCs.
CONCLUSION
UNASSIGNED
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
UNASSIGNED
Society of Hospital Medicine Student Scholar Grant.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM