Characteristics and Work Experiences of Hospitalists in the United States

Hoff, Timothy H.; Whitcomb, Winthrop F.; Williams, Kevin L.; Nelson, John; Cheesman, Rae Ann

doi:10.1001/archinte.161.6.851

Cited by 56 publications

(51 citation statements)

References 12 publications

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“…10 Our study shows that hospitalists with higher satisfaction with personal time and compensation also had higher job and specialty satisfaction, yet most hospitalists in our study reported relatively low levels of satisfaction in these two domains. This indicates that current hospitalist work models may be less flexible in work hours than desired and that compensation has a relatively weak influence over global satisfaction.…”

Section: Discussionmentioning

confidence: 45%

“…10 The proportion of women in hospital medicine has risen from 26% to 33.5%, while the mean age has risen from 40.2 to 44.3 years (p<0.001). In 1999, only 15.1% had been hospitalists for greater than 5 years, but half of practicing hospitalists today have made hospital medicine their careers for at least 6 years.…”

Section: Discussionmentioning

confidence: 99%

“…However, the prior study found that only 13% of hospitalists were burned out and 25% were at risk of burnout. 10 A 2002 and 2003 study of academic hospitalists using the same single-item burnout measure found burnout rates of 13% and 21% in respective years. 21 Thus, the number of burned-out hospitalists may have increased over time.…”

Section: Discussionmentioning

confidence: 99%

“…8,9 The first and only large survey of hospitalist demographics and worklife occurred in 1999. 10 Since then, concerns about the sustainability of the specialty grew as reports of burnout, job turnover, and the demand for new hospitalists were common in the specialty newsletters. 11 Some hospital-(Supported by K08-HS17014 from the Agency for Healthcare Research and Quality) for the Society of Hospital Medicine Career Satisfaction Task Force ists feel they are treated as glorified residents.…”

Section: Introductionmentioning

confidence: 99%

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Worklife and Satisfaction of Hospitalists: Toward Flourishing Careers

et al. 2011

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BACKGROUND:The number of hospitalists in the US is growing rapidly, yet little is known about their worklife to inform whether hospital medicine is a viable longterm career for physicians. OBJECTIVE: Determine current satisfaction levels among hospitalists. DESIGN: Survey study. METHODS: A national random stratified sample of 3,105 potential hospitalists plus 662 hospitalist employees of three multi-state hospitalist companies were administered the Hospital Medicine Physician Worklife Survey. Using 5-point Likert scales, the survey assessed demographic information, global job and specialty satisfaction, and 11 satisfaction domains: workload, compensation, care quality, organizational fairness, autonomy, personal time, organizational climate, and relationships with colleagues, staff, patients, and leader. Relationships between global satisfaction and satisfaction domains, and burnout symptoms and career longevity were explored. RESULTS: There were 816 hospitalist responses (adjusted response rate, 25.6%). Correcting for oversampling of pediatricians, 33.5% of respondents were women, and 7.4% were pediatricians. Overall, 62.6% of respondents reported high satisfaction (≥4 on a 5-point scale) with their job, and 69.0% with their specialty. Hospitalists were most satisfied with the quality of care they provided and relationships with staff and colleagues. They were least satisfied with organizational climate, autonomy, compensation, and availability of personal time. In adjusted analysis, satisfaction with organizational climate, quality of care provided, organizational fairness, personal time, relationship with leader, compensation, and relationship with patients predicted job satisfaction. Satisfaction with personal time, care quality, patient relationships, staff relationships, and compensation predicted specialty satisfaction. Job burnout symptoms were reported by 29.9% of respondents who were more likely to leave and reduce work effort. CONCLUSIONS:Hospitalists rate their job and specialty satisfaction highly, but burnout symptoms are common. Hospitalist programs should focus on organizational climate, organizational fairness, personal time, and compensation to improve satisfaction and minimize attrition.

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Section: Discussionmentioning

confidence: 45%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Worklife and Satisfaction of Hospitalists: Toward Flourishing Careers

et al. 2011

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“…For example, the intensive pace of hospital medicine may expose its practitioners to early burnout; a recent survey found that 38% of inpatient physicians were either burned out or at risk for burnout, despite practicing for a mean of just 3.6 years. 19 In an effort to introduce variety into their role and minimize burnout, our division has set aside monthly blocks for these physicians to pursue educational or research interests. However, the periodic nature of their work limits the degree to which they can pursue longitudinal projects and emphasizes the importance of fostering collaboration between inpatient and ambulatory physicians to undertake such work.…”

Section: The Unique Challenges Of Hospital Medicinementioning

confidence: 99%

Clinicians, educators, and investigators in general internal medicine

Mukamal

Smetana²,

Delbanco³

2002

J Gen Intern Med

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Financial and time pressures, disparate promotional pathways, geographic separation, and difficulty acknowledging personal fallibility can contribute to polarization of clinician-educators and investigators in general internal medicine (GIM). As a consequence, clinician-educators and investigators may fail to use their joint expertise, may encounter friction in their relationships, and may present a troubled image to trainees considering careers in GIM. We suggest specific strategies that clinician-educators, investigators, administrative leaders, and medical schools might use to foster collaboration.

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Career Satisfaction and Burnout in Academic Hospital Medicine

Glasheen¹

2011

Arch Intern Med

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T he number of hospitalists in academic medical centers has grown rapidly, producing a field with few senior members, potentially impeding the academic success and career sustainability of academic hospitalists, not to mention contributing to burnout. 1 However, little is known about career promotion, job satisfaction, stress, and rates of burnout in academic hospital medicine or how these factors affect scholarly success and productivity.Methods. We performed a cross-sectional 61-question e-mail survey of hospitalists at 20 academic medical centers in the United States. Hospital medicine faculty at each site were identified via their group leader; members of each group then received an e-mail survey up to 5 times.Burnout was assessed using the previously validated question:Using your own definition of "burnout," select one of the following: 1="I have no symptoms of burnout," 2="I don't always have as much energy as I once did, but I don't feel burned out," 3="I am definitely burning out and have one or more symptoms of burnout, such as physical and emotional exhaustion," 4="The symptoms of burnout that I am experiencing won't go away," 5="I feel completely burned out and wonder if I can go on." A score of 3 or higher was consistent with burnout. 2

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Characteristics and Work Experiences of Hospitalists in the United States

Cited by 56 publications

References 12 publications

Worklife and Satisfaction of Hospitalists: Toward Flourishing Careers

Worklife and Satisfaction of Hospitalists: Toward Flourishing Careers

Clinicians, educators, and investigators in general internal medicine

Career Satisfaction and Burnout in Academic Hospital Medicine

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