Background: From 2016 to 2018, advanced practice provider (APP) utilization in academic hospital medicine groups (HMGs) has increased by 23.6%, with 75.7% of academic HMGs now employing APPs. Due to a lack of standardization around APP utilization, and the frequent use of shared billing models, determination of return on investment for APPs is challenging and [...]

Background: Physician burnout impacts job satisfaction and turnover with significant financial and operational costs in addition to the negative impact on patient care. Organizations are increasingly focused on methods to improve physician resilience. Our study aims to explore the impact of difficult patient encounters on hospitalist resilience to inform future individual and organizational efforts to [...]

Background: Health care systems around the country are struggling with faculty and staff burnout. It is established that burnout leads to higher employee turnover and poorer patient outcomes. The Big Read is a hospitalist-led institution-wide initiative in which a large number of faculty/staff/trainees/students are invited to read and discuss the same book within a 3 [...]

Background: While empathy is often a large focus at the undergraduate medical education (UME) level, it unfortunately loses priority at many residency training programs due to lack of a formal curriculum. Residents are at high risk for burnout, emotional exhaustion, and loss of meaning in their work, all of which can negatively impact their empathy. [...]

Background: Based on the study “Jobs, Careers, Callings: People’s Relations to their Work,” we wanted to see whether how residents intrinsically view their occupation affects their work engagement and burnout. We used the same three categories: “job” defined as viewing your occupation as a means to an end, “career” as focusing on advancement and prestige, [...]

Background: Control over work hours and schedule flexibility are important predictors of clinicians’ career satisfaction, work-life balance, and burnout, which are in turn linked to quality of patient care, recruitment, and retention. Additionally, several recent editorials questioned the “7-on/7-off scheduling.” In a rapidly expanding academic hospital medicine group with 63 physicians, the scheduling process is [...]

Background: Burnout among hospital medicine providers is well known. Advanced practice providers (APPs) are well-established in hospital medicine but there is a lack of data on burnout specific to the physician-APP model. As more hospitalist groups staff a physician-APP model, identifying contributors to burnout is key for ensuring career sustainability. Our academic hospital medicine group [...]

Background: Hospital Medicine (HM) practices have traditionally utilized an extended ‘7 on/7 off’ (7/7) schedule. Occupational Health studies suggest that such schedules can increase physiologic and psychologic stressors (Keller). Despite their prevalence, the effects of extended scheduling on physician well-being and performance are unknown. We sought to study the effect of 7/7 scheduling on well-being [...]

Background: Prevalence of burnout is significantly higher in physicians than general population. Burnout is expected to result in decreased personal well-being, however, relationship between physician burnout and well-being is unexplored. Therefore, our aim was to examine the relationship between burnout and well-being among medical staff physicians of an academic hospital. Methods: All medical staff physicians [...]

Background: Physician burnout has been suggested to be positively associated with the degree of spirituality and negatively associated with empathy; however, sparse data with mixed results are available. Therefore, our objective was to determine if physician burnout is related to spirituality and with empathy. Methods: We surveyed attending physicians, residents, and medical students using an [...]