Background: Healthcare has become exponentially more complex with intricate systems of care delivery and large, diverse, subspecialized provider teams. Because of the multi-faceted nature and promise of effective leadership, many healthcare systems have turned to leadership development as a strategy to address the challenges this complexity brings. Leadership development programs have historically targeted traditional hierarchical [...]

Background: Hospital medicine groups are often quickly expanding, which causes strategic planning to focus primarily on clinical needs and staffing. It can be difficult to find opportunities for goal setting where consensus within the group can be achieved. This is made even more difficult by the typical hospitalist group providing 24/7/365 coverage, so at no [...]

Background: Women represent half of our new physicians being added to practice, however the growth of women in leadership positions has lagged. Women physicians have higher burnout scores and higher suicide rates than male physicians. Women physicians deliver high quality healthcare as evident in surgical, emergency medicine, and hospital based outcome studies. Studies suggest that [...]

Background: An innovative team of practicing physician leaders launched a Physician on Duty (POD) program in order to provide daily, pro-active clinical leadership to our Mission Control center. Our Mission Control includes, in addition to the physician team, a clinical team performing centralized staffing, bed placement, transfer center, RN care expediting, and ambulance dispatch services [...]

Background: Physician wellness has become a popular topic with reports of burnout among 50% of hospitalists nationwide. Evidence shows that managers directly impact employee engagement with up to half of provider burnout attributed to the leadership style of a physician’s immediate supervisor. While 360 feedback is a common method used to evaluate employers in the [...]

Background: Financial incentives motivate hospitals to focus on improving patient experience, quality indicators, and efficiency metrics. Efforts to geographically staff hospitalists have renewed the focus on quality improvement efforts at the inpatient unit level. However, in order to maximize the benefit of geographic staffing, a unit-level leadership structure and quality-improvement support system must be developed. [...]

Background: Formal curricula for teaching medical students high value care are lacking, and there is little evidence identifying strategies that can effectively impact students’ knowledge and skills. Research is needed to develop models for student-led HVC implementation in healthcare settings. Purpose: To create a student-led longitudinal curricular experience that leads to improvements in utilization outcomes. [...]

Background: The evolving COVID-19 pandemic has raised direct patient care clinical questions that require rapid answers and flexibility in data generation and analysis. Thorough and reliable patient-level data is not available at the local, state, national, or international levels. Institutional efforts to produce datasets derived from electronic health records (EHR) can take months to years [...]

Background: Research suggests correlations between career satisfaction and lower levels of burnout.(1,2) Yet, Advanced Practice Providers (APPs) are less frequently involved (< 50%) in teaching, research, QI and leadership training suggesting opportunities in these realms.(3) To bridge this gap and increase APP career satisfaction, researchers developed a novel framework L.E.A.D. Figure 1 In 2022, L.E.A.D. [...]

Background: Shared decision making is a key component of patient-centered care, allowing physicians and patients to balance the capabilities of the medical system with the values of the patient. However, the concept of shared decision making is not unique to a physician-patient relationship. Institutions from Athens, Greece to Silicon Valley have recognized the benefits of [...]