Background: Hospital medicine is the fastest growing subspecialty within internal medicine, growing from 10,000 hospitalists in 2002 to over 50,000 in 2016. Despite this growth, there remain relatively few hospitalists who are clinician investigators. We sought to quantify the number of clinician investigators, their dedicated time for research at major United States academic medical centers, [...]

Background: Hospital Medicine groups are often called upon to lead initiatives that require access to high-quality data from their local health system. These include quality and value improvement (QI) efforts as well as health services and outcomes research. Although these efforts can be important for clinical operations as well as academic advancement, clear mechanisms to [...]

Background: Assessing severity of illness using available electronic medical record (EMR) data on admission and predicting inpatient mortality is very challenging. Lacking standardized practices around end of life issues, hospitalists use their clinical judgment in making these crucial decisions. Prolonged discussions may be needed in medically complex patients to direct an optimal plan of care [...]

Background: Despite a rapid increase in academic hospitalists, faculty development in academic hospital medicine remains an ongoing challenge. We aim to describe scholarly output and demographics in relation to academic rank distribution and to identify factors associated with academic promotion of a national sample of academic hospital medicine programs. Methods: We extracted demographic and academic [...]

Background: One way academic organizations recognize staff achievements and scholarly activities is through four levels of academic appointments: Instructor, Assistant Professor, Associate Professor and Professor. Nurse Practitioners and Physician Assistants (NPPAs) employed by the Mayo Clinic are highly encouraged to pursue an academic appointment. A 2016 survey at our three main sites showed that only [...]

Background: With increasing numbers of hospitalist attending as well as demands of documentation and supervision, the # of days an attending physician remains with a team has been reduced at many academic medical centers. This reduction in attending physician continuity may impact the learners (teaching, receiving effective feedback) while potentially improving faculty experience (reduced burnout [...]

Background: Prior research in the field of academic hospital medicine has used promotion as the measure of success, but little is understood about what motivates individual academic hospitalists or how individuals define career success. Conceptual models of career success from outside healthcare emphasize Compensation, Advancement, Career Satisfaction and Job Satisfaction. This study sought to explore [...]

Background:   Internal medicine training programs have been profoundly impacted by changes in resident duty hours, workloads, and supervisory requirements. Consequentially, it has become increasingly important to re-evaluate and re-formulate traditional methods of teaching to maximize the delivery of clinical education, efficiently identifying and taking advantage of learning opportunities where they may exist.  Overnight care [...]

Background: Optimal patient care requires excellent patient communication skills. These skills are associated with improved patient satisfaction and adherence and may positively impact overall patient care and reduction in readmissions. Standardized patients (SPs) are commonly used in Undergraduate and Graduate Medical Education; however, their use for faculty education is uncommon, despite being considered an effective [...]

Background: Academic hospitalists engage in multiple and varied career directions, including medical education, quality improvement, leadership, and research. In 2009, the Society of Hospital Medicine (SHM), the Society of General Internal Medicine (SGIM), and the Association of Chiefs and Leaders of General Internal Medicine (ACLGIM) launched the Academic Hospitalist Academy (AHA), an annual conference that [...]