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: 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: Accurate coding is paramount to hospital revenue generation and is often supported by a clinical documentation integrity (CDI) team made up of registered nurses and non-clinical coding personnel. Physician-led coding initiatives have demonstrated improvement in case-mix index and clinical documentation. We hypothesized that physician integration into CDI would result in a more robust improvement [...]

Background: While academic hospital medicine (HM) has experienced rapid growth, criteria for promotion, especially regarding scholarship, lack data to inform practice. We sought to describe the characteristics and scholarly progression of academic hospitalists who have been promoted to full professor (FP). Methods: We identified FP HM faculty of all medical schools ranked for research by [...]

Background: Scholarly productivity is critical for academic fulfilment and promotion in hospital medicine (HM), but many hospitalists struggle to achieve scholarly success. Protected time (PT) (i.e., non-clinical time that can be dedicated to scholarly activities) is a key facilitator of academic productivity in HM. However, little is known about how PT for scholarship is managed [...]

Background: With gender inequalities decreasing in the Western Hemisphere, the number of women physicians has increased. However, women are not equally represented in leadership roles in academic medicine. One heoryabstract?te referenc es  isubmissionseukocytosiser’petition were selected. ors than female mentors. l then be determined iOOn theory in literature to explain this discrepancy is that women have [...]

Background: Since the advent of Electronic Health Record(EHR) and subsequent workload of clinical documentation, Hospital Medicine physicians are finding themselves spending more time in front of the computer and less with their patients. The implementation of EHR was intended to help physicians improve productivity and quality, however, data shows we are spending up to 25% [...]

Background: Cross-covering patients overnight is part of standard Hospitalist practice, however there is little understanding of the workload contribution. Much of the current literature for hospitalist productivity focuses on wRVU, day census, or number of admits per shift. These metrics are not applicable to cross cover since it is largely non-billable work. A cross sectional, [...]

Background: Academic Medical Centers (AMC) have utilized teams comprised of an attending, resident, interns and medical students to care for hospitalized patients. ACGME work restrictions have reduced the capacity of teaching services. Consequently, most AMCs now rely on direct care Hospital Medicine Services (HMS). Non-clinical tasks (making appointments, faxing for records), traditionally performed by teaching [...]

Background: Effective mentorship of junior faculty correlates with future academic success and career sustainability.1,2 Traditional approaches to mentorship involve pairing mid- and late-career faculty with junior faculty randomly or based on compatible interests and allowing the relationship to evolve as driven by the mentee’s needs. After organized attempts to implement mentorship programs along traditional lines [...]