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Li O, Cheunkarndee T, Mechaber HF, Chretien K. Using Instagram to Engage Learners and Build Community. Acad Med 2024; 99:586. [PMID: 38015996 DOI: 10.1097/acm.0000000000005558] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/30/2023]
Abstract
The COVID-19 pandemic exacerbated the shift toward using digital means of communication, information sharing, and building community. 1 This phenomenon has manifested in the world of medical education with an increase in educators and learners using social media. While the impacts of X (formerly Twitter) and Facebook have been investigated, there is a paucity of literature on Instagram usage in medical education.
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Catalanotti JS, Abraham R, Choe JH, Corning KA, Fick L, Finn KM, Higgins S, Mechaber HF, Mohr T, Raj J, Swails J. Rethinking the Internal Medicine Residency Application Process to Prioritize the Public Good: A Consensus Statement of the Alliance for Academic Internal Medicine. Am J Med 2024; 137:284-289. [PMID: 38042242 DOI: 10.1016/j.amjmed.2023.11.021] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/25/2023] [Accepted: 11/27/2023] [Indexed: 12/04/2023]
Affiliation(s)
- Jillian S Catalanotti
- Department of Medicine, The George Washington University School of Medicine and Health Sciences, Washington, DC.
| | - Reeni Abraham
- Department of Internal Medicine, University of Texas Southwestern, Dallas
| | - John H Choe
- Internal Medicine Residency Program, University of Washington, Seattle
| | - Kelli A Corning
- Internal Medicine Residency Program, University of Washington, Seattle
| | - Laurel Fick
- Internal Medicine Residency Program, Ascension St. Vincent Hospital, Indianapolis, Ind
| | - Kathleen M Finn
- Internal Medicine Residency Program, Tufts Medical Center, Tufts University School of Medicine, Boston, Mass
| | - Stacy Higgins
- Department of Medicine, Emory University School of Medicine, Atlanta, Ga
| | - Hilit F Mechaber
- Clinical Medicine, University of Miami Miller School of Medicine, Fla
| | - Thomas Mohr
- Department of Internal Medicine, Sam Houston State University College of Osteopathic Medicine, Conroe, Texas
| | - Jaya Raj
- Department of Medicine, Creighton University School of Medicine Phoenix Regional Campus, Ariz
| | - Jennifer Swails
- Internal Medicine Residency Program, Department of Internal Medicine, University of Texas Houston
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Mechaber HF, Hannoush Z, Taldone S, Chamorro Dauer L. Coaching as a Tool to Create Transformational Health System Leaders. Acad Med 2023; 98:S182-S183. [PMID: 37983426 DOI: 10.1097/acm.0000000000005375] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/27/2023]
Affiliation(s)
- Hilit F Mechaber
- Author affiliations: H.F. Mechaber, Z. Hannoush, S. Taldone, L.Chamorro Dauer, University of Miami Miller School of Medicine
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Rashid H, Runyon C, Burk-Rafel J, Cuddy MM, Dyrbye L, Arnhart K, Luciw-Dubas U, Mechaber HF, Lieberman S, Paniagua M. Medical Student Well-Being While Studying for the USMLE Step 1: The Impact of a Goal Score. Acad Med 2022; 97:S176. [PMID: 37838904 DOI: 10.1097/acm.0000000000004832] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 07/20/2023]
Affiliation(s)
- Hanin Rashid
- Author affiliations: H. Rashid, Rutgers Robert Wood Johnson Medical School; C. Runyon, M. M. Cuddy, U. Luciw-Dubas, M. Paniagua, National Board of Medical Examiners; J. Burk-Rafel, NYU Grossman School of Medicine; L. Dyrbye, University of Colorado School of Medicine; K. Arnhart, Federation of State Medical Boards; H. F. Mechaber, University of Miami Miller School of Medicine; S. Lieberman, University of Arizona College of Medicine-Phoenix
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Reynolds AK, Leuchter J, Govindarajan V, Sarhadi K, Peña S, Martin L, Mechaber HF, Chamorro Dauer L. Peer teaching through the science of learning. Clin Teach 2022; 19:197-204. [PMID: 35365972 DOI: 10.1111/tct.13485] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/03/2021] [Revised: 12/13/2021] [Accepted: 03/08/2022] [Indexed: 11/28/2022]
Affiliation(s)
- Adrian K Reynolds
- Department of Medical Education, University of Miami Miller School of Medicine, Miami, Florida, USA
| | - Jessica Leuchter
- University of Miami Miller School of Medicine, Miami, Florida, USA
| | | | - Kasra Sarhadi
- University of Washington Neurology Residency Program, Seattle, Washington, USA.,University of Miami Miller School of Medicine (alumnus), Miami, Florida, USA
| | - Stefanie Peña
- University of Miami Department of Otolaryngology-Head and Neck Surgery Residency Program, University of Miami Miller School of Medicine (alumnus), Miami, Florida, USA
| | - Lamar Martin
- Department of Medical Education, University of Miami Miller School of Medicine, Miami, Florida, USA
| | - Hilit F Mechaber
- Department of Medical Education, Department of Medicine, University of Miami Miller School of Medicine, Miami, Florida, USA
| | - Laura Chamorro Dauer
- Department of Medical Education, Department of Pediatrics, University of Miami Miller School of Medicine, Miami, Florida, USA
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Webb AMB, Hasty BN, Andolsek KM, Mechaber HF, Harris TB, Chatterjee A, Lautenberger DM, Gottlieb AS. A Timely Problem: Parental Leave During Medical Training. Acad Med 2019; 94:1631-1634. [PMID: 30946132 DOI: 10.1097/acm.0000000000002733] [Citation(s) in RCA: 25] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
Shifting demographics and concerns about burnout prevention merit a reexamination of existing structures and policies related to leaves of absence that may be necessary during medical training. In this Invited Commentary, the authors address the issue of parental leave for medical students and residents. Discussion about parental leave for these trainees is not new. Despite decades of dialogue, leave policies throughout the undergraduate and graduate medical education continuum lack standardization and are currently ill defined and inadequate. There are a number of barriers to implementation. These include stigma, financial concerns, workforce and duty hours challenges, and the historically rigid timeline for progression from one stage of medical training to the next. Potential solutions include parent-friendly curricular innovations, competency-based medical education, and provision of short-term disability insurance. Most important, adopting more flexible approaches to graduation requirements and specialty board examination eligibility must be addressed at the national level. The authors identify cultural and practical challenges to standardizing parental leave options across the medical education continuum and issue a call to action for implementing potential solutions.
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Affiliation(s)
- Allison M B Webb
- A.M.B. Webb is an internal medicine-psychiatry resident, Walter Reed National Military Medical Center, Bethesda, Maryland. B.N. Hasty is a postdoctoral research fellow, Stanford University School of Medicine, Stanford, California. K.M. Andolsek is assistant dean for premedical education and professor of family medicine and community health, Duke University School of Medicine, Durham, North Carolina. H.F. Mechaber is associate dean for student services and associate professor of clinical medicine, University of Miami Miller School of Medicine, Miami, Florida. T.B. Harris is associate provost for institutional diversity, inclusion, and equity, and student services, and professor of psychiatry, pediatrics, and family and community medicine, Baylor College of Medicine, Houston, Texas. A. Chatterjee is chair, Department of Pediatrics, and senior associate dean for faculty development, University of South Dakota Sanford School of Medicine, and chief pediatric medical officer, Sanford Health, Sioux Falls, South Dakota. D.M. Lautenberger is director, Faculty and Staff Studies and Services, Women in Medicine and Science, Association of American Medical Colleges, Washington, D.C. A.S. Gottlieb is associate dean for faculty affairs and professor of medicine and obstetrics and gynecology, University of Massachusetts Medical School-Baystate, and chief faculty development officer, Baystate Health, Springfield, Massachusetts
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Clinite KL, DeZee KJ, Durning SJ, Kogan JR, Blevins T, Chou CL, Diemer G, Dunne DW, Fagan MJ, Hartung PJ, Kazantsev SM, Mechaber HF, Paauw DS, Wong JG, Reddy ST. Lifestyle factors and primary care specialty selection: comparing 2012-2013 graduating and matriculating medical students' thoughts on specialty lifestyle. Acad Med 2014; 89:1483-9. [PMID: 25250748 DOI: 10.1097/acm.0000000000000487] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/22/2023]
Abstract
PURPOSE To compare how first-year (MS1) and fourth-year students (MS4) ascribe importance to lifestyle domains and specialty characteristics in specialty selection, and compare students' ratings with their primary care (PC) interest. METHOD In March 2013, MS4s from 11 U.S. MD-granting medical schools were surveyed. Using a five-point Likert-type scale (1 = not important at all; 5 = extremely important), respondents rated the importance of 5 lifestyle domains and 21 specialty selection characteristics. One-way analysis of variance was used to assess differences by PC interest among MS4s. Using logistic regression, ratings from MS4s were compared with prior analyses of ratings by MS1s who matriculated to the same 11 schools in 2012. RESULTS The response rate was 57% (965/1,701). MS4s, as compared with MS1s, rated as more important to good lifestyle: time off (4.3 versus 4.0), schedule control (4.2 versus 3.9), and financial compensation (3.4 versus 3.2). More MS4s than MS1s selected "time-off" (262/906 [30%] versus 136/969 [14%]) and "control of work schedule" (169/906 [19%] versus 146/969 [15%]) as the most important lifestyle domains. In both classes, PC interest was associated with higher ratings of working with the underserved and lower ratings of prestige and salary. CONCLUSIONS In the 2012-2013 academic year, matriculating students and graduating students had similar perceptions of lifestyle and specialty characteristics associated with PC interest. Graduating students placed more importance on schedule control and time off than matriculating students. Specialties should consider addressing a perceived lack of schedule control or inadequate time off to attract students.
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Affiliation(s)
- Kimberly L Clinite
- Ms. Clinite is a fourth-year medical student, University of Chicago Pritzker School of Medicine, Chicago, Illinois. Dr. DeZee is associate professor of medicine, Uniformed Services University, Bethesda, Maryland. Dr. Durning is professor of medicine and pathology, Uniformed Services University, Bethesda, Maryland. Dr. Kogan is associate professor, Department of Medicine, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania. Ms. Blevins is director, Student and Career Development, University of Colorado School of Medicine, and member, Association of American Medical Colleges Careers in Medicine Advisory Committee, Denver, Colorado. Dr. Chou is professor, Department of Medicine, University of California, San Francisco, and Veterans Affairs Medical Center, San Francisco, California. Dr. Diemer is director, Undergraduate Medical Education, and residency program director, Internal Medicine, Thomas Jefferson University, Philadelphia, Pennsylvania. Dr. Dunne is professor and internal medicine clerkship director, Yale University School of Medicine, and associate program director, Yale Traditional Internal Medicine Residency, New Haven, Connecticut. Dr. Fagan is professor of medicine and internal medicine clerkship director, Alpert Medical School of Brown University, Providence, Rhode Island. Dr. Hartung is professor of family and community medicine, Northeast Ohio Medical University, Rootstown, Ohio. Ms. Kazantsev is a fourth-year medical student, University of Chicago Pritzker School of Medicine, Chicago, Illinois. Dr. Mechaber is assistant professor of medicine and assistant dean of student services, University of Miami Miller School of Medicine, Miami, Florida. Dr. Paauw is professor of medicine and Rathmann Family Foundation Endowed Chair for Patient Centered Clinical Education, University of Washington School of Medicine, Seattle, Washington. Dr. Wong is senior associate dean emeritus of medical education and professor of internal m
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Lindsey SF, Reiders B, Mechaber HF. Life-threatening pharyngeal edema after sclerotherapy of oral venous malformations in a patient with blue rubber bleb nevus syndrome. J Dermatol Case Rep 2013; 7:74-6. [PMID: 24133559 DOI: 10.3315/jdcr.2013.1145] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/03/2013] [Accepted: 06/10/2013] [Indexed: 11/11/2022]
Abstract
BACKGROUND Blue rubber bleb nevus syndrome (BRBNS) is a rare vascular disorder characterized by multiple venous malformations of the skin and internal organs. Oral lesions are very common and occur in over half of the patients with this condition. Sclerotherapy is currently the first-line treatment modality of symptomatic cases due to its high efficacy and low rate of complications. MAIN OBSERVATIONS We report the case of a 68-year-old male with BRBNS who presented with dysphagia and difficulty with speech due to prominent oral venous malformations. After the use of sclerotherapy with ethanolamine oleate to control his symptoms, the patient exhibited severe edema of the tongue and posterior pharyngeal wall which caused constriction of his airway. The patient was intubated, and remained so for 72 hours until his edema resolved. In addition to his oral lesions, the patient also exhibited other features of BRBNS including cutaneous, soft-tissue, gastrointestinal, and neurological manifestations of disease. CONCLUSION Physicians should be aware of the potentially life-threatening complication of severe tongue and pharyngeal edema when using sclerotherapy for the treatment of oral vascular malformations. Additionally, dermatologists should be familiar with the many systemic manifestations which can be present in patients with BRBNS, as illustrated in this case.
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Affiliation(s)
- Scott F Lindsey
- University of Miami Miller School of Medicine, Department of Dermatology, Miami, FL 33136, USA
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Clinite KL, Reddy ST, Kazantsev SM, Kogan JR, Durning SJ, Blevins T, Chou CL, Diemer G, Dunne DW, Fagan MJ, Hartung PJ, Mechaber HF, Paauw DS, Wong JG, DeZee KJ. Primary care, the ROAD less traveled: what first-year medical students want in a specialty. Acad Med 2013; 88:1522-1528. [PMID: 23969353 DOI: 10.1097/acm.0b013e3182a316eb] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/02/2023]
Abstract
PURPOSE Medical students are increasingly choosing non-primary-care specialties. Students consider lifestyle in selecting their specialty, but how entering medical students perceive lifestyle is unknown. This study investigates how first-year students value or rate lifestyle domains and specialty-selection characteristics and whether their ratings vary by interest in primary care (PC). METHOD During the 2012-2013 academic year, the authors conducted a cross-sectional survey of first-year medical students from 11 MD-granting medical schools. Using a five-point Likert-type scale (1 = not important at all; 5 = extremely important), respondents rated the importance of 5 domains of good lifestyle and 21 characteristics related to specialty selection. The authors classified students into five groups by PC interest and assessed differences by PC interest using one-way analysis of variance. RESULTS Of 1,704 participants, 1,020 responded (60%). The option "type of work I am doing" was the highest-rated lifestyle domain (mean 4.8, standard deviation [SD] 0.6). "Being satisfied with the job" was the highest-rated specialty-selection characteristic (mean 4.7, SD 0.5). "Availability of practice locations in rural areas" was rated lowest (mean 2.0, SD 1.1). As PC interest decreased, the importance of "opportunities to work with underserved populations" also decreased, but importance of "average salary earned" increased (effect sizes of 0.98 and 0.94, respectively). CONCLUSIONS First-year students valued enjoying work. The importance of financial compensation was inversely associated with interest in PC. Examining the determinants of enjoyable work may inform interventions to help students attain professional fulfillment in PC.
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Affiliation(s)
- Kimberly L Clinite
- Ms. Clinite is a fourth-year medical student, University of Chicago Pritzker School of Medicine, Chicago, Illinois. Dr. Reddy is associate professor, Department of Medicine, University of Chicago Pritzker School of Medicine, Chicago, Illinois. Ms. Kazantsev is a third-year medical student, University of Chicago Pritzker School of Medicine, Chicago, Illinois. Dr. Kogan is associate professor, Department of Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania. Dr. Durning is professor of medicine and pathology, Uniformed Services University, Bethesda, Maryland. Ms. Blevins is director, Student and Career Development, University of Colorado School of Medicine, Denver, Colorado, and member, Association of American Medical Colleges Careers in Medicine Advisory Committee. Dr. Chou is professor, Department of Medicine, University of California, San Francisco, and Veterans Affairs Medical Center, San Francisco, California. Dr. Diemer is director, Undergraduate Medical Education, and residency program director, Internal Medicine, Thomas Jefferson University, Philadelphia, Pennsylvania. Dr. Dunne is professor and internal medicine clerkship director, Yale University School of Medicine, and associate program director, Yale Traditional Internal Medicine Residency, New Haven, Connecticut. Dr. Fagan is professor of medicine and internal medicine clerkship director, Alpert Medical School of Brown University, Providence, Rhode Island. Dr. Hartung is professor of family and community medicine, Northeast Ohio Medical University, Rootstown, Ohio. Dr. Mechaber is assistant professor of medicine and assistant dean of student services, University of Miami Miller School of Medicine, Miami, Florida. Dr. Paauw is professor of medicine, University of Washington School of Medicine, and Rathmann Family Foundation Endowed Chair for Patient Centered Clinical Education, Seattle, Washington. Dr. Wong is senior associate dean emeritus of medical education an
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Levine RB, Mechaber HF, Reddy ST, Cayea D, Harrison RA. "A good career choice for women": female medical students' mentoring experiences: a multi-institutional qualitative study. Acad Med 2013; 88:527-534. [PMID: 23425983 DOI: 10.1097/acm.0b013e31828578bb] [Citation(s) in RCA: 28] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
Abstract
PURPOSE The career decisions, practice patterns, and approach to patient care of current female students, who make up close to 50% of medical school classes, will have a profound impact on the profession. This study explores the role gender plays in the mentoring experiences of female medical students. METHOD In 2011, the authors conducted focus groups with 48 third- and fourth-year female medical students at four U.S. medical schools. Using a template organizing style, they derived themes in an iterative process to explore female medical students' mentoring relationships and the impact of gender on those relationships. RESULTS The authors identified four major themes: (1) Optimal mentoring relationships are highly relational. Students emphasized shared values, trust, and a personal connection in describing ideal mentoring relationships. (2) Relational mentoring is more important than gender concordance. Students identified a desire for access to female mentors but stated that when a mentor and mentee developed a personal connection, the gender of the mentor was less important. (3) Gender-based assumptions and stereotypes affect mentoring relationships. Students described gender-based assumptions and expectations for themselves and their mentors. (4) Gender-based power dynamics influence students' thinking about mentoring. Students stated that they were concerned about how their mentors might perceive their professional decisions because of their gender, which influenced what they disclosed to male mentors and mentors in positions of power. CONCLUSIONS Gender appears to play a role in female medical students' expectations and experience with mentoring relationships and may influence their decision making around career planning.
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Affiliation(s)
- Rachel B Levine
- Division of General Internal Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland 21224, USA.
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Levine RB, Mechaber HF, Bass EB, Wright SM. The Impact of Working Part-Time on Measures of Academic Productivity Among General Internists. J Womens Health (Larchmt) 2010; 19:1995-2000. [DOI: 10.1089/jwh.2009.1890] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Affiliation(s)
- Rachel B. Levine
- Division of General Internal Medicine, Johns Hopkins University, Baltimore, Maryland
| | - Hilit F. Mechaber
- Division of General Internal Medicine, University of Miami Miller School of Medicine, Miami, Florida
| | - Eric B. Bass
- Division of General Internal Medicine, Johns Hopkins University, Baltimore, Maryland
| | - Scott M. Wright
- Division of General Internal Medicine, Johns Hopkins University, Baltimore, Maryland
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Levine RB, Harrison RA, Mechaber HF, Phillips C, Gallagher TH. Professional characteristics and job satisfaction among SGIM members: a comparison of part-time and full-time physician members. J Gen Intern Med 2008; 23:1218-21. [PMID: 18483832 PMCID: PMC2517960 DOI: 10.1007/s11606-008-0635-8] [Citation(s) in RCA: 15] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/11/2007] [Revised: 02/06/2008] [Accepted: 03/11/2008] [Indexed: 10/22/2022]
Abstract
BACKGROUND As more physicians work part-time (PT), the faculty, institutions, and organizations that represent them should understand the factors that motivate and satisfy these physicians. OBJECTIVE Compare factors associated with job satisfaction among PT and full-time (FT) academic physicians. DESIGN Cross-sectional survey. PARTICIPANTS Members of the Society of General Internal Medicine (SGIM), a national, academic Internal Medicine organization. RESULTS Fifty percent (1,396 of 2,772) of SGIM members responded, 11% work PT. Compared to FT, PT physicians were more often female (85% vs 38%, p < .001), clinicians (Cs) or clinician-educators (CEs) (84% vs 56%, p < .001), and of a lower rank (77% vs 61%, p = .001). Job satisfaction was similar between PT and FT Cs and CEs. For PT Cs and CEs, record of publication (11% vs 21%, p = .04) and local and national recognition (24% vs 36%, p = .03) were less important to overall job satisfaction compared to FT Cs and CEs. In multivariate analysis, academic rank (odds ratio [OR] = 7.18, 95%CI = 1.40-36.50) was associated with higher satisfaction among PT Cs and CEs. CONCLUSIONS PT and FT C and CE SGIM members report similar satisfaction, but different factors contribute to satisfaction. Knowing what motivates and satisfies PT physicians may allow medical centers to retain faculty and create positions to help them to fulfill their potential.
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Affiliation(s)
- Rachel B Levine
- Division of General Internal Medicine, Johns Hopkins Bayview Medical Center, Baltimore, MD 21224, USA.
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Mechaber HF, Levine RB, Manwell LB, Mundt MP, Linzer M, Schwartz M, Dowell D, An P, Felix K, McMurray J, Bobula J, Plane MB, Scheckler W, Frey J, Sherrieb J, Grettie J, Horner-Ibler B, Maguire A, Paluch L, Man B, Varkey A, Arce E, Rabatin J, Riska E, Bigby J, Konrad TR, Leatt P, Babbott S, Williams E. Part-time physicians...prevalent, connected, and satisfied. J Gen Intern Med 2008; 23:300-3. [PMID: 18214623 PMCID: PMC2359480 DOI: 10.1007/s11606-008-0514-3] [Citation(s) in RCA: 63] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/20/2007] [Revised: 11/29/2007] [Accepted: 01/08/2008] [Indexed: 10/22/2022]
Abstract
OBJECTIVE The health care workforce is evolving and part-time practice is increasing. The objective of this work is to determine the relationship between part-time status, workplace conditions, and physician outcomes. DESIGN Minimizing error, maximizing outcome (MEMO) study surveyed generalist physicians and their patients in the upper Midwest and New York City. MEASUREMENTS AND MAIN RESULTS Physician survey of stress, burnout, job satisfaction, work control, intent to leave, and organizational climate. Patient survey of satisfaction and trust. Responses compared by part-time and full-time physician status; 2-part regression analyses assessed outcomes associated with part-time status. Of 751 physicians contacted, 422 (56%) participated. Eighteen percent reported part-time status (n = 77, 31% of women, 8% of men, p < .001). Part-time physicians reported less burnout (p < .01), higher satisfaction (p < .001), and greater work control (p < .001) than full-time physicians. Intent to leave and assessments of organizational climate were similar between physician groups. A survey of 1,795 patients revealed no significant differences in satisfaction and trust between part-time and full-time physicians. CONCLUSIONS Part-time is a successful practice style for physicians and their patients. If favorable outcomes influence career choice, an increased demand for part-time practice is likely to occur.
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Affiliation(s)
- Hilit F Mechaber
- University of Miami Miller School of Medicine, Miami, FL 33101, USA.
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Affiliation(s)
- Rachel B Levine
- Division of General Internal Medicine, Johns Hopkins Bayview Medical Center, Baltimore, Md 21224, USA.
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