Investigators: Thomas C. Ricketts, PhD, Erin P. Fraher, PhD, MPP, Ryan Kandrack, PhD(cand) Objectives: To assess the value of pediatric graduate medical education (GME) programs in producing the workforce needed at the state and national level. Data/Setting: Physicians identified as graduating from an ACGME-approved general pediatrics residency training program in the United States. Design/Methods: Cross-sectional analysis examining the… Read more »
Items By: Haley Simons
Licensed Practical Nurse Employment Transitions: A Signal of Changing Value to Employers
Investigators: Cheryl B. Jones, PhD, RN, FAAN, Meriel McCollum, PhD, RN, Alberta K. Tran, PhD, RN, CCRN, Mark TOles, PhD, RN, FAAN, George J. Knafl, PhD Objective: The nature of careers has changed as employees gain greater ability to move between organizations, vocations, and modes of employment, such as full-time, part-time, per diem, at-home, web-based, and self-employment…. Read more »
Office Based Opioid Treatment (OBOT)—the Workforce Treating Opioid Use Disorder
Investigators: Lisa de Saxe Zerden, PhD, Brianna Lombardi, MSW, Erica Richman, PhD, Anjalee Sharma, MSW Background: The current opioid crisis in the United States is a recognized national health emergency. The number of opioid-related deaths has more than quadrupled since 1999. Over 42,000 individuals died from opioid use in 2016 alone. To combat this epidemic, primary… Read more »
What do EHRs tell us about How We Deploy Professionals and Staff to Address the Social Determinants of Health
Investigators: Erica Richman, PhD, MSW, Brianna Lombardi, PhD, MSW, Lisa de Saxe Zerden, PhD, MSW Background: Increasing awareness of the Social Determinants of Health (SDOH) has prompted health systems to implement strategies to screen for and address patient SDOH. These resources are valuable for health systems but do not speak to the workforce needed to implement… Read more »
Geographic Access Measure for Primary Care in Rural Areas
Investigators: Mark Holmes, PhD, Paul Delamater, PhD Objective: A key issue in the urban-rural disparity policy debate is the use of different definitions of rural. This study sought to: (1) assess the degree to which rural definitions identify the same areas as rural; and (2) assess rural-urban disparities identified by each definition across socioeconomic, demographic, and health… Read more »
Rural-urban differences within primary care scope of practice
Investigators: Ryan Kandrack, PhD, Erin Fraher, PhD, Mark Holmes, PhD There is some evidence that primary care physicians in rural areas respond to the limited local supply of specialists by offering a broader array of clinical services than their urban colleagues. These studies suggest that there is “plasticity” in the scope of services provided by physicians…. Read more »
Understanding Registered Nurse Turnover in the U.S.
Investigators: Cheryl B. Jones, PhD, RN; George Knafl, PhD; Meriel McCollum, BSN, RN, PhD student Overview: Although nurse workforce shortages are not new, concerns about a shortfall of nurses have increasingly intensified across healthcare settings during the COVID-19 pandemic. The purpose of this study was to provide a baseline understanding of RN turnover through a cross-sectional… Read more »
Experience of Physician Assistants and Nurse Practitioners in Onboarding Programs
Investigators: Nathalie Ortiz Pate, MPH, MHS, Hilary Barnes, PhD, Lorraine Anglin, MHS, Mara Sanchez, MMS, Heather Batchelder, MA, LPA, Christine Everett, Ph.D., Perri Morgan, Ph.D. Objective: Newly graduated nurse practitioners (NPs) and physician assistants (PAs) face challenges in adapting to their first jobs. Because of this, some organizations are instituting formal onboarding programs to support PAs and… Read more »
State-Based Approaches to Leveraging Medicaid-Funded Graduate Medical Education
Principal Investigators: Erin Fraher, PhD, MPP; Jacob A. Rains MPH; Thomas J. Bacon DrPH; Julie Spero MSPH; Emily Hawes PharmD, BCPS, CPP Total Medicaid funds invested in graduate medical education (GME) increased from $3.78 billion in 2009 to $7.39 billion in 2022. States have considerable flexibility in designing Medicaid GME payments to address population health… Read more »
Frontline, Essential, and Invisible: The Needs of Low Wage Workers in Hospital Settings during COVID-19
Investigators: Lisa de Saxe Zerden PhD, MSW; Erica Richman PhD MSW; Brianna Lombardi PhD, MSW Objective: Reports of burnout among the health workforce, particularly in relation to COVID-19, have expanded exponentially. However, burnout research often focuses on clinical providers such as nurses and doctors. Lower-paid, essential workers within health systems provide equally important, but often less lauded,… Read more »
Impact and responses of safety net practices in 20 states to the COVID-19 pandemic, as experienced by frontline clinicians
Investigator: Donald Pathman, MD, MPH Objective: This study examined how the pandemic has affected clinicians that serve low-income, racial and ethnic minority communities through safety-net practices, including clinicians participating in the National Health Services Corps (NHSC). Methods: Using a national sample of safety-net health care practitioners (including physical, dental and behavioral health providers) across 20 states, the study… Read more »
The Institutional, Professional, and Societal Drivers of Job Satisfaction and Wellbeing Among Physicians
Investigator: Tania Jenkins, PhD Objective: Burnout is a prominent and growing topic in the healthcare workforce literature. However, much of the research takes place at the individual level. This study used a novel socio-ecological framework adapted from the National Academies of Science, Engineering, and Medicine (NASEM) systems model to examine the interplay between individual, institutional, professional, and… Read more »
Describing the National Social Work Data Sources
Investigators: Brianna Lombardi, PhD, MSW, Lisa de Saxe Zerden, PhD, MSW, and Erin Fraher, PhD, MPP Rapid growth of social work degree programs, along with a diverse array of social work practice areas makes it is difficult to describe and count the social work profession. This project examines the data sources that could be used to… Read more »
Structural Factors Driving Burnout in Medicine: A Study of Pediatric Surgeons
Principal Investigator: Tania Jenkins, PhD While research on wellbeing and satisfaction in medicine has increased exponentially over the last ten years, much of this research has emphasized individual-level causes and interventions. Yet, individual-level approaches do little to address the broader structural factors that may be shaping physician satisfaction and wellbeing. A 2019 National Academies of Science,… Read more »
Toward a Better Understanding of Primary Care Physician Career Typologies (LCA)
Principal Investigator: Erin Fraher, PhD, MPP The purpose of this study is to use life course theory as a conceptual and methodological framework to investigate how race/ethnicity, age, and gender influence the practice patterns of North Carolina’s primary care physician workforce in different time periods, including whether the physician provides prenatal care, if s/he performs obstetric… Read more »