Physicians

The supply, distribution, specialty mix, and other characteristics of the nearly 900,000 professionally-active U.S. physicians

Private Equity Investment in Physician Practices

Feb. 18, 2020

Private equity acquisition of physician medical groups has come under increasing scrutiny for its potential role in expanding the use of “surprise” medical bills. Due to limited data availability, empirical study of private equity acquisition has been challenging, with most existing evidence coming from industry reports and a growing chorus of opinion articles in academic journals.

Testing a Theory of Strategic Implementation Leadership, Implementation Climate, and Clinicians' Use of Evidence-Based Practice: A 5-Year Panel Analysis

Feb. 7, 2020

Nathaniel J. Williams, Courtney Benjamin Wolk, Emily M. Becker-Haimes, Rinad S. Beidas 

Abstract [from journal]

Background: Implementation theory suggests that first-level leaders, sometimes referred to as middle managers, can increase clinicians' use of evidence-based practice (EBP) in healthcare settings by enacting specific leadership behaviors (i.e., proactive, knowledgeable, supportive, perseverant with regard to implementation) that develop an EBP implementation climate within the organization; however, longitudinal and quasi-experimental studies are needed to test this hypothesis.

Methods: Using data

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Dissatisfaction with Medical and Surgical Residency Training Is Consistently Higher for Women than for Men

Nov. 11, 2019

C. Jessica Dine, Manqing Liu, David A. Asch, Lisa M. Bellini, Karl Y. Bilimoria, Sanjay V. Desai, Judy A. Shea

Abstract [from journal]

In an attempt to balance service and education, there is a renewed focus on trainee work experiences and job satisfaction. Overall measures of dissatisfaction likely disguise differences across defined subgroups, particularly men and women, known to experience job satisfaction and burnout differently across professions. A previous study showed gender differences in satisfaction during surgical residency training. The objective of this study was to determine gender differences in dissatisfaction with specific aspects of the institutional environment and with...

Physician Consolidation and the Spread of Accountable Care Organizations

Research Brief
Nov. 4, 2019

Accountable Care Organizations (ACOs) are groups of physicians and hospitals that jointly contract to care for a patient population. ACO contracts incentivize coordination of care across providers. This can lead to greater consolidation of physician practices, which can in turn generate higher costs and lower quality. Given this, the study asks, as ACOs enter health care markets, do physician practices grow larger?

A National Comparison of Operative Outcomes of New and Experienced Surgeons

Research Brief
Oct. 25, 2019

In this national study, Medicare beneficiaries treated by new surgeons had poorer outcomes than those treated by experienced ones in the same hospitals. However, the type of operation and the patient’s emergency status – rather than physician inexperience – explains nearly all poorer outcomes. Higher-risk cases are disproportionately treated by new surgeons.

The Influence of Gender and Underrepresented Minority Status on Medical Student Ranking of Residency Programs

Eve Higginbotham
Oct. 23, 2019

Atu Agawu, Corrinne Fahl, Dominique Alexis, Tomas Diaz, Diana Harris, Mary C. Harris, Jaya AysolaPeter F. CronholmEve J. Higginbotham

Abstract [from journal]

Background: Physician diversity is linked to improved quality of care of diverse patient populations. The transition from medical school to residency is an opportunity to improve and increase workforce diversity in all specialties. However, there is limited published literature on the factors contributing to the ranking of residency programs on women and underrepresented minorities (URMs).

Objective: To characterize factors medical students used to rank residency programs and describe any differences based on

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Gender Differences in Retention and Promotion Among Generalists Who Graduated From Research-Intensive Fellowships

Oct. 11, 2019

Krisda H. ChaiyachatiJoshua LiaoGary E Weissman, Rebecca A Hubbard, Anna U. Morgan, Anna Buehler, Judy A. Shea, Katrina A. Armstrong

Abstract [from journal]

Background: Generalists who pursue research-intensive fellowships develop research skills and mentor-mentee relationships. Whether gender disparities in retention and promotion exist among this research-trained cohort is understudied.

Objective: We measured whether disparities exist among graduates of research-intensive fellowships and how mentorship influences them.

Methods: We surveyed generalists (internal medicine, pediatrics, family medicine, combined internal medicine-pediatrics)

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Seeking a Stable Foundation to Build on: 1st-Year Residents' Views of High-Value Care Teaching

Kira Rysinka, MD
Sep. 6, 2019

Rey Perez, David Aizenberg, Trocon Davis, Kira L Ryskina

Abstract [from journal]

Background: United States (US) residency programs have been recently mandated to teach the concept of high-value care (HVC) defined as care that balances the benefits of interventions with their harms and costs. We know that reflective practice is a key to successful learning of HVC; however, little is known about resident perceptions of HVC learning. To better inform HVC teaching in graduate medical education, we asked 1st-year residents to reflect on their HVC learning.

Methods: We conducted three focus

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Trends in Racial/Ethnic Representation Among US Medical Students

Sep. 4, 2019

Lanair Amaad Lett, H. Moses Murdock, Whitney U. Orji, Jaya Aysola, Ronnie Sebro

Abstract [from journal]

Importance: With increasing efforts to create a diverse physician workforce that is reflective of the demographic characteristics of the US population, it remains unclear whether progress has been made since 2009, when the Liaison Committee on Medical Education set forth new diversity accreditation guidelines.

Objective: To examine demographic trends of medical school applicants and matriculants relative to the overall age-adjusted US population.

Design, Setting, and Participants:

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#Shemergency: Use of a Professional Development Group to Promote Female Resident Recruitment and Retention

Aug. 27, 2019

Utsha Khatri, Jennifer Love, Amy Zeidan, Cindy Hsu, Angela Mills

Abstract [from journal]

Problem: Gender inequity in academic medicine is a pervasive challenge. Recommendations have been implemented to reduce inequities for female faculty. However, there are no well-established guidelines for the recruitment and retention of female residents.

Approach: To address challenges faced by female physicians and support the recruitment and retention of female residents, female emergency medicine residents and attending

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Pursuing a Career in Academic Surgery Among African American Medical Students

Aug. 8, 2019

Sanford Roberts, Judy A. Shea, Morgan Sellers, Paris D. Butler, Rachel Rapaport Kelz

Abstract [from journal]

Background: There are few African American students in medical school, and even fewer are choosing academic surgical careers. The objective of this study is to provide insight into what barriers URM students perceive when considering a career in academic surgery.

Methods: This qualitative, descriptive study was conducted at the University of Pennsylvania. Sixteen African American students with an interest in surgery were recruited to participate in the study. The outcomes reported are themes of how participants

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