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DATA ON FACULTY DEVELOPMENT FOR COMMUNITY-BASED INTERNAL MEDICINE FACULTY

DATA ON FACULTY DEVELOPMENT FOR COMMUNITY-BASED INTERNAL MEDICINE FACULTY. David E. Kern, MD, MPH Jeanne M. Clark, MD, MPH Thomas K. Houston, MD, MPH. NATIONAL SURVEY. 2000 Departments of Medicine 386 U.S. teaching hospitals Response rate 277 /386 or 72%

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DATA ON FACULTY DEVELOPMENT FOR COMMUNITY-BASED INTERNAL MEDICINE FACULTY

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  1. DATA ON FACULTY DEVELOPMENT FOR COMMUNITY-BASED INTERNAL MEDICINE FACULTY David E. Kern, MD, MPH Jeanne M. Clark, MD, MPH Thomas K. Houston, MD, MPH

  2. NATIONAL SURVEY • 2000 • Departments of Medicine • 386 U.S. teaching hospitals • Response rate 277/386 or 72% • Respondents: person most responsible for FD (Program Director  DOM Chair  others)

  3. % OF INTERNAL MEDICINE FACULTY WHO ARE COMMUNITY-BASED (N = 277) • None: 12% • 1-10%: 18% • 11-25%: 18% • 26-50%: 17% • 51-75% 20% • 76-100% 16%

  4. % of DOM Faculty Who Are Community Based (N=277)

  5. % OF COMMUNITY-BASED FACULTY WHO RECEIVE SALARY SUPPORT (N = 277) • 0%: 22% • 1-10%: 37% • 11-25%: 10% • 26-50%: 7% • 51-75%: 6% • 76-100%: 17%

  6. % of CBF Receiving Salary Support(N=277)

  7. PREVALENCE OF FACULTY DEVELOPMENT(N = 277) • None: 26% • Occasional: 35% • Ongoing: 39%, N = 108

  8. RELATIONSHIP BETWEEN HAVING ONGOING FD AND % OF FACULTY WHO ARE COMMUNITY-BASED % of Faculty % of Teach Hosp Who are C-B with Ongoing FD > 50% 26%  50% 45% P = 0.002 (For cutoff off of 25% C-B Faculty, P = 0.12)

  9. # OF DOM FACULTY WHO PARTICIPATED IN FD IN 1998-99 • Total: mean # about 22 , median 10-19, per teaching hospital, with a wide range • % Community-Based: • 0-10%: 31% • 11-25%: 24% • 26-50%: 25% • 51-75%: 11% • 76-100%: 10%

  10. FD Participants 1998-99:% C-B vs H-B

  11. % OF DOM FACULTY WHO EVER PARTICIPATED • Average of about 50% of hospital-based faculty (wide range) • Average of about 25% of community-based faculty (wide range)

  12. % OF DOM FACULTY WHO EVER PARTICIPATED

  13. PROMOTORS AND INHIBITORS FOR COMMUNITY-BASED FACULTY (1) • More likely to promote than inhibit: • supervisor’s attitudes • promotion considerations • More likely to inhibit than promote: • productivity concerns • distance

  14. PROMOTORS AND INHIBITORS FOR COMMUNITY-BASED FACULTY (2) • As likely to promote as inhibit • timing • Neither promote nor inhibit • computer access

  15. CHANGES PAST 2 YEARS • # of C-B participants were more likely to have increased than decreased • But # of C-B participants more likely to have stayed the same or to have increased less than did the total number of participants.

  16. Changes in the Past 2 Years

  17. GIMGEL PROJECT TEAM MEMBERSTampa, Denver, San Diego • % C-B Faculty Leaders: 7%, 19%, 19% • % Community-Based: 37%, 37%, 33%

  18. DIFFERENCES BETWEEN C-B AND H-B PARTICIPANTS IN PREVIOUS F-D TRAINING

  19. * * * * * * * * * * * * * * * * * * * * *

  20. DIFFERENCES BETWEEN C-B AND H-B PARTICIPANTS IN PREFERRED CONTENT AREAS FOR FUTURE CONFERENCES

  21. * *

  22. SUMMARY - NATIONAL (1) • C-B faculty make up about 1/3 of DOM faculty • Hospitals with more C-B faculty are less likely to have ongoing FD • C-B are 1/2 as likely as H-B faculty to have participated in ongoing FD programs at the teaching hospitals with which they are affiliated

  23. SUMMARY - NATIONAL (2) • During the past 2 years C-B participation in most ongoing FD programs is reported to have stayed the same or increased a little • Productivity concerns and distance were identified as the major barriers to participation • Supervisors’ attitudes were identified as a major facilitator

  24. SUMMARY - GIMGEL • About 1/3 of participants are C-B • C-B are less likely that H-B participants to have had previous training in educational skills • C-B and H-B have similar interests content areas for future faculty development conferences

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