Determinants of career satisfaction among pediatric hospitalists: A qualitative exploration

Joanna K. Leyenaar, Lisa A. Capra, Emily R. O'Brien, Laurel K. Leslie, Thomas Mackie

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Objective To characterize determinants of career satisfaction among pediatric hospitalists working in diverse practice settings; to develop a framework to conceptualize factors influencing career satisfaction. Methods Semistructured interviews were conducted with community and tertiary care hospitalists, using purposeful sampling to attain maximum response diversity. We used closed- and open-ended questions to assess levels of career satisfaction and its determinants. Interviews were conducted by telephone, recorded, and transcribed verbatim. Emergent themes were identified and analyzed using an inductive approach to qualitative analysis. Results A total of 30 interviews were conducted with community and tertiary care hospitalists, representing 20 hospital medicine programs and 7 Northeastern states. Qualitative analysis yielded 657 excerpts, which were coded and categorized into 4 domains and associated determinants of career satisfaction: 1) professional responsibilities; 2) hospital medicine program administration; 3) hospital and health care systems; and 4) career development. Although community and tertiary care hospitalists reported similar levels of career satisfaction, they expressed variation in perspectives across these 4 domains. Although the role of hospital medicine program administration was consistently emphasized by all hospitalists, community hospitalists prioritized resource availability, work schedule, and clinical responsibilities, while tertiary care hospitalists prioritized diversity in nonclinical responsibilities and career development. Conclusions We illustrate how hospitalists in different organizational settings prioritize both consistent and unique determinants of career satisfaction. Given associations between physician satisfaction and health care quality, efforts to optimize modifiable factors within this framework, at both community and tertiary care hospitals, may have broad impacts.

Original languageEnglish (US)
Pages (from-to)361-368
Number of pages8
JournalAcademic pediatrics
Volume14
Issue number4
DOIs
StatePublished - Jan 1 2014

Fingerprint

Hospitalists
Pediatrics
Tertiary Healthcare
Hospital Medicine
Interviews
Quality of Health Care
Telephone
Tertiary Care Centers
Appointments and Schedules
Delivery of Health Care
Physicians

All Science Journal Classification (ASJC) codes

  • Pediatrics, Perinatology, and Child Health

Keywords

  • children's hospital
  • community hospital
  • hospital medicine
  • physician satisfaction
  • qualitative methods

Cite this

Leyenaar, Joanna K. ; Capra, Lisa A. ; O'Brien, Emily R. ; Leslie, Laurel K. ; Mackie, Thomas. / Determinants of career satisfaction among pediatric hospitalists : A qualitative exploration. In: Academic pediatrics. 2014 ; Vol. 14, No. 4. pp. 361-368.
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Determinants of career satisfaction among pediatric hospitalists : A qualitative exploration. / Leyenaar, Joanna K.; Capra, Lisa A.; O'Brien, Emily R.; Leslie, Laurel K.; Mackie, Thomas.

In: Academic pediatrics, Vol. 14, No. 4, 01.01.2014, p. 361-368.

Research output: Contribution to journalArticle

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