title: Mentorship, productivity, and promotion among academic hospitalists.
abstract: BACKGROUND
  United States academic hospitals have rapidly adopted the hospitalist model of care. Academic hospitalists have taken on much of the clinical and teaching responsibilities at many institutions, yet little is known about their academic productivity and promotion.
  
  
  OBJECTIVE
  We sought to discover the attitudes and attributes of academic hospitalists regarding mentorship, productivity, and promotion.
  
  
  METHODS
  We performed a web-based email survey of academic hospitalists consisting of 61 questions.
  
  
  METHODS
  Four hundred and twenty academic hospitalists.
  
  
  METHODS
  Demographic details, scholarly production, presence of mentorship and attitudes towards mentor, academic rank
  
  
  RESULTS
  Two hundred and sixty-six (63%) of hospitalists responded. The majority were under 41 (80%) and had been working as hospitalists for <5 years (62%). Only 42% of academic hospitalists had a mentor. Forty-four percent of hospitalists had not presented a poster or abstract at national meeting; 51% had not been first author on a peer-reviewed publication. Factors positively associated with publication of a peer-reviewed first author paper included: 1) male gender, AOR = 2.38 (95% CI 1.30, 4.33), 2) >20% "protected" time, AOR = 1.92 (95% CI 1.00, 3.69), and 3) a better-than-average understanding of the criteria for promotion, AOR = 3.66 (95% CI 1.76, 7.62). A lack of mentorship was negatively associated with producing any peer-reviewed first author publications AOR = 0.43 (95% CI 0.23, 0.81); any non-peer reviewed publications AOR = 0.45 (95% CI 0.24, 0.83), and leading a teaching session at a national meeting AOR = 0.41 (95% CI 0.19, 0.88). Most hospitalists promoted to the level of associate professor had been first author on four to six peer-reviewed publications.
  
  
  CONCLUSIONS
  Most academic hospitalists had not presented a poster at a national meeting, authored an academic publication, or presented grand rounds at their institution. Many academic hospitalists lacked mentorship and this was associated with a failure to produce scholarly activity. Mentorship may improve academic productivity among hospitalists.
authors.affiliation: Denver Health Medical Center, Denver, CO 80204, USA. Mark.Reid@dhha.org
authors.forename: Mark B
authors.initials: MB
authors.lastname: Reid
authors.forename: Gregory J
authors.initials: GJ
authors.lastname: Misky
authors.forename: Rebecca A
authors.initials: RA
authors.lastname: Harrison
authors.forename: Brad
authors.initials: B
authors.lastname: Sharpe
authors.forename: Andrew
authors.initials: A
authors.lastname: Auerbach
authors.forename: Jeffrey J
authors.initials: JJ
authors.lastname: Glasheen
mesh_terms: D000046:Academic Medical Centers / Q000379:methods* / Q000592:standards; D000328:Adult; D002322:Career Mobility; D003625:Data Collection / Q000379:methods; D004526:Efficiency; D005180:Faculty, Medical / Q000592:standards; D005260:Female; D020445:Hospitalists / Q000379:methods* / Q000592:standards; D006801:Humans; D008297:Male; D008611:Mentors