Publications by authors named "Shradha A Kulkarni"
Hospitalists are generalists who specialize in the care of hospitalized patients. In the 25 years since the term hospitalist was coined, the field of hospital medicine has grown exponentially and established a substantial footprint in the medical community. There are now more hospitalists than practicing physicians in any other internal medicine subspecialty.
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- Women physicians have long dealt with challenges like gender bias and unequal pay, which were worsened by the COVID-19 pandemic, highlighting these existing inequities.* -
- Focus groups with hospitalists revealed that the pandemic negatively impacted women's academic progress and placed a disproportionate caregiving burden on them, while institutional responses often failed to meet their needs.* -
- Proposed solutions include creating supportive workforce policies, improving promotion pathways, ensuring fair salary practices, and increasing women's representation in leadership roles.*
Background: The hospitalist workforce has been at the forefront of the pandemic and has been stretched in both clinical and nonclinical domains. We aimed to understand current and future workforce concerns, as well as strategies to cultivate a thriving hospital medicine workforce.
Design, Setting, And Participants: We conducted qualitative, semistructured focus groups with practicing hospitalists via video conferencing (Zoom).
Background: Health care systems are in a constant state of change. As such, methods to quickly acquire and analyze data are essential to effectively evaluate current processes and improvement projects. Rapid qualitative analysis offers an expeditious approach to evaluate complex, dynamic, and time-sensitive issues.
View Article and Find Full Text PDFBackground: Academic hospitalists engage in many non-clinical domains. Success in these domains requires support, mentorship, protected time, and networks. To address these non-clinical competencies, faculty development programs have been implemented.
View Article and Find Full Text PDFBackground: During the initial wave of COVID-19 hospitalizations, care delivery and workforce adaptations were rapidly implemented. In response to subsequent surges of patients, institutions have deployed, modified, and/or discontinued their workforce plans.
Objective: Using rapid qualitative methods, we sought to explore hospitalists' experiences with workforce deployment, types of clinicians deployed, and challenges encountered with subsequent iterations of surge planning during the COVID-19 pandemic across a collaborative of hospital medicine groups.
Background: Medical centers across the country have had to rapidly adapt clinician staffing strategies to accommodate large influxes of patients with the coronavirus disease 2019 (COVID-19).
Objective: We sought to understand the adaptations and staffing strategies that US academic medical centers employed in the inpatient setting early in the spread of COVID-19, and to assess whether those changes were sustained during the first phase of the pandemic.
Design: Cross-sectional survey assessing organization-level, team-level, and clinician-level inpatient workforce adaptations.
Background: Patient care ownership improves accountability, clinical skills, and quality of patient care among resident physicians, but appears to be gradually eroding. Research is limited by the lack of a reliable, objective measure of ownership.
Objective: To validate the Patient Care Ownership Scale, an instrument that measures decision ownership among internal medicine residents.