Perception of barriers to research among internal medicine physician hospitalists by career stage.

BACKGROUND Physician hospitalists may participate in research and generate knowledge for evidence-based hospital practice. Despite this, physician hospitalists are primarily involved in patient care, and there is sparse information on barriers for their participation in research and if these barriers differ by career stage. METHODS We conducted a survey of physician hospitalists at Mayo Clinic sites based in four states (Arizona, Florida, Minnesota, and Wisconsin). We surveyed physician hospitalists on demographics, academic rank, current research skills, barriers for participation in research, and research skills they aspire to acquire. Responses were summarized using descriptive statistics and categorized by early-career (<10 years), mid-career (10-20 years) and later-career (≥20 years) stages at Mayo Clinic. The survey was conducted from March-April 2019. RESULTS Of 188 physician hospitalists, there was a 52% response rate with 71% in early career, 21% mid-career, and 7% late career, with 39% female. Physician hospitalists at early-career (90%), mid-career (76%), and later-career (71%) stages were interested in participating in research. Among physician hospitalists with ≤3 peer-reviewed publications, barriers for participation in research included lack of mentorship, time, research skills, and funding. Among physician hospitalists with ≥4 peer-reviewed publications, factors for research success included mentorship (89% early-career, 38% mid-career, 75% later-career; p=0.002) and membership in a research team. Compared to mid- and later-career physician hospitalists, a higher proportion of early-career hospitalists was interested in acquiring skills to both critically review the literature (70% early-career, 43% mid-career, 0% later-career; p=0.006) as well as write manuscripts (86% early-career, 57% mid-career, 50% later-career; p=0.02); there was generally similar interest across career stages to acquire skills to conduct literature searches and write grants. CONCLUSION The generally similar responses from physician hospitalists across career stages highlight system-level opportunities to increase research mentorship, promote acquisition of research skills, and reduce barriers for participation in research.