Arif H Kamal1, Janet Bull2, Steven Wolf3, Gregory P Samsa3, Keith M Swetz4, Evan R Myers5, Tait D Shanafelt4, Amy P Abernethy6. 1. Duke Cancer Control and Population Sciences, Duke University, Durham, North Carolina, USA; Duke Cancer Institute, Duke University, Durham, North Carolina, USA. Electronic address: arif.kamal@duke.edu. 2. Four Seasons, Flat Rock, North Carolina, USA. 3. Duke Cancer Control and Population Sciences, Duke University, Durham, North Carolina, USA. 4. Mayo Clinic, Rochester, Minnesota, USA. 5. Duke Cancer Institute, Duke University, Durham, North Carolina, USA; Division of Clinical and Epidemiologic Research, Department of Obstetrics and Gynecology, Duke University, Durham, North Carolina, USA. 6. Duke Cancer Control and Population Sciences, Duke University, Durham, North Carolina, USA; Duke Cancer Institute, Duke University, Durham, North Carolina, USA.
Abstract
CONTEXT: Palliative care services are growing at an unprecedented pace. Yet, the characteristics of the clinician population who deliver these services are not known. Information on the roles, motivations, and future plans of the clinician workforce would allow for planning to sustain and grow the field. OBJECTIVES: To better understand the characteristics of clinicians within the field of hospice and palliative care. METHODS: From June through December 2013, we conducted an electronic survey of American Academy of Hospice and Palliative Medicine members. We queried information on demographics, professional roles and responsibilities, motivations for entering the field, and future plans. We compared palliative care and hospice populations alongside clinician roles using chi-square analyses. Multivariable logistic regression was used to identify predictors of leaving the field early. RESULTS: A total of 1365 persons, representing a 30% response rate, participated. Our survey findings revealed a current palliative care clinician workforce that is older, predominantly female, and generally with less than 10 years clinical experience in the field. Most clinicians have both clinical hospice and palliative care responsibilities. Many cite personal or professional growth or influential experiences during training or practice as motivations to enter the field. CONCLUSION: Palliative care clinicians are a heterogeneous group. We identified motivations for entering the field that can be leveraged to sustain and grow the workforce.
CONTEXT: Palliative care services are growing at an unprecedented pace. Yet, the characteristics of the clinician population who deliver these services are not known. Information on the roles, motivations, and future plans of the clinician workforce would allow for planning to sustain and grow the field. OBJECTIVES: To better understand the characteristics of clinicians within the field of hospice and palliative care. METHODS: From June through December 2013, we conducted an electronic survey of American Academy of Hospice and Palliative Medicine members. We queried information on demographics, professional roles and responsibilities, motivations for entering the field, and future plans. We compared palliative care and hospice populations alongside clinician roles using chi-square analyses. Multivariable logistic regression was used to identify predictors of leaving the field early. RESULTS: A total of 1365 persons, representing a 30% response rate, participated. Our survey findings revealed a current palliative care clinician workforce that is older, predominantly female, and generally with less than 10 years clinical experience in the field. Most clinicians have both clinical hospice and palliative care responsibilities. Many cite personal or professional growth or influential experiences during training or practice as motivations to enter the field. CONCLUSION: Palliative care clinicians are a heterogeneous group. We identified motivations for entering the field that can be leveraged to sustain and grow the workforce.
Authors: Krista L Harrison; Elizabeth Dzeng; Christine S Ritchie; Tait D Shanafelt; Arif H Kamal; Janet H Bull; Jon C Tilburt; Keith M Swetz Journal: J Pain Symptom Manage Date: 2017-02-11 Impact factor: 3.612
Authors: Dio Kavalieratos; Daniel E Siconolfi; Karen E Steinhauser; Janet Bull; Robert M Arnold; Keith M Swetz; Arif H Kamal Journal: J Pain Symptom Manage Date: 2017-01-04 Impact factor: 3.612
Authors: Arif H Kamal; Janet H Bull; Steven P Wolf; Keith M Swetz; Tait D Shanafelt; Katherine Ast; Dio Kavalieratos; Christian T Sinclair; Amy P Abernethy Journal: J Pain Symptom Manage Date: 2015-11-24 Impact factor: 3.612
Authors: Arif H Kamal; Devon K Check; Janet Bull; Steven Wolf; Jesse Troy; Greg Samsa; Jonathan M Nicolla; Matthew Harker; Donald H Taylor Journal: J Palliat Med Date: 2020-07-07 Impact factor: 2.947