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Value, Support, and Advancement: An Organization’s Role in Faculty Career Intentions in Academic Medicine

PURPOSE: Faculty engagement in academic medical centers is essential to advancing efficient healthcare delivery, research productivity, and organizational quality. The authors used turnover theory to empirically examine factors that influence faculty engagement, including both aspirational and attri...

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Autores principales: Sancheznieto, Fátima, Byars-Winston, Angela
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8610756/
https://www.ncbi.nlm.nih.gov/pubmed/34824557
http://dx.doi.org/10.2147/JHL.S334838
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author Sancheznieto, Fátima
Byars-Winston, Angela
author_facet Sancheznieto, Fátima
Byars-Winston, Angela
author_sort Sancheznieto, Fátima
collection PubMed
description PURPOSE: Faculty engagement in academic medical centers is essential to advancing efficient healthcare delivery, research productivity, and organizational quality. The authors used turnover theory to empirically examine factors that influence faculty engagement, including both aspirational and attrition-related career intentions. METHODS: Using a convergent, mixed methods design, the authors surveyed 284 faculty at a large Midwestern public university’s school of medicine in Fall 2015, Fall 2016, and Spring 2017. The study’s questionnaire included a series of scales which informed three outcome variables (promotion aspirations, leadership aspirations, and intent to leave the organization) and four groups (role strain, work–family conflict, organizational commitment and support, and departmental commitment and support) of predictor variables, all of which have been previously validated with medical faculty populations. The scales were followed by open-ended questions which allowed respondents to further elaborate on their experiences in their organization related to each outcome variable. The authors used a hierarchical multiple regression model to assess the effect of each of the four groups of predictor variables on the outcome variables and then employed an iterative thematic analysis of open-ended responses to further elucidate faculty’s reported experiences. RESULTS: Organizational commitment and support were significantly associated with faculty’s promotion aspirations, leadership aspirations, and intentions to leave the organization. Thematic analysis of participant responses to open-ended questions further revealed the specific career development support faculty desired, mainly, streamlined and transparent promotion and leadership processes; clear guidance to maneuver these processes; holistic professional development opportunities; feeling valued; and supports for clinical and administrative tasks. CONCLUSION: Advancing organizational policy that supports infrastructure for evidence-based interventions and programming for the intentional career development of faculty is an important aspect of a proactive talent development and retention model in academic medical centers.
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spelling pubmed-86107562021-11-24 Value, Support, and Advancement: An Organization’s Role in Faculty Career Intentions in Academic Medicine Sancheznieto, Fátima Byars-Winston, Angela J Healthc Leadersh Original Research PURPOSE: Faculty engagement in academic medical centers is essential to advancing efficient healthcare delivery, research productivity, and organizational quality. The authors used turnover theory to empirically examine factors that influence faculty engagement, including both aspirational and attrition-related career intentions. METHODS: Using a convergent, mixed methods design, the authors surveyed 284 faculty at a large Midwestern public university’s school of medicine in Fall 2015, Fall 2016, and Spring 2017. The study’s questionnaire included a series of scales which informed three outcome variables (promotion aspirations, leadership aspirations, and intent to leave the organization) and four groups (role strain, work–family conflict, organizational commitment and support, and departmental commitment and support) of predictor variables, all of which have been previously validated with medical faculty populations. The scales were followed by open-ended questions which allowed respondents to further elaborate on their experiences in their organization related to each outcome variable. The authors used a hierarchical multiple regression model to assess the effect of each of the four groups of predictor variables on the outcome variables and then employed an iterative thematic analysis of open-ended responses to further elucidate faculty’s reported experiences. RESULTS: Organizational commitment and support were significantly associated with faculty’s promotion aspirations, leadership aspirations, and intentions to leave the organization. Thematic analysis of participant responses to open-ended questions further revealed the specific career development support faculty desired, mainly, streamlined and transparent promotion and leadership processes; clear guidance to maneuver these processes; holistic professional development opportunities; feeling valued; and supports for clinical and administrative tasks. CONCLUSION: Advancing organizational policy that supports infrastructure for evidence-based interventions and programming for the intentional career development of faculty is an important aspect of a proactive talent development and retention model in academic medical centers. Dove 2021-11-19 /pmc/articles/PMC8610756/ /pubmed/34824557 http://dx.doi.org/10.2147/JHL.S334838 Text en © 2021 Sancheznieto and Byars-Winston. https://creativecommons.org/licenses/by-nc/3.0/This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/ (https://creativecommons.org/licenses/by-nc/3.0/) ). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php).
spellingShingle Original Research
Sancheznieto, Fátima
Byars-Winston, Angela
Value, Support, and Advancement: An Organization’s Role in Faculty Career Intentions in Academic Medicine
title Value, Support, and Advancement: An Organization’s Role in Faculty Career Intentions in Academic Medicine
title_full Value, Support, and Advancement: An Organization’s Role in Faculty Career Intentions in Academic Medicine
title_fullStr Value, Support, and Advancement: An Organization’s Role in Faculty Career Intentions in Academic Medicine
title_full_unstemmed Value, Support, and Advancement: An Organization’s Role in Faculty Career Intentions in Academic Medicine
title_short Value, Support, and Advancement: An Organization’s Role in Faculty Career Intentions in Academic Medicine
title_sort value, support, and advancement: an organization’s role in faculty career intentions in academic medicine
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8610756/
https://www.ncbi.nlm.nih.gov/pubmed/34824557
http://dx.doi.org/10.2147/JHL.S334838
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