Perceptions of Barriers Among Hospital Internal Medicine Providers to Participating in Research

HEXAGON's research barriers study aimed to understand hospitalists' perceptions of academic rank and promotion, research skills and experience, and the importance of participating in hospital internal medicine research.

Hospitalists have guidelines for managing specific disease conditions such as acute coronary syndrome, cerebrovascular stroke and chronic obstructive pulmonary disease. However, relatively few evidence-based guidelines have been developed to care for patients with multiple, chronic diseases or conditions (multimorbidity) who have complex symptoms or unclear diagnoses (undifferentiated medical conditions).

Further, there have been few, if any, organized efforts to collect, synthesize and analyze information that could guide development of interventions for such patients. Most new evidence to guide hospital care will be generated by hospital internal medicine providers.

HEXAGON's survey drove advances in hospital patient care by asking physician assistants, nurse practitioners and physicians in the Mayo Clinic Division of Hospital Internal Medicine to identify barriers — such as limited research skills and experience — that have prevented them from participating in research.

Based on survey results, HEXAGON finds and develops interventions — including training programs, services, resources and research career support — and makes them available to hospitalists. These resources help hospitalists participate in research more often, more confidently and more effectively, thereby contributing to better patient care throughout Mayo Clinic and across the field.

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