Marshfield Clinic:Marshfield Clinic:Staffing Challenges and Staffing Challenges and
TrendsTrends
Terri NewmierTerri NewmierJuly 2008July 2008
Critical ShortagesCritical Shortages
Certified Registered Nurse AnesthetistsCertified Registered Nurse Anesthetists
Physical TherapistsPhysical Therapists
Specialty NursesSpecialty Nurses
PhysiciansPhysicians
Advanced Practice ProvidersAdvanced Practice Providers
PharmacistsPharmacists
Additional Areas of ConcernAdditional Areas of Concern
Licensed Clinical Social WorkersLicensed Clinical Social Workers
Orthotists/ProsthetistsOrthotists/Prosthetists
Imaging TechnologistsImaging Technologists
ScientistsScientists
Laboratory professionalsLaboratory professionals
Entry-level patient care supportEntry-level patient care support
Contributing FactorsContributing Factors
Limited number of educational programsLimited number of educational programs
Extended degree requirementsExtended degree requirements
Remote/rural areas of practiceRemote/rural areas of practice
Aging workforceAging workforce
Generation Y idealsGeneration Y ideals
Certified Registered Nurse Anesthetists Certified Registered Nurse Anesthetists (CRNAs)(CRNAs)
One program in WisconsinOne program in Wisconsin Graduates ~10 students annuallyGraduates ~10 students annually
High competition among clinics and anesthesia High competition among clinics and anesthesia groupsgroups
Difficulty attracting to rural areasDifficulty attracting to rural areas
Physical TherapistsPhysical Therapists
Five schools in state offering programFive schools in state offering program
Doctoral programs Doctoral programs Time lag for new grads into workforceTime lag for new grads into workforce
Average of 8 months to fill in Northern WI Average of 8 months to fill in Northern WI centercenter
Registered NursesRegistered Nurses
Borrow from hospitals and competitionBorrow from hospitals and competition
Specialty nurse shortageSpecialty nurse shortage Oncology, Cardiology, Surgical areasOncology, Cardiology, Surgical areas New grads cannot replace experience of retireesNew grads cannot replace experience of retirees
Incentive to further education Incentive to further education
PhysiciansPhysicians
Schools not producing enough gradsSchools not producing enough grads
Difficulty in remote areasDifficulty in remote areas Increased call, procedures, outreachIncreased call, procedures, outreach
Great need for specialized providersGreat need for specialized providers
Increased demand by populationIncreased demand by population Harder to fill primary care positionsHarder to fill primary care positions
Advanced Practice ProvidersAdvanced Practice ProvidersNurse Practitioners/Physician AssistantsNurse Practitioners/Physician Assistants
Demand increase due to physician shortageDemand increase due to physician shortage
High competitionHigh competition
Licensing delays affect time to fillLicensing delays affect time to fill
PharmacistsPharmacists
PharmD, residency increase program durationPharmD, residency increase program duration
Grads want special projects, not dispensingGrads want special projects, not dispensing
One school in WisconsinOne school in Wisconsin
Clinic and retail pharmaciesClinic and retail pharmacies Hours vs. SalaryHours vs. Salary
Other Areas Other Areas
License Clinical Social Workers (LCSW)License Clinical Social Workers (LCSW) 3000 experience hours for licensure3000 experience hours for licensure
Orthotists/ProsthetistsOrthotists/Prosthetists High demand, limited programsHigh demand, limited programs
Imaging TechnologistsImaging Technologists Limited programs, insurance regulationsLimited programs, insurance regulations
Other AreasOther Areas
Laboratory (Histologists, Med Techs)Laboratory (Histologists, Med Techs) Limited program availabilityLimited program availability
Research ScientistsResearch Scientists Niche research areasNiche research areas
Entry-level patient care support staffEntry-level patient care support staff Lack of experience/education, high turnoverLack of experience/education, high turnover
Resulting StrategiesResulting Strategies
Partner with technical schools, universitiesPartner with technical schools, universities
Tuition Assistance Program Tuition Assistance Program
Loan agreementsLoan agreements
Wisconsin Academy for Rural Medicine (WARM)Wisconsin Academy for Rural Medicine (WARM)
Resulting StrategiesResulting Strategies
Commitment to educationCommitment to education Residency programs, Histology programResidency programs, Histology program
High school partnershipsHigh school partnerships School-to-Work programsSchool-to-Work programs
Terri NewmierTerri Newmier
Marshfield Clinic Marshfield Clinic
Human ResourcesHuman Resources
[email protected]@marshfieldclinic.org