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Marshfield Clinic: Staffing Challenges and Trends

Marshfield Clinic: Staffing Challenges and Trends. Terri Newmier July 2008. Critical Shortages. Certified Registered Nurse Anesthetists Physical Therapists Specialty Nurses Physicians Advanced Practice Providers Pharmacists. Additional Areas of Concern. Licensed Clinical Social Workers

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Marshfield Clinic: Staffing Challenges and Trends

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  1. Marshfield Clinic:Staffing Challenges and Trends Terri Newmier July 2008

  2. Critical Shortages • Certified Registered Nurse Anesthetists • Physical Therapists • Specialty Nurses • Physicians • Advanced Practice Providers • Pharmacists

  3. Additional Areas of Concern • Licensed Clinical Social Workers • Orthotists/Prosthetists • Imaging Technologists • Scientists • Laboratory professionals • Entry-level patient care support

  4. Contributing Factors • Limited number of educational programs • Extended degree requirements • Remote/rural areas of practice • Aging workforce • Generation Y ideals

  5. Certified Registered Nurse Anesthetists (CRNAs) • One program in Wisconsin • Graduates ~10 students annually • High competition among clinics and anesthesia groups • Difficulty attracting to rural areas

  6. Physical Therapists • Five schools in state offering program • Doctoral programs • Time lag for new grads into workforce • Average of 8 months to fill in Northern WI center

  7. Registered Nurses • Borrow from hospitals and competition • Specialty nurse shortage • Oncology, Cardiology, Surgical areas • New grads cannot replace experience of retirees • Incentive to further education

  8. Physicians • Schools not producing enough grads • Difficulty in remote areas • Increased call, procedures, outreach • Great need for specialized providers • Increased demand by population • Harder to fill primary care positions

  9. Advanced Practice ProvidersNurse Practitioners/Physician Assistants • Demand increase due to physician shortage • High competition • Licensing delays affect time to fill

  10. Pharmacists • PharmD, residency increase program duration • Grads want special projects, not dispensing • One school in Wisconsin • Clinic and retail pharmacies • Hours vs. Salary

  11. Other Areas • License Clinical Social Workers (LCSW) • 3000 experience hours for licensure • Orthotists/Prosthetists • High demand, limited programs • Imaging Technologists • Limited programs, insurance regulations

  12. Other Areas • Laboratory (Histologists, Med Techs) • Limited program availability • Research Scientists • Niche research areas • Entry-level patient care support staff • Lack of experience/education, high turnover

  13. Resulting Strategies • Partner with technical schools, universities • Tuition Assistance Program • Loan agreements • Wisconsin Academy for Rural Medicine (WARM)

  14. Resulting Strategies • Commitment to education • Residency programs, Histology program • High school partnerships • School-to-Work programs

  15. Terri Newmier Marshfield Clinic Human Resources newmier.terri@marshfieldclinic.org

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