Just Give Me a Break! Navigating Time Off for Hospitalists-Presentation

Video Transcription

Video Summary

This Practice Management Webinar, hosted by the Society of Hospital Medicine (SHM), explores paid time off (PTO) models in hospital medicine, discussing operational challenges, financial implications, and workforce well-being. Panelists from Johns Hopkins Bayview, Overlook Medical Center, and Emory University shared institutional PTO structures, covering accrual methods, shift requirements (typically ~184-195 shifts/year, 12-hour coverage), and advance PTO requests (usually 3+ months). All emphasize the importance of balancing flexibility and continuity, with approaches including seven-on, seven-off shifts, admittor/rounder models, and backup “jeopardy” coverage complemented by per diem and locum tenens providers.<br /><br />The discussion highlighted trends over the past 10-15 years, noting increased PTO use driven by life events and growing awareness of burnout and wellness. Studies cited show PTO’s significant role in reducing burnout rates among hospitalists. Cultural shifts since COVID-19 have made clinicians more comfortable utilizing PTO for health and family needs, though feelings of coverage burden remain.<br /><br />Financially, PTO requires strategic planning: groups often adjust work hours, hire buffer FTEs, or incorporate extra shifts to fund PTO without salary cuts. Effective PTO programs can reduce costly locum use and improve retention.<br /><br />Implementation advice includes collaborating with HR and administration to align PTO with legal mandates, institutional needs, and finances, while tailoring policies to group values. Metrics for success include PTO utilization rates, planned vs. unplanned absences, morale surveys, and reductions in moonlighting costs.<br /><br />Panelists also detailed additional leave types (FMLA, maternity/paternity, bereavement) and stressed flexible scheduling beyond PTO, such as remote charting and accommodating life events, to support hospitalist well-being and retention.

Keywords

Practice Management Webinar

Society of Hospital Medicine

Paid Time Off

Hospital Medicine

Operational Challenges

Financial Implications

Workforce Well-being

Burnout Reduction

PTO Models

Flexible Scheduling