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

newmier.terri@marshfieldclinic.orgnewmier.terri@marshfieldclinic.org