Marshfield Clinic Staffing Challenges and Trends Terri Newmier

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 } Orthotists/Prosthetists } Imaging Technologists } Scientists } Laboratory professionals } Entry-level patient care support

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

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

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

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

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

Advanced Practice Providers Nurse Practitioners/Physician Assistants } Demand increase due to physician shortage } High competition } Licensing delays affect time to fill

Pharmacists } Pharm. D, residency increase program duration } Grads want special projects, not dispensing } One school in Wisconsin } Clinic and retail pharmacies § Hours vs. Salary

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

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

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

Resulting Strategies } Commitment to education § Residency programs, Histology program } High school partnerships § School-to-Work programs

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