{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T07:48:03Z","timestamp":1791791283222,"version":"4.3.4"},"reference-count":40,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T00:00:00Z","timestamp":1791763200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T00:00:00Z","timestamp":1791763200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["shmpublications.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Hospital Medicine"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>One of the Department of Veterans Affairs (VA)'s greatest contributions to US Healthcare is its commitment to education. Rural VAs are tasked with increasing the number of health professions trainees they teach, but little is known about the current experience of teaching in rural VA hospitals.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>This evaluation explores the experiences of rural VA hospitalists and identifies and describes barriers and facilitators to engagement in clinical teaching.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Using qualitative descriptive evaluation, we conducted six focus groups and one interview with hospitalists and others invested in the VA educational mission (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200927) across six hospitalist divisions at rural VAs (VA systems caring for a population that is approximately 50% rural or greater). Focus group and interview questions were developed based on literature, a hospitalist needs assessment, and clinical experience. We used rapid qualitative analysis to report findings on the domains of VA Educational Mission\u2014Rural Perspective, VA Rural Medicine, Rural VA Work\/Life Balance, and Burnout among rural VA hospitalists.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>VA educational mission contributed to rural hospitalists' decisions to work at VA, yet how teaching impacted burnout and work\/life balance varied. Rurality impacted topics taught and trainee recruitment. Rural VA teaching barriers included administrative challenges, generational differences, and lack of specialty resources. Facilitators included professional growth, amplified personal and institutional impact, and serving rural Veterans.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This evaluation identified several actionable areas to target in faculty development programs that can support rural hospitalists, including how to leverage the additive curriculum of rural medicine as an asset.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/jhm.70507","type":"journal-article","created":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T07:16:29Z","timestamp":1791789389000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["\u201cOnce they learn here\u2026they can work pretty much anywhere\u201d: Perspectives on clinical education in rural veterans affairs hospitals"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8844-791X","authenticated-orcid":false,"given":"Colleen M.","family":"Blue","sequence":"first","affiliation":[{"name":"Center of Innovation to Accelerate Discovery and Practice Transformation Durham VA Health Care System Durham North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7255-0912","authenticated-orcid":false,"given":"Madeleine R.","family":"Eldridge","sequence":"additional","affiliation":[{"name":"Center of Innovation to Accelerate Discovery and Practice Transformation Durham VA Health Care System Durham North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3103-9528","authenticated-orcid":false,"given":"Heather A.","family":"King","sequence":"additional","affiliation":[{"name":"Center of Innovation to Accelerate Discovery and Practice Transformation Durham VA Health Care System Durham North Carolina USA"},{"name":"Department of Population Health Sciences and Division of General Internal Medicine Duke University School of Medicine Durham North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-8069-9877","authenticated-orcid":false,"given":"Jennifer","family":"Zervakis","sequence":"additional","affiliation":[{"name":"Center of Innovation to Accelerate Discovery and Practice Transformation Durham VA Health Care System Durham North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-7359-7157","authenticated-orcid":false,"given":"Julia","family":"Armendariz","sequence":"additional","affiliation":[{"name":"Palo Alto VA Health Care System Palo Alto California USA"},{"name":"Stanford University School of Medicine, Affiliated Palo Alto California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3564-2807","authenticated-orcid":false,"given":"Joel C.","family":"Boggan","sequence":"additional","affiliation":[{"name":"Durham VA Health Care System Durham North Carolina USA"},{"name":"Division of Hospital Medicine Duke University School of Medicine Durham North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-0945-917X","authenticated-orcid":false,"given":"Lily","family":"Huang","sequence":"additional","affiliation":[{"name":"Durham VA Health Care System Durham North Carolina USA"},{"name":"Division of Hospital Medicine Duke University School of Medicine Durham North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3514-5878","authenticated-orcid":false,"given":"Pranav","family":"Shah","sequence":"additional","affiliation":[{"name":"Charleston VA Health Care System Charleston South Carolina USA"},{"name":"Medical University of South Carolina Charleston South Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8469-7033","authenticated-orcid":false,"given":"Matthew","family":"Soltys","sequence":"additional","affiliation":[{"name":"Iowa City VA Healthcare System Iowa City Iowa USA"},{"name":"Department of Internal Medicine University of Iowa Carver College of Medicine Iowa City Iowa USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4062-3953","authenticated-orcid":false,"given":"Laura","family":"Caputo","sequence":"additional","affiliation":[{"name":"Durham VA Health Care System Durham North Carolina USA"},{"name":"Division of Hospital Medicine Duke University School of Medicine Durham North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,12]]},"reference":[{"key":"e_1_2_11_2_1","unstructured":"Department of Veterans Affairs VA Office of Academic Affiliations Mission Statement: To Educate for VA and the Nation. [Updated 2025 1 27 cited 2025 7 16]. Title 38 U.S.C. 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