Characteristics of the Combined Internal Medicine–Pediatrics Workforce

Donnelly, Michael; Thornton, Sarah C.; Radabaugh, Carrie L.; Friedland, Allen R.; Cross, J. Thomas; Ruch‐Ross, Holly S.

doi:10.1016/j.amjmed.2015.08.013

Cited by 8 publications

(11 citation statements)

References 13 publications

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“…Our results are in line with prior surveys outlining that a majority of med-peds physicians practice both adult and pediatric hospital medicine [ 2 , 3 , 10 ]. The growing number of practicing med-peds hospitalists demands a better understanding and distinction of the unique needs of these doctors in order to better identify career opportunities and areas for improvement.…”

Section: Discussionsupporting

confidence: 92%

“…This survey describes the institutional characteristics and practice patterns of actively practicing med-peds hospitalists. An estimated 100 new med-peds hospitalists join the workforce each year [ 9 ], with an estimated total number of practicing med-peds hospitalists in 2015 at around 350-400 total [ 2 ]. Based on the reported numbers of hospitalists per group from this study (approximately 250 on a low estimate), this survey encompasses a large proportion of the estimated total of those practicing med-peds hospitalists.…”

Section: Discussionmentioning

confidence: 99%

“…The growing number of practicing med-peds hospitalists demands a better understanding and distinction of the unique needs of these doctors in order to better identify career opportunities and areas for improvement. Prior literature reviewed the combined med-peds hospital medicine workforce via the lens of graduate medical education [ 2 , 3 ], and current trainee perspectives [ 6 ]; this survey adds the perspective of the active med-peds hospitalist workforce.…”

Section: Discussionmentioning

confidence: 99%

“…In a 2015 American Association of Medical Colleges (AAMC) survey of med-peds physicians, 22.4% reported practicing as hospitalists, with a majority being early-career physicians practicing for less than 10 years. Over 80% of these clinicians saw both adults and children in their practice [ 2 , 3 ]. These sampled data demonstrate the ongoing growth of med-peds graduates who are seeking a defined hospitalist role involving both adult and pediatric care.…”

Section: Introductionmentioning

confidence: 99%

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Workforce Characteristics of Med-Peds Hospitalists

Moza¹,

Fish²

2022

Cureus

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Objective This article aims to describe the workplace characteristics of internal medicine and pediatrics (med-peds) hospitalists practicing hospital medicine (as internal medicine hospitalists, pediatric hospitalists, or both) in the United States. Methods The investigators conducted a cross-sectional survey of med-peds hospitalists via distribution through online platforms supported by the Society of Hospital Medicine (SHM), the American Academy of Pediatrics (AAP), and Twitter™. This sample was then reviewed and evaluated for similarities and differences in workplace characteristics. Results One hundred and sixteen respondents completed the survey and provided data on 63 unique institutions employing med-peds hospitalists. Of these institutions, 46% (n=29) employed six or more med-ped hospitalists within their hospital system. Furthermore, 44% (n = 28) of the institutions utilized the med-peds skillset to meet patient care needs in their hospitals. Forty hospitalists from 24 unique institutions saw both adults and children on the same day. Only 5.6% (n=6) of respondents were fellowship-trained. Interestingly, 34.9% of institutions (n=22) were required to provide adult-based care (age >21 years) within the pediatric hospital due to the COVID-19 pandemic. Of note, 35.5% (n=38) of participants from 24 unique institutions stated a high likelihood of hiring additional med-peds hospitalists in the next one to two years. Conclusions Med-peds hospitalists have a unique role within the hospitalist workforce given the variety of practice patterns and clinical needs they can fill within a hospital system. This survey provides the first sampling of workplace characteristics for actively practicing med-peds hospitalists in the United States.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Workforce Characteristics of Med-Peds Hospitalists

Moza¹,

Fish²

2022

Cureus

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“…A recent study of medicine-pediatrics physicians revealed that although they are likely to include pediatric care in their practices, the contribution of combined internal medicine and pediatrics physicians to pediatric primary care has decreased. 60 In fact, more recent graduates of combined internal medicine and pediatrics training programs are more likely to become specialists and to identify as hospitalist physicians. In addition, we did not include surgeons who provide care to pediatric patients.…”

Section: Limitationsmentioning

confidence: 99%

International Medical Graduates in the Pediatric Workforce in the United States

2020

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BACKGROUND AND OBJECTIVES: To describe the supply, distribution, and characteristics of international medical graduates (IMGs) in pediatrics who provide patient care in the United States. METHODS: Cross-sectional study, combining data from the 2019 Physician Masterfile of the American Medical Association and the Educational Commission for Foreign Medical Graduates database. RESULTS: In total, 92 806 pediatric physicians were identified, comprising 9.4% of the entire US physician workforce. Over half are general pediatricians. IMGs account for 23.2% of all general pediatricians and pediatric subspecialists. Of all IMGs in pediatrics, 22.1% or 4775 are US citizens who obtained their medical degree outside the United States or Canada, and 15.4% (3246) attended medical school in the Caribbean. Fifteen non-US medical schools account for 29.9% of IMGs currently in active practice in pediatrics in the United States. IMGs are less likely to work in group practice or hospital-based practice and are more likely to be employed in solo practice (compared with US medical school graduates). CONCLUSIONS: With this study, we provide an overview of the pediatric workforce, quantifying the contribution of IMGs. Many IMGs are US citizens who attend medical school abroad and return to the United States for postgraduate training. Several factors, including the number of residency training positions, could affect future numbers of IMGs entering the United States. Longitudinal studies are needed to better understand the implications that workforce composition and distribution may have for the care of pediatric patients.

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