Hospitalistsʼ Involvement in Pediatrics Training: Perspectives From Pediatric Residency Program and Clerkship Directors

Freed, Gary L.; Dunham, Kelly M.; Lamarand, Kara E.

doi:10.1097/acm.0b013e3181bb1f0d

Cited by 22 publications

(18 citation statements)

References 19 publications

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“…The growth of PHM has prompted an in-depth look at the field by the ABP. 1,12,13 PHM programs appear to have become part of the fabric of pediatric care, with the majority of hospitals with PHM programs planning to continue the programs despite the need to pay for value-added by hospitalists beyond revenue received for their direct clinical service. 13 Looking forward, when the Institute of Medicine recommendations to further restrict resident work hours to 16 hour shifts are implemented, many programs plan on increasing their PHM programs.…”

Section: Discussionmentioning

confidence: 99%

“…12 Training programs should consider this impact when selecting attending hospitalists and supporting their roles as mentors and educators. As residents finish their training and seek positions as pediatric hospitalists, programs need to be aware that a significant percentage of residents in our survey see PHM as a short-term career option and/or fail to see a difference between a PH job and their own.…”

Section: Discussionmentioning

confidence: 99%

“…Given that most residencies have PHM services, 12 this distinction is unlikely to be significant. In looking at training desires, we did not compare them to residents considering entering other fields of medicine.…”

Section: Discussionmentioning

confidence: 99%

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Pediatric hospitalists' influences on education and career plans

Daru

Holmes

Starmer

et al. 2011

Journal of Hospital Medicine

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BACKGROUND:Pediatric hospitalist (PH) presence is rapidly increasing, yet little is known about pediatric resident exposure to hospitalists, or how this affects resident education/career decisions.OBJECTIVES:To determine resident exposure to pediatric hospitalists; examine resident opinions regarding hospitalists' roles; examine resident opinion of hospital medicine career training needs; explore how resident exposure to hospitalists affects career choices.METHODS:Survey of random sample of 300 residents from the American Academy of Pediatrics Section on Residents database.RESULTS:Two‐hundred seventy‐nine pediatric residents surveyed; 120(43%) responded with variance by question; 90% work with hospitalists during residency. Of this national sample, 82% cite hospitalists as enhancing education. A majority (64%) believe pediatric hospitalists are better than primary care physicians at caring for complex inpatients; 28% felt PH provided better care for routine admissions. Over one‐third surveyed are considering a career in Pediatric Hospital Medicine (PHM); 7% plan to enter the field upon graduation. Residents cited opportunities to participate in education, flexible hours, and better salaries as the top 3 reasons to become a hospitalist. Ten percent felt there was no difference between resident and hospitalist positions; 21% see PHM as a short‐term job without long‐term potential. Of residents entering Primary Care, a majority (59%) stated that the availability of hospitalists would positively influence their choice of a practice position; 7% said they were “less likely to choose to practice Primary Care Pediatrics because of hospitalists.”CONCLUSIONS:PH have a role in physician training. While PHM has become a career consideration for trainees, more work needs to be done to improve the perception of PHM as a viable long‐term career. Journal of Hospital Medicine 2012;. © 2011 Society of Hospital Medicine

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Pediatric hospitalists' influences on education and career plans

Daru

Holmes

Starmer

et al. 2011

Journal of Hospital Medicine

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“…In the past, most studies have shown that pediatric hospitalists are generally rated as better teachers than their traditional attending counterparts and that residents did not feel that hospitalists impacted negatively on their autonomy [40 ,41]. Freed et al [42 ] explored these issues further through a survey of 170 residency directors and 131 clerkship directors. This survey supports the theory that pediatric hospitalists are heavily involved in clinical teaching, especially when it comes to issues around, for example, quality, efficiency, and resource utilization.…”

Section: Hospitalists As Teachersmentioning

confidence: 98%

The hospitalist movement in general pediatrics

Friedman¹

2010

Current Opinion in Pediatrics

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In general, there continue to be reports of positive outcomes as a result of the introduction of the hospitalist model in pediatrics. Much of the current literature is geared toward reporting on alternative models of care, inpatient quality and safety initiatives, and hospitalist teaching. What is still somewhat lacking is multicenter collaborative prospective clinical trials for common inpatient general pediatric conditions. The variation reported in the management of common conditions presents an opportunity for improving the quality, safety, resource utilization, and appropriateness of care.

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“…13 A generalist philosophy is central to what many hospitalists teach and role model. The generalist's philosophy includes concepts such as a broad outlook, integration, continuity, and collaboration.…”

Section: Teaching and Role Modelingmentioning

confidence: 99%