Pediatric hospitalists' influences on education and career plans

Daru, Jennifer A.; Holmes, Alison; Starmer, Amy J.; Aquino, Julia; Rauch, Daniel A.

doi:10.1002/jhm.962

Cited by 7 publications

(16 citation statements)

References 12 publications

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“…Our study demonstrates that academic PHM programs are common, which is consistent with previous data . The data support our belief that more institutions are planning on starting PHM programs.…”

Section: Discussionsupporting

confidence: 92%

“…Pediatric hospital medicine (PHM) is a relatively new field that has been growing rapidly over the past 20 years . The field has been increasingly recognized for its contributions to high‐quality patient care, patient safety, systems improvement, medical education, and research . However, there appears to be significant variation among programs, even in basic factors such as how clinical effort is defined, the extent of in‐house coverage provided, and the scope of clinical services provided, and there exists a paucity of data describing these variations …”

mentioning

confidence: 99%

“…Most previously published work did not specifically focus on academic programs, and specifically targeted hospital leadership, practicing hospitalists, residents, and pediatric residency or clerkship directors, rather than hospitalist directors . Furthermore, previous work focused on specific aspects of PHM programs such as education, value, work environment, and clinical practice, rather than a more comprehensive approach.…”

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confidence: 99%

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Survey of academic pediatric hospitalist programs in the US: Organizational, administrative, and financial factors

Gosdin

Simmons

Yau

et al. 2013

Journal of Hospital Medicine

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BACKGROUND Many pediatric academic centers have hospital medicine programs. Anecdotal data suggest that variability exists in program structure. OBJECTIVE To provide a description of the organizational, administrative, and financial structures of academic pediatric hospital medicine (PHM). METHODS This online survey focused on the organizational, administrative, and financial aspects of academic PHM programs, which were defined as hospitalist programs at US institutions associated with accredited pediatric residency program (n = 246) and identified using the Accreditation Council for Graduate Medical Education (ACGME) Fellowship and Residency Electronic Interactive Database. PHM directors and/or residency directors were targeted by both mail and the American Academy of Pediatrics Section on Hospital Medicine LISTSERV. RESULTS The overall response rate was 48.8% (120/246). 81.7% (98/120) of hospitals reported having an academic PHM program, and 9.1% (2/22) of hospitals without a program reported plans to start a program in the next 3 years. Over a quarter of programs provide coverage at multiple sites. Variability was identified in many program factors, including hospitalist workload and in‐house coverage provided. Respondents reported planning increased in‐house hospitalist coverage coinciding with the 2011 ACGME work‐hour restrictions. Few programs reported having revenues greater than expenses (26% single site, 4% multiple site). CONCLUSIONS PHM programs exist in the majority of academic centers, and there appears to be variability in many program factors. This study provides the most comprehensive data on academic PHM programs and can be used for benchmarking as well as program development. Journal of Hospital Medicine 2013;8:285–291. © 2013 Society of Hospital Medicine

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Section: Discussionsupporting

confidence: 92%

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confidence: 99%

mentioning

confidence: 99%

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Survey of academic pediatric hospitalist programs in the US: Organizational, administrative, and financial factors

Gosdin

Simmons

Yau

et al. 2013

Journal of Hospital Medicine

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“…Hospitalists in a variety of specialties are perceived to have a positive impact on areas ranging from quality and cost effectiveness of inpatient care to student education and are in demand because of this. 12,[18][19][20][21][22] In time, academic neurohospitalists may be perceived similarly. A recent study at one academic medical center demonstrated a decreased length of stay and cost associated with a neurohospitalist service as well as improved medical student satisfaction without compromise of resident satisfaction with clinician educators.…”

Section: Discussionmentioning

confidence: 99%

Neurohospitalists: Perceived Need and Training Requirements in Academic Neurology

Probasco¹,

George

Dorsey³

et al. 2013

The Neurohospitalist

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Background and Purpose: We sought to determine the current practices and plans for departmental hiring of neurohospitalists at academic medical centers and to identify the core features of a neurohospitalist training program. Methods: We surveyed department chairs or residency program directors at 123 Accreditation Council for Graduate Medical Education (ACGME)-accredited US adult neurology training programs. Results: Sixty-three(51% response rate) responded, 76% of whom were program directors. In all, 24 (38%) academic neurology departments reported employing neurohospitalists, and an additional 10 departments have plans to hire neurohospitalists in the next year. In all, 4 academic neurology departments have created a neurohospitalist training program, and 10 have plans to create a training program within the next 2 years. Hospitals were the most frequent source of funding for established and planned programs (93% of those reporting). Most (n ¼ 39; 65%) respondents felt that neurohospitalist neurology should be an ACGME-accredited fellowship. The highest priority neurohospitalist training elements among respondents included stroke, epilepsy, and consult neurology as well as patient safety and cost-effective inpatient care. The most important procedural skills for a neurohospitalist, as identified by respondents, include performance of brain death evaluations, lumbar punctures, and electroencephalogram interpretation. Conclusions: Neurohospitalists have emerged as subspecialists within neurology, growing both in number and in scope of responsibilities in practice. Neurohospitalists are in demand among academic departments, with many departments developing their existing presence or establishing a new presence in the field. A neurohospitalist training program may encompass training in stroke, epilepsy, and consult neurology with additional focus on patient safety and cost-effective care.

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“…Previous work has not attempted to clearly acknowledge or distinguish this group from others and thus may not show as robustly the impact of "career" hospitalists in either clinical or administrative roles. [16][17][18] An important limitation of this study is that it only measures "intent" and not actual practice. As such, it is possible that some who reported intent to only spend ≤5 years as a hospitalist will fi nd they enjoy the work so much that they remain in the fi eld.…”

Section: Table 2 Proportion Of Those Who Intended Their First Job To mentioning

confidence: 99%

Long-term Plans for Those Selecting Hospital Medicine as an Initial Career Choice

Freed

McGuinness

Althouse

et al. 2015

Hospital Pediatrics

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BACKGROUND: The proportion of the newly graduated pediatric workforce that becomes hospitalists has been increasing slightly over the past decade. However, it is unknown what proportion of those who accept hospitalist positions as their fi rst job intend to remain in the fi eld longer term. This is important to workforce projections regarding the magnitude of those who will function in this role. METHODS:The American Board of Pediatrics incorporated a structured questionnaire within the online application process to the General Pediatrics certifi cation application. Respondents identifi ed as residents or chief residents who selected "hospitalist position" as their immediate postresidency plan were the focus this study. We compared survey responses by gender and location of the medical school attended. RESULTS:Since the initiation of the general pediatrics certifi cation examination application survey, 6335 completed the questionnaire. 79% (n = 5001) were either in residency training or were a chief resident. Of those, 8% (n = 376) reported they planned to work as a pediatric hospitalist immediately after completing residency. Fewer than half (43%; n = 161) reported this to be their long-term career plan. This fi nding varied by both medical school type and by gender. CONCLUSIONS:The majority of pediatric residents and chief residents who take hospitalist positions immediately after training do not intend for hospital practice to be the long-term focus of their careers. As the fi eld of hospital medicine continues to develop, understanding career trajectories can help inform current and future efforts regarding the potential for different mechanisms for training and certifi cation. Long-term Plans for Those Selecting Hospital Medicine as an Initial Career ChoiceMuch recent attention has been focused on those who practice hospital medicine (aka, hospitalists) and the potential for recognition of these clinicians into a defi ned fi eld of practice.1 Over the past several years, there have been efforts to establish specifi c training programs to prepare hospitalists for a unique role in the health care system.2 Although currently variable in content and duration, such programs are growing in number. However, there are currently no fi xed expectations or requirements for those who practice hospital medicine. Thus, the "price of entry" into the fi eld is lower than formally trained subspecialists and similar to general pediatricians. As such, there are fewer barriers to changing direction, and some who begin their clinical careers as hospitalists may not remain in those roles over time.

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Pediatric hospitalists' influences on education and career plans

Cited by 7 publications

References 12 publications

Survey of academic pediatric hospitalist programs in the US: Organizational, administrative, and financial factors

Survey of academic pediatric hospitalist programs in the US: Organizational, administrative, and financial factors

Neurohospitalists: Perceived Need and Training Requirements in Academic Neurology

Long-term Plans for Those Selecting Hospital Medicine as an Initial Career Choice

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