The hospitalist movement in general pediatrics

Friedman, Jeremy

doi:10.1097/mop.0b013e3283402ecc

Cited by 12 publications

(6 citation statements)

References 61 publications

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“…The American Academy of Pediatrics developed guidance for hospitals with regard to having a pediatric hospitalist service. 19 In 2010, core competencies were developed and published for this relatively new field. 20 At our institution, pediatric hospitalists have collaborated with pediatric anesthesiologists to develop a model where specifically trained hospitalists can administer procedural sedation.…”

Section: Discussionmentioning

confidence: 99%

Complex pediatric wound care with a dedicated pediatric wound care service: a review of our 12-year experience

Bernabe¹

2016

CWCMR

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Pediatric skin and soft tissue infections and wounds are on the rise. The effects of this increase are being felt in the emergency department and inpatient hospital settings. The costs associated with evaluation and management of children with surgical wounds and soft tissue infections are not insignificant. This is a review of our single institutional experience with delivery of wound care for the increasing pediatric skin infection and wound population utilizing a specific model for the past 12 years. It is especially tailored for complex pediatric wounds that would otherwise be cared for in the operating room setting.

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Section: Discussionmentioning

confidence: 99%

Complex pediatric wound care with a dedicated pediatric wound care service: a review of our 12-year experience

Bernabe¹

2016

CWCMR

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“…Based on our own experience at UCSF, there is rising interest among trainees to explore careers focused on the inpatient setting, which is consistent with trends seen in pediatrics and adult neurology. 1,4 They would need to acquire systems-based skills through mentorship from other hospitalists and national consortia. Initially, they could learn from pediatric hospitalists who have developed fellowship programs throughout the country.…”

Section: Unknown Implications and Potentialmentioning

confidence: 99%

Should there be pediatric neurohospitalists?

et al. 2013

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Hospitalist medicine has gown rapidly over the past decade in response to increasing complexity of hospitalized patients, financial pressures, and a national call for improved quality and safety outcomes. An adult neurohospitalist model of care has recently emerged to address these factors and the need for inpatient neurologists who offer expertise and immediate availability for emergent neurologic conditions such as acute stroke and status epilepticus. Similarly, hospitalized children with acute neurologic disorders require a uniquely high level of care, which increasingly cannot be delivered by pediatric neurologists with busy outpatient practices or by pediatric hospitalists without specialized training. This perspective explores the concept of a pediatric neurohospitalist model of care, including the potential impact on quality of care, hospitalization costs, and education.

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“…Current efforts to develop core competencies and standards of practice may be affected by the current heterogeneity among those who practice hospital medicine and the potential variability in their interest to conform to specifi c norms. 15 As the fi eld matures and seeks greater definition and clarity, methods to address the professional standards of these short-term hospitalist physicians will become more essential. Currently, efforts to defi ne the quality of care, educational impact, and resource utilization of hospitalists versus other physicians may be tempered by a lack of precision regarding the role of these short-term practitioners.…”

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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The hospitalist movement in general pediatrics

Cited by 12 publications

References 61 publications

Complex pediatric wound care with a dedicated pediatric wound care service: a review of our 12-year experience

Complex pediatric wound care with a dedicated pediatric wound care service: a review of our 12-year experience

Should there be pediatric neurohospitalists?

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

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