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Elster MJ, Cohen A, Herchline D, Chieco D, Hoefert J, Denniston S. The transition to Pediatric Hospital Medicine fellowship: A national survey-based needs assessment. J Hosp Med 2024; 19:159-164. [PMID: 38263765 DOI: 10.1002/jhm.13278] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/23/2023] [Revised: 12/12/2023] [Accepted: 12/22/2023] [Indexed: 01/25/2024]
Abstract
BACKGROUND Each year, the number of fellows entering Pediatric Hospital Medicine (PHM) fellowship is increasing. Residency curricula do not always prepare trainees for all aspects of PHM as a specialty and gaps often exist in the transition to fellowship. OBJECTIVE To explore the preparedness of PHM fellows for clinical, teaching, and scholarship tasks at the start of fellowship and to identify opportunities for residency and fellowship program development. DESIGN Quantitative survey. SETTING AND PARTICIPANTS Current and recently graduated PHM fellows (matriculation years 2019-2022). METHODS We conducted a national cross-sectional survey from July 2022 to February 2023. We designed survey questions based on PHM fellowship core competencies. MAIN OUTCOME AND MEASURES We asked participants to rate preparedness for tasks on a 5-point Likert scale (1 = very unprepared, 5 = very prepared). We analyzed numerical data using descriptive and comparative statistics and free-response data using inductive content analysis. RESULTS We received 223 responses to our survey (response rate 74%). Of the respondents, 25% reported no PHM-specific orientation at their program (n = 55). Respondents reported lower median preparedness for research (3, interquartile range [IQR] [2,4]) and teaching tasks (4, IQR [4,4]) compared to clinical tasks (4, IQR [4,5]) at the start of fellowship (p < 0.01, p < 0.01). Content analysis revealed most fellows wished they had received more training around scholarship at the start of fellowship. CONCLUSIONS Many PHM fellows enter fellowship feeling inadequately prepared, particularly in scholarship and teaching. Our findings suggest that residency and fellowship programs need to develop more robust curricula to better prepare trainees for successful PHM fellowship. This national survey-based needs assessment should serve as a guide for further program development.
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Affiliation(s)
- Martha J Elster
- Division of Pediatric Hospital Medicine, The University of California, San Francisco, San Francisco, California, USA
| | - Adam Cohen
- Division of Pediatric Hospital Medicine, Baylor College of Medicine/Texas Children's Hospital, Houston, Texas, USA
| | - Daniel Herchline
- Division of Hospital Medicine, Cincinnati Children's Hospital, Cincinnati, Ohio, USA
| | - Deanna Chieco
- Division of Pediatric Hospital Medicine, Icahn School of Medicine at Mount Sinai, New York, New York, USA
| | - Jennifer Hoefert
- Division of Pediatric Hospital Medicine, Saint Louis University School of Medicine, SSM Health Cardinal Glennon Children's Hospital, St. Louis, Missouri, USA
| | - Sarah Denniston
- Division of Pediatric Hospital Medicine, Tufts Medical Center, Boston, Massachusetts, USA
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2
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Fuchs J, Rajbhandari P, Webb N, Walker J. Expanding PHM Fellowships: Current Landscape, Challenges, and Potential Solutions. Hosp Pediatr 2024; 14:e116-e119. [PMID: 38282530 DOI: 10.1542/hpeds.2023-007416] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/30/2024]
Affiliation(s)
- Jennifer Fuchs
- University of North Carolina Children's Hospital, Chapel Hill, North Carolina
| | | | - Nicole Webb
- Valley Children's Healthcare, Madera, California
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3
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Harrison WN, Mittal VS, O'Toole JK, Quinonez RA, Mink R, Leyenaar JK. Child Health Needs and the Pediatric Hospital Medicine Workforce: 2020-2040. Pediatrics 2024; 153:e2023063678M. [PMID: 38300016 DOI: 10.1542/peds.2023-063678m] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 11/21/2023] [Indexed: 02/02/2024] Open
Abstract
Pediatric hospital medicine (PHM) established a new model of care for hospitalized children in the United States nearly 3 decades ago. In that time, the field experienced rapid growth while distinguishing itself through contributions to medical education, quality improvement, clinical and health services research, patient safety, and health system leadership. Hospital systems have also invested in using in-house pediatricians to manage various inpatient care settings as patient acuity has accelerated. National PHM leaders advocated for board certification in 2014, and the first certification examination was administered by the American Board of Pediatrics in 2019. In this article, we describe the development of the subspecialty, including evolving definitions and responsibilities of pediatric hospitalists. Although PHM was not included in the model forecasting future pediatric subspecialties through 2040 in this supplement because of limited historical data, in this article, we consider the current and future states of the workforce in relation to children's health needs. Expected challenges include potential alterations to residency curriculum, changes in the number of fellowship positions, expanding professional roles, concerns related to job sustainability and burnout, and closures of pediatric inpatient units in community hospitals. We simultaneously forecast growing demand in the PHM workforce arising from the increasing prevalence of children with medical complexity and increasing comanagement of hospitalized children between pediatric hospitalists and other subspecialists. As such, our forecast incorporates a degree of uncertainty and points to the need for ongoing investments in future research to monitor and evaluate the size, scope, and needs of pediatric hospitalists and the PHM workforce.
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Affiliation(s)
- Wade N Harrison
- Division of Pediatric Hospital Medicine, Department of Pediatrics, School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina
| | - Vineeta S Mittal
- Division of Pediatric Hospital Medicine, Department of Pediatrics, University of Texas Southwestern Medical Center and Children's Medical Center, Dallas, Texas
| | - Jennifer K O'Toole
- Division of Hospital Medicine, Departments of Pediatrics and Internal Medicine, Cincinnati Children's Hospital Medical Center, University of Cincinnati College of Medicine, Cincinnati, Ohio
| | - Ricardo A Quinonez
- Division of Pediatric Hospital Medicine, Department of Pediatrics, Texas Children's Hospital, Baylor College of Medicine, Houston, Texas
| | - Richard Mink
- Department of Pediatrics, The Lundquist Institute for Biomedical Innovation at Harbor-University of California Los Angeles Medical Center and the David Geffen School of Medicine at University of California Los Angeles, Torrance, California
| | - JoAnna K Leyenaar
- Department of Pediatrics and the Dartmouth Institute for Health Policy & Clinical Practice, Dartmouth Health, Lebanon, New Hampshire
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Lauffer AM, Noble A, Fish D, Peterson R, Matthiesen M. COVID-19 and Its Potential Impact on Achieving Pediatric Hospital Medicine Board Certification for Established Internal Medicine-Pediatrics (Med-Peds) Hospitalists. Cureus 2024; 16:e54708. [PMID: 38523998 PMCID: PMC10960611 DOI: 10.7759/cureus.54708] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/04/2024] [Accepted: 02/21/2024] [Indexed: 03/26/2024] Open
Abstract
With the onset of the COVID-19 pandemic and the subsequent rise in adult hospitalized patients, many internal medicine and pediatrics (Med-Peds) hospitalists volunteered or were required by their hospital employers to transition their practice to caring for hospitalized adult patients only. Some Med-Peds hospitalists had a disruption in their practice that may affect their board eligibility for the pediatric hospital medicine (PHM) subspecialty exam in 2024. In this editorial, we review the rise of Med-Peds hospitalist careers, the evolution of PHM becoming a subspecialty, and the effect of the COVID-19 pandemic on some Med-Peds hospitalists in their quest to become board certified in PHM via the practice pathway.
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Affiliation(s)
- Andrea M Lauffer
- Hospital Medicine, Marshall University Joan C. Edwards School of Medicine, Huntington, USA
| | - Angela Noble
- Hospital Medicine, Allina Health, Minneapolis, USA
| | - David Fish
- Internal Medicine-Pediatrics, University of Massachusetts, Worcester, USA
| | - Rachel Peterson
- Hospital Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, USA
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5
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Casillas CA, Brower L. "What next?": Navigating if pediatric hospital medicine fellowship is right for you. J Hosp Med 2023; 18:941-943. [PMID: 37415429 DOI: 10.1002/jhm.13160] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/28/2023] [Revised: 06/19/2023] [Accepted: 06/21/2023] [Indexed: 07/08/2023]
Affiliation(s)
- Carlos A Casillas
- Department of Pediatrics, Cincinnati Children's Hospital Medical Center, Division of Hospital Medicine, University of Cincinnati College of Medicine, Cincinnati, Ohio, USA
| | - Laura Brower
- Department of Pediatrics, Cincinnati Children's Hospital Medical Center, Division of Hospital Medicine, University of Cincinnati College of Medicine, Cincinnati, Ohio, USA
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6
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Shah SS. Mission-driven chutzpah and other life lessons. J Hosp Med 2023; 18:565-567. [PMID: 37401014 DOI: 10.1002/jhm.13120] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/21/2023] [Accepted: 04/21/2023] [Indexed: 07/05/2023]
Affiliation(s)
- Samir S Shah
- Divisions of Hospital Medicine and Infectious Diseases, Cincinnati Children's Hospital Medical Center and the University of Cincinnati College of Medicine, Cincinnati, Ohio, USA
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Pérez-Moreno J, Rodríguez-Fernández R, García JJG, Minagorre PA. Creation of a Pediatric Hospital Medicine Subspecialty in Spain. Hosp Pediatr 2023; 13:e43-e46. [PMID: 36700333 DOI: 10.1542/hpeds.2022-006867] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/27/2023]
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8
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Carney L, Hall M, Heller K, Kennedy C. Development, implementation, and evaluation of a simulation-based educational curriculum for pediatric hospitalists. J Hosp Med 2022; 17:967-974. [PMID: 36222435 DOI: 10.1002/jhm.12981] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/01/2022] [Revised: 09/16/2022] [Accepted: 09/19/2022] [Indexed: 12/15/2022]
Abstract
BACKGROUND AND OBJECTIVES Minimal published simulation-based educational training exists for practicing pediatric hospitalists. Our aim was to determine specific pediatric hospital medicine (PHM) knowledge, skill, and competency needs aligned with our scope of practice and evaluate the impact of a simulation-based training curriculum. DESIGN AND METHODS Baseline and post-training surveys were administered to 48 physicians providing self-ratings on a 5-point scale from Novice to Expert on published PHM competencies. Results were used to develop a targeted simulation curriculum. Participants were considered competent in a domain if their mean score was 3 or greater. We categorized participant responses to individual questions into nine domain scores on survey self-assessments. Score analysis was performed using the signed-rank test and McNemar's test. Post-training evaluations solicited curriculum acceptance and perceived clinical value. RESULTS The baseline response rate was 98% and the post-training response rate was 85%. Areas with the lowest competency on baseline self-assessment included advanced airway management (38%), vascular access and emergency medications (38%), code cart skills (19%), team communication (51%), and medically complex care (49%). Post-training scores improved significantly for five of nine domains, with the largest gains in the "not competent" at baseline group. Percent competent (% with mean score >3) increased significantly in three domains (advanced airway management, code cart skills, and complex care). Participants rated educational sessions favorably (98%) and most (95%) reported using knowledge/skills learned for patient care. CONCLUSION Baseline self-assessment results were instrumental in curriculum design. Post-training analysis revealed gains in multiple domains and identified opportunities for future interventions. Most hospitalists reported participation positively impacted patient care with high learner satisfaction.
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Affiliation(s)
- Lisa Carney
- Pediatric Hospital Medicine, Children's Mercy Hospital and Clinics, Kansas City, Missouri, USA
| | - Matt Hall
- Children's Hospital Association, Lenexa, Kansas, USA
| | - Kayla Heller
- Pediatric Hospital Medicine, Children's Mercy Hospital and Clinics, Kansas City, Missouri, USA
| | - Chris Kennedy
- Pediatric Emergency Medicine, Children's Mercy Hospitals and Clinics, Kansas City, Missouri, USA
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McCarthy JJ, Swartz S, Liljestrom T, Menigo J, Cotter L, Toth H. Med-Peds Residents' Career Plans and the Impact of Pediatric Hospital Medicine Fellowship: A Nationwide Survey. Hosp Top 2022; 101:336-343. [PMID: 35414350 DOI: 10.1080/00185868.2022.2063775] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Abstract
BACKGROUND The establishment of pediatric hospital medicine (PHM) as a fellowship-trained subspecialty represents a major change in the practice landscape, particularly for combined internal medicine-pediatrics (med-peds) residents. The most recent literature on med-peds residents' career choices predates PHM fellowship and its impact has not been well studied. We aimed characterize med-peds residents' career plans and the factors influencing their choices. METHODS We distributed an electronic survey to the 1,505 resident members of the National Med-Peds Resident Association. In addition to sociodemographic data, participants reported their career plans, how well their residency prepared them for various aspects of practice, and their perceptions of PHM fellowship and its effect on their career choices. RESULTS Among the 228 participants, the most planned careers were combined hospital medicine (36.8%, 84/228), combined subspecialty practice (32.5%, 74/228), and primary care (31.1%, 71/228). Residents felt well prepared for patient care and significantly more prepared for inpatient practice than for primary care. Participants rated the potential disadvantages of PHM fellowship as major deterrents and did not view the possible advantages as strong incentives. Among those who had considered a hospital medicine careers, 91.2% (186/203) were less likely to pursue PHM after its certification as a subspecialty. CONCLUSION Med-peds residents have a wide range of career interests but fellowship has made them less likely to pursue PHM careers. These findings emphasize the importance of addressing the needs of med-peds trained providers as PHM certification pathways and fellowship curricula develop to avoid adverse effects on the workforce.
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Affiliation(s)
- James J McCarthy
- Department of Pediatrics, Section of Hospital Medicine, Medical College of Wisconsin, Milwaukee, WI, USA
- Department of Medicine, Section of Hospital Medicine, Medical College of Wisconsin, Milwaukee, WI, USA
| | - Sheila Swartz
- Department of Pediatrics, Section of Hospital Medicine, Medical College of Wisconsin, Milwaukee, WI, USA
- Department of Medicine, Section of Hospital Medicine, Medical College of Wisconsin, Milwaukee, WI, USA
| | - Tracey Liljestrom
- Department of Pediatrics, Section of Hospital Medicine, Medical College of Wisconsin, Milwaukee, WI, USA
- Department of Medicine, Section of Hospital Medicine, Medical College of Wisconsin, Milwaukee, WI, USA
| | - Joseph Menigo
- Internal Medicine-Pediatrics Residency Program, Medical College of Wisconsin, Milwaukee, WI, USA
| | - Leah Cotter
- Internal Medicine-Pediatrics Residency Program, Medical College of Wisconsin, Milwaukee, WI, USA
| | - Heather Toth
- Department of Pediatrics, Section of Hospital Medicine, Medical College of Wisconsin, Milwaukee, WI, USA
- Department of Medicine, Section of Hospital Medicine, Medical College of Wisconsin, Milwaukee, WI, USA
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10
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Salada KO, Rodriguez VA, Norton Z, Jackson KL, Bockrath RA. Pediatric Hospital Medicine Resident Elective: A Novel Resident Curriculum for an Evolving Field. Cureus 2022; 14:e23451. [PMID: 35481331 PMCID: PMC9034736 DOI: 10.7759/cureus.23451] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/23/2022] [Indexed: 11/19/2022] Open
Abstract
Background Although 8-10% of pediatric residents pursue a career in Pediatric Hospital Medicine (PHM), many report an incomplete understanding of PHM careers and would benefit from a PHM elective. Methodology We followed Kern’s six-step curriculum development framework. A general needs assessment via literature review revealed a lack of published PHM elective curricula. A targeted needs assessment was conducted by surveying national PHM fellowship program directors, national PHM fellows, local junior PHM attendings, and local pediatric residents. Content analysis from these surveys was used to develop a PHM resident elective curriculum. The curriculum was implemented and evaluated through an experience log and written reflections. Results Needs assessment surveys were completed by fellowship directors (22/61, 36%), fellows (36/103, 35%), attendings (10/26, 38%), and residents (15/98, 15%). Common themes included the importance of academic experiences, mentorship, non-teaching and non-inpatient clinical experiences, community hospital experience, and the desire to address knowledge gaps. Significant variability in survey responses suggested the importance of an individualized curriculum. Goals, objectives, and aligned educational strategies were developed to provide a breadth of clinical experiences, mentorship, and PHM-focused academic activities, with an emphasis on individualization. Implementation of the curriculum began in July 2021 and four residents enrolled in 2021-2022. The curricular evaluation demonstrated the achievement of objectives and improved resident awareness of PHM opportunities, clinical skill development, ancillary shadowing, and academic opportunities. Conclusions A PHM resident elective was developed using Kern’s six-step approach with input from national fellows and fellowship program directors to address educational gaps and increase exposure to PHM careers. The next steps include the evaluation of the impact of the PHM elective on career choice and preparedness of residents.
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11
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Pfeifer CM. To the Editor: Milestone Completion as a Factor in Resident Promotion. J Grad Med Educ 2021; 13:883. [PMID: 35070106 PMCID: PMC8672833 DOI: 10.4300/jgme-d-21-00827.1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/06/2022] Open
Affiliation(s)
- Cory M Pfeifer
- Assistant Professor, University of Texas Southwestern Medical Center
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12
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Kim JL, Allan JM, Fromme HB. Gender Equity in Pediatric Hospital Medicine: What History Tells Us. Hosp Pediatr 2021:hpeds.2021-006144. [PMID: 34740883 DOI: 10.1542/hpeds.2021-006144] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
Affiliation(s)
- Juliann L Kim
- Pediatric Hospital Medicine, Department of Pediatrics, Palo Alto Medical Foundation, Palo Alto, California
| | - Jessica M Allan
- Pediatric Hospital Medicine, Department of Pediatrics, Palo Alto Medical Foundation, Palo Alto, California
| | - H Barrett Fromme
- Department of Pediatrics, Pritzker School of Medicine, The University of Chicago, Chicago, Illinois
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14
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Librizzi J, Frank E, Jerardi K, Maniscalco J, Rassbach C, Shah N, Walker J. Development of Goals and Objectives for Pediatric Hospital Medicine Fellowship Curricula. Hosp Pediatr 2021; 11:650-655. [PMID: 34049964 DOI: 10.1542/hpeds.2020-003681] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
Affiliation(s)
- Jamie Librizzi
- Department of Hospital Medicine, Phoenix Children's Hospital, Phoenix, Arizona;
| | - Erin Frank
- University Hospitals, Rainbow Babies & Children's Hospital, Cleveland, Ohio
| | - Karen Jerardi
- Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio
| | | | - Carrie Rassbach
- Lucile Packard Children's Hospital at Stanford, Palo Alto, California
| | - Neha Shah
- Children's National Hospital, Washington, District of Columbia; and
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15
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Pascoe JM. Foreword: Pediatric Hospital Medicine II. Curr Probl Pediatr Adolesc Health Care 2021; 51:101003. [PMID: 34140224 DOI: 10.1016/j.cppeds.2021.101003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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16
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Pascoe JM. Foreword: Pediatric Hospital Medicine I. Curr Probl Pediatr Adolesc Health Care 2021; 51:101004. [PMID: 34218925 DOI: 10.1016/j.cppeds.2021.101004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Chandrasekar H, White YN, Ribeiro C, Landrigan CP, Marcus CH. A Changing Landscape: Exploring Resident Perspectives on Pursuing Pediatric Hospital Medicine Fellowships. Hosp Pediatr 2021; 11:109-115. [PMID: 33397817 DOI: 10.1542/hpeds.2020-0034] [Citation(s) in RCA: 11] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
Abstract
BACKGROUND Pediatric Hospital Medicine (PHM) was approved as a subspecialty in 2016. Perspectives of pediatric and combined pediatric residents regarding barriers and facilitators to pursuing PHM fellowships have not previously been assessed. METHODS A survey to explore residents' perspectives on PHM fellowships, with questions regarding demographics, likelihood of pursuing PHM after fellowship introduction, and influencing factors was distributed to pediatric and combined pediatric residents via program directors. RESULTS The survey was distributed to an estimated 2657 residents. A total of 855 (32.2%) residents completed the survey; 89% of respondents had at least considered a career in PHM, and 79.4% reported that the introduction of the PHM fellowship requirement for subspecialty certification made them less likely to pursue PHM. Intent to practice in a community setting or only temporarily practice PHM, Combined Internal Medicine and Pediatric trainee status, and high student loan burden were associated with decreased likelihood of pursuing PHM (P < .05). Most respondents reported that forfeited earnings during fellowship, family and student loan obligations, and perceived sufficiency of residency training discouraged them from pursuing PHM fellowship. Half of respondents valued additional training in medical education, quality improvement, hospital administration, research, and clinical medicine. CONCLUSIONS Many survey respondents expressed interest in the opportunity to acquire new skills through PHM fellowship. However, the majority of respondents reported being less likely to pursue PHM after the introduction of fellowship requirement for board certification, citing financial and personal opportunity costs. Understanding factors that residents value and those that discourage residents from pursuing PHM fellowship training may help guide future iterations of fellowship design.
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Affiliation(s)
- Hamsika Chandrasekar
- Division of Cardiology, Department of Pediatrics, Stanford University, Palo Alto, California;
| | - Yasmine N White
- Division of Neonatology, Department of Pediatrics, University of California, San Francisco, San Francisco, California
| | | | - Christopher P Landrigan
- Department of Pediatrics, Boston Children's Hospital, Boston, Massachusetts; and.,Harvard Medical School, Harvard University, Boston, Massachusetts
| | - Carolyn H Marcus
- Department of Pediatrics, Boston Children's Hospital, Boston, Massachusetts; and.,Harvard Medical School, Harvard University, Boston, Massachusetts
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18
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Roberts KB. The Intertwined Histories of Resident Education and Pediatric Hospital Medicine in the US. Pediatrics 2020; 146:peds.2020-017210. [PMID: 33144497 DOI: 10.1542/peds.2020-017210] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 09/14/2020] [Indexed: 11/24/2022] Open
Abstract
The histories of pediatric resident education and pediatric hospital medicine (PHM) are intertwined. PHM, now a new subspecialty, is generally considered to have emerged from the hospitalist movement in the late 1990s but is actually what some influential pediatricians in the 19th century envisioned for pediatrics in the United States, comparable to the British model. The prime focus of resident education during the 20th century remained hospital care, even during the years of national concern regarding the need for more primary care physicians. Various changes in resident education have contributed to the rise of PHM as a subspecialty. Requirements for subspecialty certification in PHM have implications for general residency training in pediatrics.
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Affiliation(s)
- Kenneth B Roberts
- School of Medicine, University of North Carolina, Chapel Hill, North Carolina
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19
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Wang ME, Shaughnessy EE, Leyenaar JK. The Future of Pediatric Hospital Medicine: Challenges and Opportunities. J Hosp Med 2020; 15:428-430. [PMID: 32118553 DOI: 10.12788/jhm.3373] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Affiliation(s)
- Marie E Wang
- Division of Pediatric Hospital Medicine, Stanford University School of Medicine, and Lucile Packard Children's Hospital Stanford, Stanford, California
| | - Erin E Shaughnessy
- Division of Hospital Medicine, Phoenix Children's Hospital, and Department of Child Health, University of Arizona College of Medicine-Phoenix, Phoenix, Arizona
| | - JoAnna K Leyenaar
- Department of Pediatrics and the Dartmouth Institute for Health Policy & Clinical Practice, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire
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