Since 1996, Hospital Medicine grew faster than any other specialty in the history of medicine, and now reaches institutions around the world. The Core Competencies of Hospital Medicine, published by the Society of Hospital Medicine, provide standards of expected knowledge, skills, and attitudes hospitalists should achieve to successfully practice Hospital Medicine. The primary aims of this study were to determine the level of interest of internal medicine residents in pursuing a career in hospital medicine; the extent of current curriculum exposure to Hospital Medicine core competencies; and their practice comfort level and desire for more formal training in the various hospital medicine core competencies.
After institutional board review (IRB) beginning in April 2009, we surveyed all internal medicine residents at 6 institutions with mature hospitalist programs (3 USbased academic medical centers UC San Diego, Emory, and University of Miami Jackson Memorial Hospital; 1 community academic program Kaiser PermanenteNorthern California; and 2 international academic medical centers Clínica Universitaria de Navarra in Pamplona, Spain and Pontificia Universidad Católica in Santiago, Chile). The survey consisted of questions regarding demographics, career goals, and hospital medicine core competency exposure, comfort, and desire for more instruction relative to their current residency curriculum.
Two hundred fiftysix residents of 624 surveyed responded (41%). In the US, residents included 81% were categorical, 5% combined medicine/pediatrics, 8% preliminary, and 6% other. Females comprised 45% of respondents. Forty percent of respondents are interested in a potential career in Hospital Medicine and another 30% have an interest in pursuing employment as hospitalists prior to fellowship. The international residents reported a 30% interest in a potential career in Hospital Medicine and additional 25 % interest in working as a hospitalist prior to fellowship. Of 16 selected hospital medicine core competencies, US based residents generally reported instruction in and felt comfortable in all competencies except practice management & billing and neurology. Despite this comfort, they desire more instruction in all competencies surveyed. International respondents receive less training in these competencies; and feel less comfortable in, and request more training in perioperative medicine, quality improvement, practice management & billing, and medical informatics.
Residents surveyed have a significant interest in employment as hospitalists, and residency curricula need updating to meet educational needs of trainees.
To cite this abstract:Dressler D, Manjarrez E, Lucena F, Jenkins I, Hollberg J, Farquharson L, Rojas L, Mierendorf S. Hospital Medicine Track Interest and Competencies Among Internal Medicine Residents: An International Multicenter Needs Assesment Survey. Abstract published at Hospital Medicine 2012, April 1-4, San Diego, Calif. Abstract 97667. Journal of Hospital Medicine. 2012; 7 (suppl 2). https://www.shmabstracts.com/abstract/hospital-medicine-track-interest-and-competencies-among-internal-medicine-residents-an-international-multicenter-needs-assesment-survey/. Accessed September 18, 2019.