Pediatric Hospital Medicine (PHM) has grown rapidly over the last 15 years. Previous studies of PHM work focused on reports from group leaders. To date, there is no published report describing job tasks and worklife from a large cohort of practicing pediatric hospitalists. Our objective was to describe Pediatric Hospitalist worklife.
The AAP is conducting workforce surveys of its member sections to identify trends and issues. Over the winter of 2012‐13 a PHM specific workforce survey was sent to the 1260 members of SOHM. Responses were analyzed for trends and descriptors.
There were 534 total responses (42%), the largest cohort of pediatric hospitalists surveyed to date. Respondents were mostly female (64%), non‐Hispanic (96%), and Caucasian (85%). 70% work where trainees provide direct care. Just over half (51.2%) work 6‐7 or 8‐14 consecutive days when on‐service. On site time during weeks on‐service was >40hrs for 76% and >50hrs for 52%. Almost half (49%) take call from home, most get at least 1 call before midnight (72%) and at least 1 after 12 (54%), with a minority taking 5 or more calls (10%). Just under half (43%) participate in 24/7 coverage. Mean annual hours was 1311. Almost all respondents (80%) cover general pediatric units, while a minority cover Emergency Department (41%), Observation (29%), Well baby (29%), and Stepdown Intensive care units(23%). Pediatric Intensive Care Unit and Level 3 Neonatal Intensive Care Unit coverage was rare. Many (66%) frequently or routinely consult or comanage surgical patients, some participate in rapid response teams (24%) but few perform transport (5%). Chest tubes, Peripherally Inserted Central Catheters and central lines are rarely performed, however other procedures were more common: lumbar puncture 68%; sedation 26%, arterial puncture 23%; peripheral IV and venipuncture 20%.
This survey, the largest to date of pediatric hospitalists, describes on‐service weeks with long hours onsite and from home. A wide range of services beyond direct patient care are provided by pediatric hospitalists that broadly support the healthcare system. Understanding the range of current pediatric hospital medicine practice is critical to determining the training needs of present and future hospitalists. Variations in workload and call burden must be considered when comparing compensation.
To cite this abstract:Rauch D, Percelay J, Quinonez R, Alverson B, Fisher E. Pediatric Hospital Medicine Worklife: Findings from the American Academy of Pediatrics 2012‐13 Survey. Abstract published at Hospital Medicine 2014, March 24-27, Las Vegas, Nev. Abstract 92. Journal of Hospital Medicine. 2014; 9 (suppl 2). https://www.shmabstracts.com/abstract/pediatric-hospital-medicine-worklife-findings-from-the-american-academy-of-pediatrics-201213-survey/. Accessed April 25, 2019.