Resident Exposure to and Perception of Pediatric Hospital Medicine

1Northwestern University, Feinberg School of Medicine, Chicago, IL
2Children's Hospital Boston, Harvard Medical School, Boston, MA
3Dartmouth Medical School, Hanover, NH
4Johns Hopkins University School of Medicine, Baltimore, MD
5New York University School of Medicine, New York, NY

Meeting: Hospital Medicine 2008, April 3-5, San Diego, Calif.

Abstract number: 15

Background:

Pediatric hospitalists (PHs) teach medical students and residents on inpatient services. Single‐institution studies suggest this improves medical student and resident education in pediatrics, but there have not been any national studies on resident exposure to and perception of PHs and pediatric hospital medicine (PHM). Our goal was to determine resident exposure to PHs/PHM and to examine resident opinions about the educational and patient care roles of PHs.

Methods:

We surveyed a random selection of 300 residents from the American Academy of Pediatrics (AAP) Section on Residents roster and incentivized participation with a raffle sponsored by the AAP Section on Hospital Medicine. We posted the survey on Survey Monkey®, allowing for anonymous data collection. We analyzed responses with descriptive statistics.

Results:

Two hundred and seventy‐nine surveys were sent (21 incorrect addresses), of whom 120 (43%) responded (1 person was ineligible). Eighty‐one percent were pediatric, 15% medicine‐pediatric, and 4% combined pediatric residents (51% PL1, 38% PL2, 10% PL3, 1% PL4); 66% were female and 34% male. Thirty‐five states, the District of Columbia, and Puerto Rico were represented. Of all respondents, 54% had PH attendings in medical school; 90% did have or would have PH attendings during residency. Eighty‐eight percent agreed or strongly agreed that PHs enhanced education during residency. To learn about pediatric hospital medicine, 47% asked PHs in their program, whereas 30% visited the AAP Web site. Sixty‐eight percent felt familiar or very familiar with PHM, and 83% agreed that PHM is a great field, with only 1% believing PHM would not survive. Ten percent thought there was little difference between PH and resident positions. Sixty percent agreed that a PH position would be a good job for the short term, with 21% seeing PHM as a short‐term option only. Seventy‐five percent saw it as a possible long‐term career option, and 64% believed PHs were better than primary care providers in caring for complex inpatients. Twenty‐eight percent thought PHs provided better care for routine admissions, whereas 39% viewed primary providers as better in this domain.

Conclusions:

Almost all pediatric residents are exposed to PHs during their training. Residents have positive opinions about both the field of PHM and the role of PHs as medical educators and inpatient care providers. Because some residents still view the role of the PH as similar to that of a resident, PHs should demonstrate their additional responsibilities such as quality improvement, patient safety, research, and administration. To survive and grow, PHM must be viewed as a long‐term career option.

Author Disclosure:

D. Rauch, Baxter, consultant; Pfizer, consultant.

To cite this abstract:

Daru J, Jost A, Holmes A, Aquino J, Rauch D. Resident Exposure to and Perception of Pediatric Hospital Medicine. Abstract published at Hospital Medicine 2008, April 3-5, San Diego, Calif. Abstract 15. Journal of Hospital Medicine. 2008; 3 (suppl 1). https://www.shmabstracts.com/abstract/resident-exposure-to-and-perception-of-pediatric-hospital-medicine/. Accessed May 26, 2019.

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