The current state of pediatric hospital medicine fellowships: A survey of program directors

Shah, Neha; Rhim, Hai Jung Helen; Maniscalco, Jennifer; Wilson, Karen M.; Rassbach, Caroline E.

doi:10.1002/jhm.2571

Cited by 22 publications

(20 citation statements)

References 15 publications

(33 reference statements)

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“…The survey tool was developed and validated internally in the AAMC Survey Development style 18 and was influenced by prior validated surveys of postgraduate medical fellowships. 10,[19][20][21] Each question was developed by a team that had expertise in survey design (Wright and Tackett), and two survey design team members were themselves PDs of APP fellowships in hospital medicine (Kisuule and Franco). The survey was revised iteratively by the team on the basis of meetings and pilot testing with PDs of other programs.…”

Section: Methodsmentioning

confidence: 99%

The Current State of Advanced Practice Provider Fellowships in Hospital Medicine: A Survey of Program Directors

Klimpl

Tackett

Cardin³

et al. 2019

J Hosp Med

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BACKGROUND Postgraduate training for advanced practice providers (APPs) is a growing field in hospital medicine. As hospital programs continue to benefit from highly trained physician assistants (PAs) and nurse practitioners (NPs), fellowship programs have become more prevalent. However, little is known about the number of active programs or how they prepare trainees. OBJECTIVES To describe the existing APP fellowships in hospital medicine, with a focus on program characteristics, rationale, curricula, and learner assessment. METHODS An electronic survey was distributed by e‐mail to hospital medicine program directors in May 2018. The survey consisted of 25 multiple choice and short answer questions. Descriptive statistics were calculated utilizing Stata 13 for data analysis. RESULTS Of the 11 fellowships identified, 10 (91%) of directors responded to the survey. Eighty percent of programs accept both NPs and PAs and 80% are between 12 and 13 months long. All programs cite “training and retaining” as the main driver for their creation and 90% were founded in institutions with existing physician residencies. Ninety percent of program curricula are informed by Society of Hospital Medicine resources. Despite these similarities, there was wide variation in both curricular content and APP fellow assessment. CONCLUSION APP fellowships in hospital medicine are quickly growing as a means to train and retain nonphysician hospitalists. While most programs accept similar types of applicants and share a common rationale for program development, there is little standardization in terms of curriculum or assessment. Further research may be valuable to characterize the best practices to guide the future of these fellowships.

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Section: Methodsmentioning

confidence: 99%

The Current State of Advanced Practice Provider Fellowships in Hospital Medicine: A Survey of Program Directors

Klimpl

Tackett

Cardin³

et al. 2019

J Hosp Med

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“…Fellowship programs should expand training in these clinical and administrative areas, particularly as the field of PHM matures. [13][14][15] In research, the need for training in more advanced research topics did not differ by duration of training. Considering graduates of $2-year programs may have received more comprehensive research training, this may highlight the study limitation that these are only perceived training needs.…”

Section: Discussion/conclusionmentioning

confidence: 89%

“…13 Interestingly, of the 20% of responding graduates who indicated training was too short, most completed 1-year programs. Given that graduates of longer programs have fewer training needs in research and greater likelihood of formal QI/roles in their current positions, $2-year fellowship programs may be more appropriate.…”

Section: Discussion/conclusionmentioning

confidence: 99%

Current Roles and Perceived Needs of Pediatric Hospital Medicine Fellowship Graduates

Oshimura

Bauer

Shah

et al. 2016

Hospital Pediatrics

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OBJECTIVES: Pediatric hospitalists report the need for additional training in clinical and nonclinical domains. Pediatric hospital medicine (PHM) fellowships seek to provide this training and produce leaders in the field. Our objective is to describe current roles and perceived training needs of PHM fellowship graduates. METHODS: In 2014, all PHM fellowship graduates were asked to complete a Web-based survey. Survey questions addressed demographics, past training, current roles, and training needs in clinical care, research, education, and administration. Associations between fellowship experiences and outcomes were examined. RESULTS: Fifty-one of 61 eligible individuals completed the survey. Average duration as a pediatric hospitalist was 5 years. Ninety percent completed pediatric categorical residency, whereas 10% completed an Internal Medicine-Pediatrics Residency. Most respondents completed a 1- (38%) or 2-year (46%) fellowship program. Ninety-six percent of respondents currently work in academic environments. The perceived need for additional clinical training was low, except procedures (44%). Nearly all teach medical students and pediatric residents, reporting adequate training in variety of teaching strategies. The majority of respondents conduct research, most commonly quality improvement (QI; 67%) and education (52%). Two-thirds are first authors on at least 1 peer-reviewed article. Research training needs include QI methodology (44%), biostatistics (43%), and obtaining funding (54%). A considerable number of respondents have academic leadership positions. CONCLUSIONS: PHM fellowship graduates are academic hospitalists with diverse responsibilities. Despite a short average career span, many have achieved leadership roles and been academically productive. Future curriculum development should focus on procedures, QI, and research training.

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“…These fellowships, typically 2 years in length, slowly began to develop after 2003, when the first 3 American programs were born. 4 The goal of PHM fellowships was to produce pediatric hospitalists who were skilled in evidence-based care, quality improvement, scholarship, research, medical education, and practice management. 5 By 2015, there were approximately 30 PHM fellowship programs nationwide.…”

Section: Development Of Pediatric Hospital Medicine Fellowshipsmentioning

confidence: 99%

“…5 By 2015, there were approximately 30 PHM fellowship programs nationwide. 4 In that same year, the American Board of Pediatrics (ABP) recommended to the American Board of Medical Specialties that pediatric hospital medicine be considered a new specialty. 6 Board certification for pediatric hospital medicine has followed.…”

Section: Development Of Pediatric Hospital Medicine Fellowshipsmentioning

confidence: 99%

Pediatric Hospital Medicine Board Certification: A Solution, but to Which Problem?

Rappaport

Ierardi

Greenspan

2019

The Journal of Pediatrics

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The current state of pediatric hospital medicine fellowships: A survey of program directors

Cited by 22 publications

References 15 publications

The Current State of Advanced Practice Provider Fellowships in Hospital Medicine: A Survey of Program Directors

The Current State of Advanced Practice Provider Fellowships in Hospital Medicine: A Survey of Program Directors

Current Roles and Perceived Needs of Pediatric Hospital Medicine Fellowship Graduates

Pediatric Hospital Medicine Board Certification: A Solution, but to Which Problem?

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