The Pediatric Hospital Medicine Core Competencies: 2020 Revision Introduction and Methodology

Abstract

<jats:p>BACKGROUND: The Pediatric Hospital Medicine (PHM) Core Competencies define the expertise required of practitioners and provide a framework for educational activities. Since initial publication in 2010, the scope of practice for pediatric hospitalists has evolved in clinical, research, administrative, and educational arenas. OBJECTIVE: To describe the methodology utilized in the revision of The PHM Core Competencies to ensure a product reflective of current roles and expectations for pediatric hospitalists across all training pathways and practice settings. METHODS: The Society of Hospital Medicine (SHM) Pediatrics Special Interest Group supported the initiation of the revision. A diverse group of editors and authors was engaged from among members of SHM, the American Academy of Pediatrics and the Academic Pediatrics Association. Editorial roles were expanded to represent all practice settings. More than 80 individuals contributed, representing both university and community sites, and all US geographic regions. Editors conducted a two-part needs assessment; a survey related to content was distributed to the PHM community and content from recent conferences and PHM related publications was reviewed. The final compendium consists of 4 sections and 66 chapters, including 12 new chapters and 36 chapters with substantial changes. Individual chapters and the entire compendium underwent rigorous internal and external review. CONCLUSION: The PHM Core Competencies: 2020 Revision reflects the work of a broad spectrum of PHM practitioners responding to the practice and educational changes in PHM over the past decade. The compendium can inform education, training, and career development for pediatric hospitalists practicing now and in coming years.</jats:p>

Identifying and Supporting the Needs of Internal Medicine and Pediatrics Residents Interested in Pediatric Hospital Medicine Fellowship

“…10,11 The Society of Hospital Medicine has published core competencies for both PHM and adult HM, which highlight significant overlap in each field's skill competency, particularly in areas such as quality improvement, legal issues and risk management, and handoffs and transitions of care. 12,13 We contend that competencies addressed within PHM fellowship core clinical rotations may overlap with adult HM. Training in adult HM could be completed as part of the individualized curriculum with the ACGME, allowing adult HM practice to count toward this requirement.…”

The History of Pediatric Hospital Medicine in the United States, 1996‐2019

“…In 2005, an SHM task force was formed to define PHM‐specific Core Competencies that could serve as a basis for curriculum building and a definition of the field. These inaugural PHM Core Competencies were endorsed by all three societies; published in 2010 in SHM's flagship journal, the Journal of Hospital Medicine 10 ; and were recently revised to reflect changes to the field in the past decade 11 . SHM has provided valuable opportunities for hospitalists to develop knowledge and skills, particularly in matters related to healthcare operations and leadership, and it serves as a way to keep PHM connected with the larger hospital medicine community.…”

“…It is clear that PHM has established itself as a field, with networks for research and quality improvement, more than 50 fellowship programs, divisions in prestigious departments of pediatrics and children's hospitals, devoted journals and textbooks, and a well‐attended annual meeting. PHM has set standards for the core competencies in PHM, 11, 12 for pediatric hospitalist programs, 22, 23 for coordinating the hospital care of children, 24, 25 for the curricular framework of fellowships, 26 and for the Entrustable Professional Activities expected of a hospitalist 27 . The vision for the future is that continued efforts in research, quality and systems improvement, and clinical care will, in fact, result in significant benefits for all hospitalized children.…”

Research and Career Outcomes for Pediatric Hospital Medicine Fellowship Graduates

“…2,3 As more fellowships emerged with varying lengths and requirements, 4,5 fellowship leaders collaborated to develop a framework for competency in PHM that includes high value care, leadership, patient safety, quality improvement, advocacy, and research. 6,7 In 2017, the American Board of Medical Specialties, at the recommendation of the American Board of Pediatrics, approved a petition to recognize PHM as a pediatric subspecialty. [8][9][10][11] The Accreditation Council for Graduate Medical Education (ACGME) subsequently announced in 2017 that it would begin accrediting 2-year PHM fellowship programs.…”