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

Neha H. Shah, Hai Jung Helen Rhim, Jennifer Maniscalco, Karen Wilson, Caroline Rassbach

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

BACKGROUND: Pediatric hospital medicine (PHM) fellowship programs have grown rapidly over the last 20 years and have varied in duration and content. In an effort to standardize training in the absence of a single accrediting body, PHM fellowship directors now meet annually to discuss strategies for standardizing and enhancing training. OBJECTIVES: To explore similarities and differences in curricular structure among PHM fellowship programs in an effort to inform future curriculum standardization efforts. METHODS: An electronic survey was distributed by e-mail to all PHM fellowship directors in April 2014. The survey consisted of 30 multiple-choice and short-answer questions focused on various curricular aspects of training developed by the authors. RESULTS: Twenty-seven of 31 fellowship programs (87%) responded to the survey. Duration of most programs was 2 years (63%), with 6, 1-year programs (22%) and 4 (15%) 3-year programs making up the remainder. The average amount of clinical time among programs was 50% (range approximately 20%-65%). In addition to general inpatient pediatric service time, most programs require other clinical rotations. The majority of programs allow fellows to bill independently for their services. Most programs offer certificate courses, courses for credit or noncredit courses, with 11 programs offering masters' degrees. Twenty-one (81%) programs provide a scholarship oversight committee for their fellows. Current fellows' primary areas of research are varied. CONCLUSION: Though variability exists regarding program length, clinical composition, and nonclinical offerings, several common themes emerged that may help inform the development of a standard curriculum for use across all programs. This information provides a useful starting point if pediatric hospital medicine obtains formal subspecialty status.

Original languageEnglish (US)
Pages (from-to)324-328
Number of pages5
JournalJournal of Hospital Medicine
Volume11
Issue number5
DOIs
StatePublished - May 1 2016

Fingerprint

Hospital Medicine
State Hospitals
Pediatric Hospitals
Curriculum
Postal Service
Surveys and Questionnaires
Inpatients
Pediatrics
Research

ASJC Scopus subject areas

  • Health Policy
  • Assessment and Diagnosis
  • Care Planning
  • Fundamentals and skills
  • Leadership and Management

Cite this

The current state of pediatric hospital medicine fellowships : A survey of program directors. / Shah, Neha H.; Rhim, Hai Jung Helen; Maniscalco, Jennifer; Wilson, Karen; Rassbach, Caroline.

In: Journal of Hospital Medicine, Vol. 11, No. 5, 01.05.2016, p. 324-328.

Research output: Contribution to journalArticle

Shah, Neha H. ; Rhim, Hai Jung Helen ; Maniscalco, Jennifer ; Wilson, Karen ; Rassbach, Caroline. / The current state of pediatric hospital medicine fellowships : A survey of program directors. In: Journal of Hospital Medicine. 2016 ; Vol. 11, No. 5. pp. 324-328.
@article{5b525e0c981043948ef65e0bd4d8a604,
title = "The current state of pediatric hospital medicine fellowships: A survey of program directors",
abstract = "BACKGROUND: Pediatric hospital medicine (PHM) fellowship programs have grown rapidly over the last 20 years and have varied in duration and content. In an effort to standardize training in the absence of a single accrediting body, PHM fellowship directors now meet annually to discuss strategies for standardizing and enhancing training. OBJECTIVES: To explore similarities and differences in curricular structure among PHM fellowship programs in an effort to inform future curriculum standardization efforts. METHODS: An electronic survey was distributed by e-mail to all PHM fellowship directors in April 2014. The survey consisted of 30 multiple-choice and short-answer questions focused on various curricular aspects of training developed by the authors. RESULTS: Twenty-seven of 31 fellowship programs (87{\%}) responded to the survey. Duration of most programs was 2 years (63{\%}), with 6, 1-year programs (22{\%}) and 4 (15{\%}) 3-year programs making up the remainder. The average amount of clinical time among programs was 50{\%} (range approximately 20{\%}-65{\%}). In addition to general inpatient pediatric service time, most programs require other clinical rotations. The majority of programs allow fellows to bill independently for their services. Most programs offer certificate courses, courses for credit or noncredit courses, with 11 programs offering masters' degrees. Twenty-one (81{\%}) programs provide a scholarship oversight committee for their fellows. Current fellows' primary areas of research are varied. CONCLUSION: Though variability exists regarding program length, clinical composition, and nonclinical offerings, several common themes emerged that may help inform the development of a standard curriculum for use across all programs. This information provides a useful starting point if pediatric hospital medicine obtains formal subspecialty status.",
author = "Shah, {Neha H.} and Rhim, {Hai Jung Helen} and Jennifer Maniscalco and Karen Wilson and Caroline Rassbach",
year = "2016",
month = "5",
day = "1",
doi = "10.1002/jhm.2571",
language = "English (US)",
volume = "11",
pages = "324--328",
journal = "Journal of Hospital Medicine",
issn = "1553-5606",
publisher = "Frontline Medical Communications",
number = "5",

}

TY - JOUR

T1 - The current state of pediatric hospital medicine fellowships

T2 - A survey of program directors

AU - Shah, Neha H.

AU - Rhim, Hai Jung Helen

AU - Maniscalco, Jennifer

AU - Wilson, Karen

AU - Rassbach, Caroline

PY - 2016/5/1

Y1 - 2016/5/1

N2 - BACKGROUND: Pediatric hospital medicine (PHM) fellowship programs have grown rapidly over the last 20 years and have varied in duration and content. In an effort to standardize training in the absence of a single accrediting body, PHM fellowship directors now meet annually to discuss strategies for standardizing and enhancing training. OBJECTIVES: To explore similarities and differences in curricular structure among PHM fellowship programs in an effort to inform future curriculum standardization efforts. METHODS: An electronic survey was distributed by e-mail to all PHM fellowship directors in April 2014. The survey consisted of 30 multiple-choice and short-answer questions focused on various curricular aspects of training developed by the authors. RESULTS: Twenty-seven of 31 fellowship programs (87%) responded to the survey. Duration of most programs was 2 years (63%), with 6, 1-year programs (22%) and 4 (15%) 3-year programs making up the remainder. The average amount of clinical time among programs was 50% (range approximately 20%-65%). In addition to general inpatient pediatric service time, most programs require other clinical rotations. The majority of programs allow fellows to bill independently for their services. Most programs offer certificate courses, courses for credit or noncredit courses, with 11 programs offering masters' degrees. Twenty-one (81%) programs provide a scholarship oversight committee for their fellows. Current fellows' primary areas of research are varied. CONCLUSION: Though variability exists regarding program length, clinical composition, and nonclinical offerings, several common themes emerged that may help inform the development of a standard curriculum for use across all programs. This information provides a useful starting point if pediatric hospital medicine obtains formal subspecialty status.

AB - BACKGROUND: Pediatric hospital medicine (PHM) fellowship programs have grown rapidly over the last 20 years and have varied in duration and content. In an effort to standardize training in the absence of a single accrediting body, PHM fellowship directors now meet annually to discuss strategies for standardizing and enhancing training. OBJECTIVES: To explore similarities and differences in curricular structure among PHM fellowship programs in an effort to inform future curriculum standardization efforts. METHODS: An electronic survey was distributed by e-mail to all PHM fellowship directors in April 2014. The survey consisted of 30 multiple-choice and short-answer questions focused on various curricular aspects of training developed by the authors. RESULTS: Twenty-seven of 31 fellowship programs (87%) responded to the survey. Duration of most programs was 2 years (63%), with 6, 1-year programs (22%) and 4 (15%) 3-year programs making up the remainder. The average amount of clinical time among programs was 50% (range approximately 20%-65%). In addition to general inpatient pediatric service time, most programs require other clinical rotations. The majority of programs allow fellows to bill independently for their services. Most programs offer certificate courses, courses for credit or noncredit courses, with 11 programs offering masters' degrees. Twenty-one (81%) programs provide a scholarship oversight committee for their fellows. Current fellows' primary areas of research are varied. CONCLUSION: Though variability exists regarding program length, clinical composition, and nonclinical offerings, several common themes emerged that may help inform the development of a standard curriculum for use across all programs. This information provides a useful starting point if pediatric hospital medicine obtains formal subspecialty status.

UR - http://www.scopus.com/inward/record.url?scp=84963808171&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84963808171&partnerID=8YFLogxK

U2 - 10.1002/jhm.2571

DO - 10.1002/jhm.2571

M3 - Article

C2 - 27042818

AN - SCOPUS:84963808171

VL - 11

SP - 324

EP - 328

JO - Journal of Hospital Medicine

JF - Journal of Hospital Medicine

SN - 1553-5606

IS - 5

ER -