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Community Pediatric Hospitalist Workload: Results from a National Survey
Author(s) -
Alvarez Francisco,
McDaniel Corrie E,
Birnie Krista,
Gosdin Craig,
Mariani Allison,
MD Natalia Paciorkowski,
Mendez Suzanne Swanson,
Weng Yingjie,
Fromme H Barrett
Publication year - 2019
Publication title -
journal of hospital medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.128
H-Index - 65
eISSN - 1553-5606
pISSN - 1553-5592
DOI - 10.12788/jhm.3263
Subject(s) - workload , subspecialty , medicine , community hospital , sustainability , family medicine , medical education , nursing , ecology , biology , computer science , operating system
As a newly recognized subspecialty, understanding programmatic models for pediatric hospital medicine (PHM) programs is vital to lay the groundwork for a sustainable field. Although variability has been described within university‐based PHM programs, there remains no national benchmark for community‐based PHM programs. In this report, we describe the workload, clinical services, employment, and perception of sustainability of 70 community‐based PHM programs in 29 states through a survey of community site leaders. The median hours for a full‐time hospitalist was 1,882 hours/year with those employed by community hospitals working 8% more hours/year and viewing appropriate morning pediatric census as 20% higher than those employed by university institutions. Forty‐three out of 70 (63%) site leaders perceived their programs as sustainable, with no significant difference by employer structure. Future studies should further explore root causes for workload discrepancies between community and academic employed programs along with establishing potential standards for PHM program development.