Division of Pediatric Hospital Medicine, California Pacific Medical Center, San Francisco, California 94118, USA.
J Hosp Med. 2012 Apr;7(4):282-6. doi: 10.1002/jhm.962. Epub 2011 Oct 13.
Pediatric hospitalist (PH) presence is rapidly increasing, yet little is known about pediatric resident exposure to hospitalists, or how this affects resident education/career decisions.
To determine resident exposure to pediatric hospitalists; examine resident opinions regarding hospitalists' roles; examine resident opinion of hospital medicine career training needs; explore how resident exposure to hospitalists affects career choices.
Survey of random sample of 300 residents from the American Academy of Pediatrics Section on Residents database.
Two-hundred seventy-nine pediatric residents surveyed; 120(43%) responded with variance by question; 90% work with hospitalists during residency. Of this national sample, 82% cite hospitalists as enhancing education. A majority (64%) believe pediatric hospitalists are better than primary care physicians at caring for complex inpatients; 28% felt PH provided better care for routine admissions. Over one-third surveyed are considering a career in Pediatric Hospital Medicine (PHM); 7% plan to enter the field upon graduation. Residents cited opportunities to participate in education, flexible hours, and better salaries as the top 3 reasons to become a hospitalist. Ten percent felt there was no difference between resident and hospitalist positions; 21% see PHM as a short-term job without long-term potential. Of residents entering Primary Care, a majority (59%) stated that the availability of hospitalists would positively influence their choice of a practice position; 7% said they were "less likely to choose to practice Primary Care Pediatrics because of hospitalists."
PH have a role in physician training. While PHM has become a career consideration for trainees, more work needs to be done to improve the perception of PHM as a viable long-term career.
儿科医院医生（PH）的数量正在迅速增加，但人们对儿科住院医师与医院医生的接触情况知之甚少，也不知道这对住院医师的教育/职业决策有何影响。
确定住院医师与儿科医院医生的接触情况；检查住院医师对医院医生角色的看法；检查住院医师对医院医学职业培训需求的看法；探讨住院医师与医院医生的接触如何影响职业选择。
对儿科学会住院医师分部的随机抽样 300 名住院医师数据库进行调查。
对 279 名儿科住院医师进行了调查；120 名（43%）对不同问题做出了回应；90%的住院医师在住院期间与医院医生一起工作。在这个全国性的样本中，82%的人认为医院医生可以提高教育水平。大多数（64%）人认为儿科医院医生比初级保健医生更擅长治疗复杂的住院病人；28%的人认为 PH 医生更擅长治疗常规入院病人。超过三分之一的被调查者正在考虑从事儿科医院医学（PHM）的职业；7%的人计划毕业后进入该领域。住院医师表示，成为医院医生的前 3 个原因是有机会参与教育、灵活的工作时间和更高的工资。10%的人认为住院医师和医院医生的职位没有区别；21%的人认为 PHM 是一份没有长期潜力的短期工作。在选择从事初级保健的住院医师中，大多数（59%）表示医院医生的存在将积极影响他们选择的实践职位；7%的人表示，“由于医院医生的存在，他们不太可能选择从事初级保健儿科工作。”
PH 在医师培训中发挥了作用。虽然 PHM 已经成为受训者的职业考虑因素，但仍需要做更多的工作来改善 PHM 作为一种可行的长期职业的看法。
