Fromme H Barrett, Chen Christina O, Fine Bryan R, Gosdin Craig, Shaughnessy Erin E
Department of Pediatrics, University of Chicago Pritzker School of Medicine, Chicago, Illinois, USA.
Department of Pediatrics, Rush University, Chicago, Illinois, USA.
J Hosp Med. 2018 Oct 1;13(10):702-705. doi: 10.12788/jhm.2977. Epub 2018 Jun 27.
Wide variability exists in the clinical workload of pediatric hospitalists without an accepted standard for benchmarking purposes. By using data obtained from interviews of pediatric hospital medicine (PHM) program leaders, we describe the clinical workload of university-based programs and report on the program sustainability perceived by PHM program leaders. The median clinical hours reported for a full-time pediatric hospitalist were 1800 hours per year, with a median of 15 weekends worked per year. Furthermore, program leaders reported an ideal number of clinical hours as 1700 hours per year. Half of the interviewed program leaders perceived their current models as unsustainable. Programs perceived as unsustainable were more likely than those perceived as sustainable to require a higher number of weekends worked per year or to be university employed. Further research should focus on establishing benchmarks for the workloads of pediatric hospitalists and on evaluating factors that can affect sustainability.
儿科住院医师的临床工作量存在很大差异，目前尚无用于基准比较的公认标准。通过使用从儿科医院医学（PHM）项目负责人访谈中获得的数据，我们描述了大学附属医院项目的临床工作量，并报告了PHM项目负责人所感知到的项目可持续性情况。全职儿科住院医师报告的临床工作时长中位数为每年1800小时，每年平均值为15个周末。此外，项目负责人报告的理想临床工作时长为每年1700小时。一半的受访项目负责人认为他们目前的模式不可持续。被认为不可持续的项目比那些被认为可持续的项目更有可能需要每年工作更多的周末时长，或者是由大学聘用。进一步的研究应侧重于为儿科住院医师的工作量建立基准，并评估可能影响可持续性的因素。
