Division of Pediatric Hospital Medicine, Stanford School of Medicine, Stanford, California.
University of Washington School of Medicine, Seattle Children's Hospital, Seattle, Washington.
J Hosp Med. 2019 Nov 1;14(11):682-685. doi: 10.12788/jhm.3263. Epub 2019 Aug 16.
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.
作为一个新认可的亚专业，了解儿科医院医学（PHM）项目的计划性模式对于为一个可持续发展的领域奠定基础至关重要。尽管在基于大学的 PHM 项目中已经描述了可变性，但社区为基础的 PHM 项目仍然没有全国性的基准。在本报告中，我们通过对社区现场负责人的调查，描述了 29 个州的 70 个社区 PHM 项目的工作量、临床服务、就业和可持续性感知。全职医院医生的中位数工作时间为每年 1882 小时，而在社区医院工作的人每年多工作 8%，并认为合适的早上儿科患者人数比在大学机构工作的人高 20%。70 个现场负责人中有 43 个（63%）认为他们的项目是可持续的，雇主结构没有显著差异。未来的研究应该进一步探讨社区和学术雇佣项目之间工作量差异的根本原因，并为 PHM 项目发展建立潜在的标准。
