School of Medicine, University of North Carolina, Chapel Hill, North Carolina
Pediatrics. 2020 Dec;146(6). doi: 10.1542/peds.2020-017210. Epub 2020 Nov 3.
The histories of pediatric resident education and pediatric hospital medicine (PHM) are intertwined. PHM, now a new subspecialty, is generally considered to have emerged from the hospitalist movement in the late 1990s but is actually what some influential pediatricians in the 19th century envisioned for pediatrics in the United States, comparable to the British model. The prime focus of resident education during the 20th century remained hospital care, even during the years of national concern regarding the need for more primary care physicians. Various changes in resident education have contributed to the rise of PHM as a subspecialty. Requirements for subspecialty certification in PHM have implications for general residency training in pediatrics.
儿科住院医师教育与儿科医院医学(PHM)的历史是交织在一起的。PHM 作为一个新的亚专业,通常被认为是在 20 世纪 90 年代后期的医院医师运动中出现的,但实际上,19 世纪的一些有影响力的儿科医生已经在美国设想了儿科的发展方向,这与英国模式类似。即使在全国关注需要更多初级保健医生的年代,20 世纪住院医师教育的主要重点仍然是医院护理。住院医师教育的各种变化促成了 PHM 作为一个亚专业的兴起。PHM 亚专业认证的要求对儿科普通住院医师培训有影响。