美国从事医院医学的儿科医生的职责和兴趣。

Responsibilities and Interests of Pediatricians Practicing Hospital Medicine in the United States.

机构信息

Department of Pediatrics and The Dartmouth Institute for Health Policy and Clinical Practice, Dartmouth-Hitchcock Medical Center and Geisel School of Medicine at Dartmouth, Lebanon, New Hampshire.

Department of Pediatrics and Cecil G. Sheps Center for Health Services Research, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.

出版信息

J Hosp Med. 2021 Dec;16(12):709-715. doi: 10.12788/jhm.3720.

DOI:10.12788/jhm.3720

PMID:34797999

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8626056/

Abstract

BACKGROUND AND OBJECTIVES

In 2016, the American Board of Medical Specialties (ABMS) approved pediatric hospital medicine (PHM) as the newest pediatric subspecialty. To characterize development of the field, this article aims to: (1) describe the responsibilities and practice settings of US pediatricians self-identifying as hospitalists; and (2) determine how exclusive PHM practice, compared with PHM practice in combination with general or subspecialty care, was associated with professional development interests.

METHODS

Pediatricians enrolling in the 2017-2018 American Board of Pediatrics (ABP) Maintenance of Certification program were offered a voluntary survey about their responsibilities, interests, and practice settings. Logistic regression was employed to characterize associations between exclusive PHM practice and: (1) interest in quality improvement (QI) leadership; (2) intention to take the PHM certifying exam; (3) satisfaction with allocation of professional time; and (4) intention to maintain more than one ABP certification.

RESULTS

The survey response rate was 70.0%; 1662 (13.1%) self-reported PHM practice. Four-hundred ninety-one (29.5%) practiced PHM exclusively, 518 (31.1%) practiced PHM and general pediatrics, and 653 (39.3%) practiced PHM and one or more subspecialties. Respondents reporting exclusive PHM practice were significantly more likely to report interest in QI leadership or consultation (adjusted odds ratio [OR], 1.39; 95% CI, 1.09-1.79), PHM exam certification (adjusted OR, 7.10; 95% CI, 5.45-9.25), and maintenance of more than one ABP certification (adjusted OR, 2.64; 95% CI, 1.89-3.68).

CONCLUSIONS

Hospitalists reported diverse clinical and nonclinical responsibilities. Those practicing PHM exclusively expressed high levels of interest in board certification and QI leadership. Ongoing monitoring of PHM responsibilities and practice settings will be important to support the professional development of the PHM workforce.

摘要

背景与目的

2016 年，美国医学专业委员会（ABMS）批准儿科医院医学（PHM）成为最新的儿科亚专科。为了描述该领域的发展，本文旨在：（1）描述自我认同为医院医师的美国儿科医生的职责和实践环境；（2）确定与专业发展兴趣相关的 PHM 实践的排他性与 PHM 实践与一般或专科护理相结合的情况。

方法

参加 2017-2018 年美国儿科学会（ABP）维持认证计划的儿科医生被提供了一份关于其职责、兴趣和实践环境的自愿调查。采用逻辑回归来描述排他性 PHM 实践与以下方面之间的关联：（1）对质量改进（QI）领导的兴趣；（2）参加 PHM 认证考试的意向；（3）对专业时间分配的满意度；（4）维持超过一个 ABP 认证的意向。

结果

调查回复率为 70.0%；1662 名（13.1%）报告了 PHM 实践。491 名（29.5%）从事 PHM 专科实践，518 名（31.1%）从事 PHM 和普通儿科，653 名（39.3%）从事 PHM 和一个或多个专科。报告从事 PHM 专科实践的受访者更有可能报告对 QI 领导或咨询的兴趣（调整后的优势比[OR]，1.39；95%置信区间[CI]，1.09-1.79）、PHM 考试认证（调整后的 OR，7.10；95%CI，5.45-9.25）和维持超过一个 ABP 认证（调整后的 OR，2.64；95%CI，1.89-3.68）。