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儿科肿瘤学/干细胞移植中的医院医师:成功与机遇。

Hospitalists in Pediatric Oncology/Stem Cell Transplant: Successes and Opportunities.

机构信息

Accuity Healthcare, Mount Laurel, New Jersey.

Division of Oncology, Children's Hospital of Philadelphia.

出版信息

J Pediatr Hematol Oncol. 2023 Nov 1;45(8):e966-e971. doi: 10.1097/MPH.0000000000002747. Epub 2023 Sep 4.

Abstract

As hospitalized pediatric patients have grown in number and complexity, and residency structural changes have reduced resident coverage, inpatient care models have changed to include additional providers at the "front line." Hospitalists are increasingly employed in general pediatric units, but in specialized inpatient areas, hospitalist care models are less common. Hospitalist programs in pediatric oncology are few and unique, and thus there are limited data assessing this role. Here we describe the oncology/stem cell transplant hospitalist program at the Children's Hospital of Philadelphia with a survey project to assess the perceptions of physicians in the role. Hospitalists from 2017 to 2019 (n=26) were surveyed to assess nonclinical roles and job satisfaction. With a response rate of 84.6%, all respondents concurred work-life balance, hours, and flexibility are attractive and found the field intellectually stimulating. Most (86.4%) agreed there were significant academic opportunities. The vast majority felt this job was valuable in attaining career and personal goals; 95.5% were happy they accepted this position. As the pediatric oncology/stem cell transplant hospitalist position is a viable, versatile career path providing ample academic opportunities and job satisfaction, the expansion of such a model within our institution and others should be well received.

摘要

随着住院儿科患者数量和复杂性的增加,以及住院医师结构变化导致住院医师覆盖减少,住院患者护理模式已经改变,包括在“前线”增加更多的提供者。医院医师越来越多地被雇佣到普通儿科病房,但在专门的住院区,医院医师护理模式则不那么常见。儿科肿瘤学的医院医师项目很少且独特,因此评估该角色的数据有限。在这里,我们描述了费城儿童医院的肿瘤学/干细胞移植医院医师计划,并进行了一项调查项目,以评估该角色中医生的看法。对 2017 年至 2019 年的医院医师(n=26)进行了调查,以评估非临床角色和工作满意度。调查的回应率为 84.6%,所有受访者都同意工作与生活的平衡、工作时间和灵活性很有吸引力,并认为该领域具有很高的智力挑战性。大多数(86.4%)人认为有重要的学术机会。绝大多数人认为这份工作对于实现职业和个人目标非常有价值;95.5%的人对自己接受这个职位感到满意。由于儿科肿瘤学/干细胞移植医院医师的职位是一种可行的、多功能的职业道路,提供充足的学术机会和工作满意度,因此在我们机构和其他机构扩大这种模式应该会受到欢迎。

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