Pediatric Hospital Medicine: A Proposed New Subspecialty

Author:

Barrett Douglas J.1,McGuinness Gail A.2,Cunha Christopher A.3,Emans S. Jean45,Gerson William T.6,Hazinski Mary F.7,Lister George8,Murray Karen F.9,St. Geme Joseph W.10,Whitley-Williams Patricia N.11

Affiliation:

1. Department of Pediatrics, University of Florida College of Medicine, Gainesville, Florida;

2. American Board of Pediatrics, Chapel Hill, North Carolina;

3. Pediatric Associates PSC, Crestview Hills, Kentucky;

4. Division of Adolescent/Young Adult Medicine, Boston Children’s Hospital, Boston, Massachusetts;

5. Department of Pediatrics, Harvard Medical School, Boston, Massachusetts;

6. Pediatric Medicine, South Burlington, Vermont;

7. School of Nursing, Vanderbilt University, Nashville, Tennessee;

8. Department of Pediatrics, Yale School of Medicine, New Haven, Connecticut;

9. Division of Gastroenterology and Hepatology, Department of Pediatrics, University of Washington School of Medicine, Seattle, Washington;

10. Department of Pediatrics, Children’s Hospital of Philadelphia, Philadelphia, Pennsylvania; and

11. Department of Pediatrics, Rutgers Robert Wood Johnson Medical School, New Brunswick, New Jersey

Abstract

Over the past 20 years, hospitalists have emerged as a distinct group of pediatric practitioners. In August of 2014, the American Board of Pediatrics (ABP) received a petition to consider recommending that pediatric hospital medicine (PHM) be recognized as a distinct new subspecialty. PHM as a formal subspecialty raises important considerations related to: (1) quality, cost, and access to pediatric health care; (2) current pediatric residency training; (3) the evolving body of knowledge in pediatrics; and (4) the impact on both primary care generalists and existing subspecialists. After a comprehensive and iterative review process, the ABP recommended that the American Board of Medical Specialties approve PHM as a new subspecialty. This article describes the broad array of challenges and certain unique opportunities that were considered by the ABP in supporting PHM as a new pediatric subspecialty.

Publisher

American Academy of Pediatrics (AAP)

Subject

Pediatrics, Perinatology and Child Health

Reference57 articles.

1. The emerging role of “hospitalists” in the American health care system.;Wachter;N Engl J Med,1996

2. An introduction to the hospitalist model.;Wachter;Ann Intern Med,1999

3. American Academy of Pediatrics. What is a pediatric hospitalist? Available at: www.healthychildren.org/English/family-life/health-management/pediatric-specialists/Pages/What-is-a-Pediatric-Hospitalist.aspx. Accessed November 21, 2016

4. Society of Hospital Medicine. Definition of a hospitalist and hospital medicine. Available at: www.hospitalmedicine.org/Web/About_SHM/Hospitalist_Definition/About_SHM/Industry/Hospital_Medicine_Hospital_Definition.aspx?hkey=fb083d78-95b8-4539-9c5b-58d4424877aa. Accessed November 21, 2016

5. Evolution of hospital medicine as a site-of-care specialty.;Li;Virtual Mentor,2008

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