Pediatric Hospital Medicine: A Proposed New Subspecialty

被引:36
作者
Barrett, Douglas J. [1 ]
McGuinness, Gail A. [2 ]
Cunha, Christopher A. [3 ]
Emans, S. Jean [4 ,5 ]
Gerson, William T.
Hazinski, Mary F. [6 ]
Lister, George [7 ]
Murray, Karen F. [8 ]
St Geme, Joseph W., III [9 ]
Whitley-Williams, Patricia N. [10 ]
机构
[1] Univ Florida, Coll Med, Dept Pediat, POB 100296, Gainesville, FL 32610 USA
[2] Amer Board Pediat Inc, Chapel Hill, NC USA
[3] Pediat Associates PSC, Crestview Hills, KY USA
[4] Boston Childrens Hosp, Div Adolescent Young Adult Med, Boston, MA USA
[5] Harvard Med Sch, Dept Pediat, Boston, MA USA
[6] Vanderbilt Univ, Sch Nursing, Nashville, TN 37240 USA
[7] Yale Sch Med, Dept Pediat, New Haven, CT USA
[8] Univ Washington, Sch Med, Dept Pediat, Div Gastroenterol & Hepatol, Seattle, WA 98195 USA
[9] Childrens Hosp Philadelphia, Dept Pediat, Philadelphia, PA 19104 USA
[10] Rutgers Robert Wood Johnson Med Sch, Dept Pediat, New Brunswick, NJ USA
关键词
OF-THE-LITERATURE; HEALTH-CARE; CHILDRENS HOSPITALS; QUALITY IMPROVEMENT; UNITED-STATES; PATIENT-CARE; HOUSE STAFF; IMPACT; EDUCATION; SYSTEM;
D O I
10.1542/peds.2016-1823
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
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.
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页数:9
相关论文
共 56 条
[1]   A Systematic Review of the Effects of Resident Duty Hour Restrictions in Surgery Impact on Resident Wellness, Training, and Patient Outcomes [J].
Ahmed, Najma ;
Devitt, Katharine S. ;
Keshet, Itay ;
Spicer, Jonathan ;
Imrie, Kevin ;
Feldman, Liane ;
Cools-Lartigue, Jonathan ;
Kayssi, Ahmed ;
Lipsman, Nir ;
Elmi, Maryam ;
Kulkarni, Abhaya V. ;
Parshuram, Chris ;
Mainprize, Todd ;
Warren, Richard J. ;
Fata, Paola ;
Gorman, M. Sean ;
Feinberg, Stan ;
Rutka, James .
ANNALS OF SURGERY, 2014, 259 (06) :1041-1053
[2]  
American Academy of Pediatrics, PER SURV LIST SURV S
[3]  
American Academy of Pediatrics, WHAT IS PED HOSP
[4]  
[Anonymous], US NEWS WORLD REPORT
[5]  
[Anonymous], ACGME PROGR REQ GRAD
[6]  
[Anonymous], 2009, PREVENTING MENTAL EM
[7]   Effects of limited work hours on surgical training [J].
Barden, CB ;
Specht, MC ;
McCarter, MD ;
Daly, JM ;
Fahey, TJ .
JOURNAL OF THE AMERICAN COLLEGE OF SURGEONS, 2002, 195 (04) :531-538
[8]   Staff-only pediatric Hospitalist care of patients with medically complex subspecialty conditions in a major teaching hospital [J].
Bekmezian, Arpi ;
Chung, Paul J. ;
Yazdani, Shahram .
ARCHIVES OF PEDIATRICS & ADOLESCENT MEDICINE, 2008, 162 (10) :975-980
[9]   Inpatient Growth and Resource Use in 28 Children's Hospitals A Longitudinal, Multi-institutional Study [J].
Berry, Jay G. ;
Hall, Matt ;
Hall, David E. ;
Kuo, Dennis Z. ;
Cohen, Eyal ;
Agrawal, Rishi ;
Mandl, Kenneth D. ;
Clifton, Holly ;
Neff, John .
JAMA PEDIATRICS, 2013, 167 (02) :170-177
[10]   Primary care - Will it survive? [J].
Bodenheimer, Thomas .
NEW ENGLAND JOURNAL OF MEDICINE, 2006, 355 (09) :861-864