Pediatric Resident Training in the Community Hospital Setting: A Survey of Program Directors |
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| Institution: | 1. School of Public Health and Health Sciences (SL Goff and PS Pekow), University of Massachusetts-Amherst;2. Department of Medicine (SL Goff and PK Lindenauer);3. Institute for Health Care Delivery and Population Science (SL Goff, A Priya, PS Pekow, and PK Lindenauer), University of Massachusetts Medical School-Baystate, Springfield;4. Department of Quantitative Health Sciences (SL Goff and PK Lindenauer);5. Department of Medicine (KM Mazor);6. Meyers Primary Care Institute (KM Mazor), University of Massachusetts Medical School-Worcester;1. Departments of Physical Medicine and Rehabilitation and Pediatrics, University of Pittsburgh (AJ Houtrow), Pittsburgh, Pa;2. Departments of Pediatrics and Psychology, University of Cincinnati (A Carle), Cincinnati, Ohio;3. Department of Pediatrics, Harvard Medical School and MassGeneral Hospital for Children (JM Perrin), Boston, Mass;4. Department of Pediatrics, Albert Einstein College of Medicine/Children''s Hospital at Montefiore (REK Stein), New York, NY;1. MassGeneral Hospital for Children, Harvard Medical School (JM Perrin), Boston, Mass;2. School of Public Health, University of California (MC Lu), Berkeley, Calif;3. National Academies of Science, Engineering, and Medicine (A Geller), Washington, DC;4. Oregon Health and Sciences University (JE DeVoe), Portland, Ore;1. Murdoch Children''s Research Institute (HE Bryson, F Mensah, S Goldfeld, and AMH Price);2. Centre for Community Child Health (HE Bryson, S Goldfeld, and AMH Price);3. Clinical Epidemiology and Biostatistics Unit (F Mensah), The Royal Children''s Hospital;4. Department of Paediatrics (HE Bryson, F Mensah, S Goldfeld, and AMH Price), The University of Melbourne, Parkville, Victoria, Australia;1. Department of Pediatrics, Boston University School of Medicine (MN Tang), Boston, Mass;2. Department of Pediatrics, Boston University School of Medicine, Children''s HealthWatch (S Ettinger de Cuba, M Sandel), Boston, Mass;3. Biostatistics and Epidemiology Data Analytics Center, Boston University School of Public Health (SM Coleman, T Heeren), Boston, Mass;4. Department of Health Management and Policy, Dornsife School of Public Health, Drexel University School of Public Health (M Chilton), Philadelphia, Pa;5. Boston Medical Center (DA Frank), Boston Mass;6. Division of Gastroenterology, Hepatology and Nutrition, Boston Children''s Hospital (SY Huh), Boston, Mass;7. Department of Pediatrics, Harvard Medical School (SY Huh), Boston, Mass;1. Department of Pediatrics (JM Dovico and RJ Palmer), Wake Forest School of Medicine, Winston-Salem, NC;2. Department of Pediatrics (EM Perrin and CL Brown), University of North Carolina at Chapel Hill;3. EM Perrin is now with the Department of Pediatrics and Duke Center for Childhood Obesity Research, Duke University School of Medicine, Durham, NC;4. CL Brown is now with the Departments of Pediatrics and Epidemiology and Prevention, Wake Forest School of Medicine, Winston-Salem, NC |
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| Abstract: | Background and ObjectiveThe role of a hospitalist differs in a community hospital (CH) compared to a university/children's hospital. Residents are required to practice in a variety of relevant clinical settings, but little is known about current trends regarding pediatric resident training in different hospital settings. This study explores CH rotations including their value for resident training, characteristics, benefits, and drawbacks. This study also seeks to define “community hospital.”MethodsAuthors conducted an online cross-sectional survey of pediatric residency program directors distributed by the Association of Pediatric Program Directors. The survey was developed and revised based on review of the literature and iterative input from experts in pediatric resident training and CH medicine. It assessed residency program demographics, availability of CH rotations, value of CH rotations, and their characteristics including benefits and drawbacks.ResultsResponse rate was 56%. CH rotations were required at 24% of residency programs, available as an elective at 46% of programs, and unavailable at 48% of programs. Residency program directors viewed these rotations as valuable for resident training. CH rotations were found to have multiple benefits and drawbacks. Definitions of “community hospital” varied and can be categorized according to positive or negative characteristics.ConclusionsResident rotations at a CH provide valuable learning opportunities with multiple potential benefits that should be weighed against drawbacks in the context of a residency program's curriculum. There are many characteristics that potentially distinguish CH from university/children's hospitals. |
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