Pediatric hospitalist?

[mdphd2b]

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Hi there,

Would someone please provide info on the lifestyle of a pediatric hospitalist?

Is there a specific "hospitalst" fellowship one must do after residency? If so, which programs are stronger in hospitalist training?

Are there certain subspecialties that are more acceptable or useful (like CCM)?

Also, would a hospitalist at an academic center have protected research time?

Just wanted to learn more about this field. Outpt clinic makes me wanna cry! 😴

 

[Homunculus]

there is no fellowship for pediatric hospitalist-- it's a relatively new concept (adopted from the IM folks). there is some talk of creating a subcommittee in the AAP concerning them, but even that i think is preliminary.

subspecialists *could* be hospitalists. some, like ID, may do it to supplement their income. CCM docs would go batty running the general peds inpt ward. i would wager most subspecialists get reimbursedm ore for their subspecialty and wouldn't want to be hospitalists.

one of the upsides to academic medicine (other than having residents to do your work for you, lol) is the protected research time it affords. it depends on the program you go to, but you should get some kind of research time.

-- your friendly neighborhood tired of nonstop school physicals/forms caveman

 

[notstudying]

Hi there,

Would someone please provide info on the lifestyle of a pediatric hospitalist?

Is there a specific "hospitalst" fellowship one must do after residency? If so, which programs are stronger in hospitalist training?

Are there certain subspecialties that are more acceptable or useful (like CCM)?

Also, would a hospitalist at an academic center have protected research time?

Just wanted to learn more about this field. Outpt clinic makes me wanna cry! 😴

As a future (hopefully) hospitalist, I think I can answer a few of these...

Hospitalist lifestyle is extremely variable since it's such a new specialty. Some are part time, some work lots of nights. Look closely at your contract.

There ARE actually hospitalist fellowships-currently I know of ones at Boston Children's, San Diego, Baylor, and DC Children's. There may be others. There is no official curriculum or board certification...yet. You can get a hospitalist position without fellowship (one of our grads recently went to CHOP for a position). I'm planning on doing a general academic peds fellowship but with an inpatient focus, so I can get credentialed in sedations, procedures, etc.

Many hospitalists work out of the department of critical care, so PICU fellowship is valued. Most people who do PICU fellowship though, want to do PICU at the end of it.

As for research time- there are very few hospitalists who are also academic. This means there is lots of room for folks who want to do academic inpatient peds-you just have to position yourself correctly since it's not the standard. It's all about the negotiation. And a research-based fellowship will be VERY helpful here....you are unlikely to have protected research time if you come straight from residency, or a primarily clinical fellowship.

There's a hospitalist conference in Salt Lake City next August, if you are interested. The AAP and APA both have hospitalist sections-check out their websites for more info.