Does the field of primary care not require providers who can adeptly apply quality improvement methodologies to improve primary-care delivery? Our fellowship programs train physicians in the clinical and academic aspects of their chosen field of pediatric medicine to prepare them for leadership roles in patient care, education and research. Over the past 20 years, hospitalists have emerged as a distinct group of pediatric practitioners. Furthermore, the decision to create a certified subspecialty begs the question as to why fellowship should not be mandated for those entering the field of primary care. The PHM ABMS application describes a clinical curriculum consisting of eight core clinical rotations in various settings. Video of Weill Cornell Pediatric Medicine Fellowship Recruitment If pediatric hospitalists require a two-year fellowship to become certified, will doctors who might otherwise consider med-peds simply opt for internal medicine instead? A more prudent, cost-effective, and universally acceptable approach would be to follow in the footsteps of the American Board of Internal Medicine (ABIM) and American Board of Family Medicine (ABFM) in establishing a Focused Practice in Pediatric Hospital Medicine program. Associate Director, Pediatric Residency Program. Fellows in our programs can take advantage of teaching from more than 225 academic faculty and 350 clinical faculty. Furthermore, at tertiary-care medical centers, pediatric subspecialists often serve as hospitalists, yet this stakeholder group has not entered into this conversation. This approach respects the unique body of knowledge required of those who care for hospitalized children while maintaining the required flexibility to nurture and help to mature existing training pipelines. The intent was to “assure the best care of hospitalized children,” “assure the public,” “accelerate improvements and innovation in quality improvement,” and “raise the level of care of all hospitalized children by establishing best practices in clinical care.” To be clear, these goals are shared by all of us (although there is no indication that the public is seeking additional assurance). Our Hospital Medicine Fellowship Program is accepting applications. Potential for a three-year combined program with the. Professor of Pediatrics UWMC was ranked among the nation's top ten best general hospitals in recent U.S. News & World Report survey. In addition to a lack of evidence supporting that subspecialty certification will advance our path toward achieving these goals, there are numerous reasons a required PHM fellowship is unnecessary and potentially even harmful to the hospitalist workforce. In partnership with Seattle Children's Center for Diversity and Health Equity we offer opportunities to complete equity, diversity and inclusion training and to participate in mentored research with a focus on finding solutions to improve the health outcomes of children at risk for health inequities. The Pediatric Hospital Medicine Fellowship is located at the OSF Healthcare Children’s Hospital of Illinois, a tertiary care 142 bed hospital within a hospital at OSF St Francis Medical Center as part of the OSF Healthcare system and the third largest children’s hospital in Illinois. Other sites include Seattle Children’s Research Institute, Harborview Medical Center, the Fred Hutchinson Cancer Research Center, and the University of Washington Medical Center. The chief medical officer of the Centers for Medicare & Medicaid Services is a hospitalist as is our surgeon general. Dr. Courtney Gilliam was born and raised in New York. As we all know, advanced training opportunities already exist for those interested in pursuing extra research and quality improvement training. We have a strong track record of training academic hospitalists, and 100% of our hospitalist graduates currently hold … From first of their kind, life-saving surgical procedures to routine adult, maternal and newborn medicine, we're training the next generation of medical professionals. We feel that the “first, do no harm” guiding principle seems to have been forgotten by the ABP as it attempts to formalize the training of pediatric hospitalists. That small number emphasizes the fact that extra clinical training is really not needed and that we do not require a complete overhaul of the current training system. The Joint Council of Pediatric Hospital Medicine (JCPHM), successor to the Strategic Planning (STP) Committee, recently recommended submitting a petition for two-year pediatric hospital medicine (PHM) fellowship certification to the American Board of Pediatrics (ABP), which was completed in 2014. Our practices vary from large academic medical centers with every imaginable subspecialty consult service available to remote rural settings that require hospitalists to possess unique and specific skills. At completion, fellows will be primed to begin a career in Pediatric Hospital Medicine in … The two-year ACGME accredited fellowship seeks to strike a balance between developing a robust hospitalist skillset and pursuing additional projects in the fellow’s particular area of interest. Single GME Accreditation System. You can find contact information for programs here. The current system is meeting the needs of the vast majority of our PHM community. Board-certified subspecialists complete additional training and qualifying examinations beyond those required … These are significant opportunity costs. Subspecialty recognition is not necessary and will likely lead to negative unintended consequences. Scant risk for SARS-CoV-2 from hospital air, COVID-19 mortality rates declined, but vary by hospital, COVID-19 anticoagulation trials ‘paused’ for futility, safety, Reducing admissions for alcohol withdrawal syndrome, COVID-related harm to HCWs must be tracked more rigorously: NAS panel, Quick Byte: Global health before COVID-19, Medicare finalizes 2021 physician pay rule with E/M changes, Hospital volumes start to fall again, even as COVID-19 soars, CMS launches hospital-at-home program to free up hospital capacity, Critical care and COVID-19: Dr. Matt Aldrich, Treatment options for COVID-19: Dr. Annie Luetkemeyer, Managing the COVID-19 isolation floor at UCSF Medical Center, Copyright by Society of Hospital Medicine. Center for Leadership and Innovation in Medical Education (CLIME): CLIME is the Center for Leadership and Innovation in Medical Education. In December 2015, the ABP Board of Directors voted to (1) approve the proposal for a two-year PHM fellowship incorporating scholarly activity with the provision that entrustable professional activities (EPAs) be used as the framework for assessing competencies and (2) not require those who achieve and maintain PHM certification to maintain general pediatrics certification. Our fellowship programs train physicians in the clinical and academic aspects of their chosen field of pediatric medicine to prepare them for leadership roles in patient care, education and research. The negative unintended consequences need to be weighed heavily. Our program provides many opportunities for fellows interested in clinical or health services research. 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