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Consultative pediatrics in the new millenium
Kishore Vellody1, Basil J Zitelli
1Paul C. Gaffney Diagnostic Referral Service, Department of Pediatrics, Children's Hospital of Pittsburgh, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania 15201, USA. kishore.vellody@chp.edu
Journal of Hospital Medicine
|January 12, 2010
Summary
The Diagnostic Referral Service (DRS) at Children's Hospital of Pittsburgh has evolved significantly since 1988, mirroring the growth in pediatric hospital medicine nationwide. This evolution includes expanded responsibilities, offering a model for modern pediatric care.
Area of Science:
- Pediatric Hospital Medicine
- Healthcare Management
- Clinical Operations
Background:
- The Diagnostic Referral Service (DRS) at Children's Hospital of Pittsburgh (CHP) was established in 1988 with 5 members.
- Pediatric hospital medicine has experienced substantial nationwide growth since 1988.
- The DRS has also seen significant expansion in its scope and responsibilities.
Observation:
- The DRS has adapted to evolving healthcare landscapes and patient needs.
- There has been a trend towards increased specialization within hospital medicine.
- The program's responsibilities have broadened in both inpatient and outpatient settings.
Findings:
- The DRS has grown considerably in personnel and functional capacity.
- New and enhanced responsibilities have been integrated into the DRS.
- The program's evolution reflects broader trends in pediatric care delivery.
Implications:
- The DRS serves as a model for effective pediatric care in contemporary healthcare settings.
- Understanding the DRS's evolution can inform the development of similar hospitalist programs.
- This showcases a successful adaptation of a pediatric diagnostic service to modern medical practice.
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