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Pediatric hospital medicine core competencies: development and methodology
Erin R Stucky1, Mary C Ottolini, Jennifer Maniscalco
1Department of Pediatrics, Rady Children's Hospital San Diego and University of California San Diego, School of Medicine San Diego, California, USA. estucky@rchsd.org
Insights
Pediatric hospital medicine has defined core competencies to standardize training. These 54 chapters cover clinical skills, diagnoses, and healthcare systems for pediatric hospitalists.
Area of Science:
- Pediatric Hospital Medicine
- Medical Education
- Healthcare Systems
Background:
- Pediatric hospital medicine is a rapidly growing specialty.
- Over 2500 pediatric hospitalists are members of core societies.
- There is a need for defined expectations and competencies for pediatric hospitalists.
Purpose of the Study:
- To develop a comprehensive set of core competencies for pediatric hospital medicine.
- To establish a standardized framework for training and practice.
Main Methods:
- Initiated in 2005 by the Society of Hospital Medicine's Pediatric Core Curriculum Task Force.
- Developed over four years with contributions from pediatric hospitalists and content experts.
- Validated by formal review from the American Academy of Pediatrics, Academic Pediatric Association, and Society of Hospital Medicine.
Main Results:
- Created the Pediatric Hospital Medicine Core Competencies, comprising 54 chapters.
- Organized into four sections: Clinical Diagnoses, Core Skills, Specialized Services, and Healthcare Systems.
- Chapters include knowledge, skills, attitudes, and systems improvement components.
Conclusions:
- These competencies provide a foundation for pediatric hospital medicine curricula.
- They serve to standardize and improve inpatient training practices.
- The competencies reflect the pediatric hospitalist's role in advancing child health systems.
Background:
Pediatric hospital medicine is the most rapidly growing site-based pediatric specialty. There are over 2500 unique members in the three core societies in which pediatric hospitalists are members: the American Academy of Pediatrics (AAP), the Academic Pediatric Association (APA) and the Society of Hospital Medicine (SHM). Pediatric hospitalists are fulfilling both clinical and system improvement roles within varied hospital systems. Defined expectations and competencies for pediatric hospitalists are needed.
Methods:
In 2005, SHM's Pediatric Core Curriculum Task Force initiated the project and formed the editorial board. Over the subsequent four years, multiple pediatric hospitalists belonging to the AAP, APA, or SHM contributed to the content of and guided the development of the project. Editors and collaborators created a framework for identifying appropriate competency content areas. Content experts from both within and outside of pediatric hospital medicine participated as contributors. A number of selected national organizations and societies provided valuable feedback on chapters. The final product was validated by formal review from the AAP, APA, and SHM.
Results:
The Pediatric Hospital Medicine Core Competencies were created. They include 54 chapters divided into four sections: Common Clinical Diagnoses and Conditions, Core Skills, Specialized Clinical Services, and Healthcare Systems: Supporting and Advancing Child Health. Each chapter can be used independently of the others. Chapters follow the knowledge, skills, and attitudes educational curriculum format, and have an additional section on systems organization and improvement to reflect the pediatric hospitalist's responsibility to advance systems of care.
Conclusion:
These competencies provide a foundation for the creation of pediatric hospital medicine curricula and serve to standardize and improve inpatient training practices.
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