Related Experiment Video
Updated: Jun 9, 2026
06:15
Protocol and Guidelines for Point-of-Care Lung Ultrasound in Diagnosing Neonatal Pulmonary Diseases Based on International Expert Consensus
Published on: March 6, 2019
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
Journal of Hospital Medicine
|August 31, 2010
Summary
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.
Related Concept Videos
01:19Standards of Care II
Nurses bear specific legal responsibilities under several federal statutes, including:
01:26Pharmacokinetics in Pediatric Patients: Drug Excretion
In pediatric medicine, understanding the renal function and drug elimination nuances is crucial for administering safe and effective treatments. Newborns, in particular, display markedly slower renal functions than adults, profoundly affecting how drugs are cleared from their bodies. This slower drug clearance requires clinicians to extend the dosing intervals for many medications to prevent drug accumulation and toxicity while ensuring therapeutic efficacy.One key area where these adjustments...
01:22Standards of Care I
Federal statutes profoundly impact nursing practice, providing critical guidelines to ensure patient care is equitable, accessible, and of the highest quality. The following laws address distinct aspects of healthcare provision and patient rights:
01:17Pharmacokinetics in Pediatric Patients: Drug Distribution
Drug distribution in the pediatric population exhibits unique challenges and considerations due to the physiological differences between children, particularly neonates and infants, and adults. A crucial aspect of pediatric pharmacology is understanding how these differences impact the pharmacokinetics of various drugs, necessitating age-specific dosing strategies to ensure efficacy and safety.Neonates and infants have a higher total body water content, ~75%–90% of their body weight, compared...
01:24Pharmacokinetics in Pediatric Patients: Drug Metabolism
In pediatric care, understanding the nuances of hepatic drug metabolism is crucial, as it significantly differs from that of adults. This divergence is primarily due to the developmental stage of drug-metabolizing enzymes, which affects how medications are processed in the body. In neonates, for instance, the activity of Phase I enzymes—critical for the initial breakdown of drugs—is markedly reduced, functioning at just 20–40% of the levels seen in adults. This reduction poses a challenge in...
01:20Acute Kidney Injury V: Interprofessional Care
Acute Kidney Injury (AKI) requires a collaborative healthcare approach to restore renal function and prevent complications. Essential management strategies involve monitoring fluid and electrolyte balance, adjusting medications, initiating dialysis when necessary, and providing nutritional support.Fluid and Electrolyte ManagementFluid Monitoring: Regularly monitoring body weight, central venous pressure, and urine output helps detect fluid imbalances early. Patient intake and output are...