Characteristics of adult hospital medicine fellowships in the United States: A cross-sectional survey study.
Journal
Journal of hospital medicine
ISSN: 1553-5606
Titre abrégé: J Hosp Med
Pays: United States
ID NLM: 101271025
Informations de publication
Date de publication:
04 2023
04 2023
Historique:
revised:
23
12
2022
received:
27
09
2022
accepted:
16
01
2023
medline:
4
4
2023
pubmed:
14
2
2023
entrez:
13
2
2023
Statut:
ppublish
Résumé
Hospitalists who seek academic careers are interested in developing skills in research, education, and quality improvement (QI). Since these are not major foci of residency programs, hospitalists may pursue a hospital medicine fellowship to acquire these skill sets. We sought to characterize the current state of hospital medicine fellowships in the United States, including demographics, clinical requirements, curricular focus, financial structure, and scholarly outputs. DESIGNS, SETTINGS, AND PARTICIPANTS: This was a cross-sectional study of 32 hospital medicine fellowship programs across the United States in 2020-2021. An electronic survey was emailed to program leaders. Out of 32 eligible programs contacted, 19 (59.4%) programs responded, representing 22 fellowship tracks. Most (63.2%) programs have been in existence for 5 years or less. Fourteen (63.6%) of the tracks had multiple focus areas, while 8 (36.4%) had a single focus. Of the 14 fellowship tracks with multiple focus areas, 6 (42.8%) reported research, QI and medical education as curricular elements. All 14 reported research as one of the curricular elements. The majority (68.4%) of programs offered opportunities to obtain a master's degree, though the field of degree varied widely. A median of 50% (IQR 0) of fellows' time was spent in clinical activities. Considerable heterogeneity exists among adult hospital medicine fellowship programs. The majority focus on research, QI, and/or medical education. Hospital medicine fellowships offer opportunities for intesive faculty development and unique career pathways.
Sections du résumé
BACKGROUND
Hospitalists who seek academic careers are interested in developing skills in research, education, and quality improvement (QI). Since these are not major foci of residency programs, hospitalists may pursue a hospital medicine fellowship to acquire these skill sets.
OBJECTIVE
We sought to characterize the current state of hospital medicine fellowships in the United States, including demographics, clinical requirements, curricular focus, financial structure, and scholarly outputs. DESIGNS, SETTINGS, AND PARTICIPANTS: This was a cross-sectional study of 32 hospital medicine fellowship programs across the United States in 2020-2021. An electronic survey was emailed to program leaders.
RESULTS
Out of 32 eligible programs contacted, 19 (59.4%) programs responded, representing 22 fellowship tracks. Most (63.2%) programs have been in existence for 5 years or less. Fourteen (63.6%) of the tracks had multiple focus areas, while 8 (36.4%) had a single focus. Of the 14 fellowship tracks with multiple focus areas, 6 (42.8%) reported research, QI and medical education as curricular elements. All 14 reported research as one of the curricular elements. The majority (68.4%) of programs offered opportunities to obtain a master's degree, though the field of degree varied widely. A median of 50% (IQR 0) of fellows' time was spent in clinical activities. Considerable heterogeneity exists among adult hospital medicine fellowship programs. The majority focus on research, QI, and/or medical education. Hospital medicine fellowships offer opportunities for intesive faculty development and unique career pathways.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
287-293Commentaires et corrections
Type : CommentIn
Informations de copyright
© 2023 Society of Hospital Medicine.
Références
Wachter RM. The hospitalist movement 5 years later. JAMA. 2002;287(4):487-494.
Meltzer D, Manning WG, Morrison J, et al. Effects of physician experience on costs and outcomes on an academic general medicine service: results of a trial of hospitalists. Ann Intern Med. 2002;137(11):866-874.
Peterson MC. A systematic review of outcomes and quality measures in adult patients cared for by hospitalists vs nonhospitalists. Mayo Clin Proc. 2009;84(3):248-254.
Salim SA, Elmaraezy A, Pamarthy A, Thongprayoon C, Cheungpasitporn W, Palabindala V. Impact of hospitalists on the efficiency of inpatient care and patient satisfaction: a systematic review and meta-analysis. J Community Hosp Intern Med Perspect. 2019;9(2):121-134.
Williams MV. The future of hospital medicine: evolution or revolution. Am J Med. 2004;117(6):446-450.
Ranji SR, Rosenman DJ, Amin AN, Kripalani S. Hospital medicine fellowships: works in progress. Am J Med. 2006;119(1):72.e1-72.e7.
Hospitalist Fellowships Society of Hospital Medicine. Accessed August 16, 2021. https://www.hospitalmedicine.org/membership/hospitalist-fellowships/
Jerardi KE, Fisher E, Rassbach C, et al. Development of a curricular framework for pediatric hospital medicine fellowships. Pediatrics. 2017;140(1):e20170698.
Librizzi J, Frank E, Jerardi K, et al. Development of goals and objectives for pediatric hospital medicine fellowship curricula. Hosp Pediatr. 2021;11(6):650-655.
Shah NH, Rhim HJH, Maniscalco J, Wilson K, Rassbach C. The current state of pediatric hospital medicine fellowships: a survey of program directors. J Hosp Med. 2016;11(5):324-328.
Goodman PH, Januska A. Clinical hospital medicine fellowships: perspectives of employers, hospitalists, and medicine residents. J Hosp Med. 2008;3(1):28-34.
Harrison R, Hunter AJ, Sharpe B, Auerbach AD. Survey of US academic hospitalist leaders about mentorship and academic activities in hospitalist groups. J Hosp Med. 2011;6(1):5-9.
NIH.gov. GME salaries, benefits, terms, and conditions. Accessed June 29, 2022. www.cc.nih.gov/sites/nihinternet/files/internet-files/training/gme/Terms_Conditions.pdf
Cumbler E, Yirdaw E, Kneeland P, et al. What is career success for academic hospitalists? A qualitative analysis of early-career faculty perspectives. J Hosp Med. 2018;13(6):372-377.
Gray BM, Vandergrift JL, Stevens JP, Landon BE. Evolving practice choices by newly certified and more senior general internists: a cross-sectional and panel comparison. Ann Intern Med. 2022;175(7):1022-1027.
Myers JS, Greysen SR. Faculty development for hospitalists: a call to arms. J Hosp Med. 2018;13(6):429-430.
Renner CS, Sumarsono A, Mathew A, et al. Scholarly productivity and growth of academic hospital medicine full professors. J Hosp Med. 2022;17(7):509-516.
Sumarsono A, Keshvani N, Saleh SN, et al. Scholarly productivity and rank in academic hospital medicine. J Hosp Med. 2021;16:545-548. doi:10.12788/jhm.3631
Cumbler E, Rendón P, Yirdaw E, et al. Keys to career success: resources and barriers identified by early career academic hospitalists. J Gen Intern Med. 2018;33(5):588-589.
Howell E, Kravet S, Kisuule F, Wright SM. An innovative approach to supporting hospitalist physicians towards academic success. J Hosp Med. 2008;3(4):314-318.
Kulkarni SA, Fang MC, Glasheen JJ, Parekh V, Sharpe BA. Characteristics, satisfiers, development needs, and barriers to success for early-career academic hospitalists. BMC Med Educ. 2022;22(1):278.
Lin D, Schmidt RM. Strategies to improve mentorship and foster career advancement in academic hospital medicine. J Gen Intern Med. 2022;37(10):2556-2558.
Shannon EM, Chopra V, Greysen SR, et al. Dearth of hospitalist investigators in academic medicine: a call to action. J Hosp Med. 2021;16(3):189-191.