Hospitalists in Pediatric Oncology/Stem Cell Transplant: Successes and Opportunities.
Journal
Journal of pediatric hematology/oncology
ISSN: 1536-3678
Titre abrégé: J Pediatr Hematol Oncol
Pays: United States
ID NLM: 9505928
Informations de publication
Date de publication:
01 11 2023
01 11 2023
Historique:
received:
31
05
2023
accepted:
18
07
2023
medline:
30
10
2023
pubmed:
4
9
2023
entrez:
4
9
2023
Statut:
ppublish
Résumé
As hospitalized pediatric patients have grown in number and complexity, and residency structural changes have reduced resident coverage, inpatient care models have changed to include additional providers at the "front line." Hospitalists are increasingly employed in general pediatric units, but in specialized inpatient areas, hospitalist care models are less common. Hospitalist programs in pediatric oncology are few and unique, and thus there are limited data assessing this role. Here we describe the oncology/stem cell transplant hospitalist program at the Children's Hospital of Philadelphia with a survey project to assess the perceptions of physicians in the role. Hospitalists from 2017 to 2019 (n=26) were surveyed to assess nonclinical roles and job satisfaction. With a response rate of 84.6%, all respondents concurred work-life balance, hours, and flexibility are attractive and found the field intellectually stimulating. Most (86.4%) agreed there were significant academic opportunities. The vast majority felt this job was valuable in attaining career and personal goals; 95.5% were happy they accepted this position. As the pediatric oncology/stem cell transplant hospitalist position is a viable, versatile career path providing ample academic opportunities and job satisfaction, the expansion of such a model within our institution and others should be well received.
Identifiants
pubmed: 37661306
doi: 10.1097/MPH.0000000000002747
pii: 00043426-202311000-00012
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
e966-e971Informations de copyright
Copyright © 2023 Wolters Kluwer Health, Inc. All rights reserved.
Déclaration de conflit d'intérêts
The authors declare no conflict of interest.
Références
Freed GL, Dunham KM, Moran LM, et al. Research Advisory Committee of the American Board of Pediatrics. Resident work hour changes in children’s hospitals: impact on staffing patterns and workforce needs. Pediatrics. 2012;130:700–704.
Hord J, Shah M, Badawy SM, et al. The American Society of Pediatric Hematology/Oncology workforce assessment: part 1—current state of the workforce. Pediatr Blood Cancer. 2018;65:e26780.
Leavey PJ, Hilden JM, Matthews D, et al. The American Society of Pediatric Hematology/Oncology workforce assessment: part 2—implications for fellowship training. Pediatr Blood Cancer. 2018;65:e26765.
Hastings C, Borinstein SC, Bergsagel DJ, et al. The American Society of Pediatric Hematology Oncology workforce, productivity, and fellowship assessment: current state of the workforce. Pediatr Blood Cancer. 2023;70:e30221.
Rappaport DI, Ierardi J, Greenspan JS. Pediatric hospital medicine board certification: a solution, but to which problem? J Pediatr. 2019;210:5–7.e1.
Pane LA, Davis AB, Ottolini MC. Career satisfaction and the role of mentorship: a survey of pediatric hospitalists. Hosp Pediatr. 2012;2:141–148.
Pane LA, Davis AB, Ottolini MC. Association between practice setting and pediatric hospitalist career satisfaction. Hosp Pediatr. 2013;3:285–291.
Hinami K, Whelan CT, Wolosin RJ, et al. Worklife and satisfaction of hospitalists: toward flourishing careers. J Gen Intern Med. 2012;27:28–36.
Leyenaar JK, Capra LA, O’Brien ER, et al. Determinants of career satisfaction among pediatric hospitalists: a qualitative exploration. Acad Pediatr. 2014;14:361–368.
Rapson A, Kersun L. Oncology house physician model: a response to changes in pediatric resident coverage. J Pediatr Hematol Oncol. 2014;36:524–527.
Bekmezian A, Chung PJ, Yazdani S. Staff-only pediatric hospitalist care of patients with medically complex subspecialty conditions in a major teaching hospital. Arch Pediatr Adolesc Med. 2008;162:975–980.
Raghavendra M, Hoeg RT, Bottner WA, et al. Management of neutropenic fever during a transition from traditional hematology/oncology service to hospitalist care. WMJ. 2014;113:53–58.
Atlas KR, Egan BC, Novak CJ, et al. The hospitalist model and oncology: oncologist opinions about inpatient cancer care delivery. Oncologist. 2020;25:e2006–e2009.
Badawy SM, Black V, Meier ER, et al. Early career mentoring through the American Society of Pediatric Hematology/Oncology: lessons learned from a pilot program. Pediatr Blood Cancer. 2017;64. 10.1002/pbc.26252. Epub 2016 Sep 12. PMID: 27616578; PMCID: PMC5685518.
doi: 10.1002/pbc.26252
Badawy SM. Career planning and mentorship: a few key considerations for trainees. Int J Gen Med. 2017;10:357–359.
House S, Frintner MP, Leyenaar JK. Factors influencing career longevity in pediatric hospital medicine. Hosp Pediatr. 2019;9:983–988.