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Hospitalists' Involvement in Pediatrics Training: Perspectives From Pediatric Residency Program and Clerkship Directors
Academic Medicine, 10/28/09

Freed GL et al. – The response rate for residency directors was 86% (146/170) and 87% (114/131) for clerkship directors. One hundred thirteen (77%) residency programs and 91 (80%) clerkship programs used hospitalists as teaching attendings. Among these programs, 65% (73) of residency program directors and 64% (58) of clerkship directors reported that pediatric hospitalists are responsible for all general inpatient services. The majority of residency (76%, 84) and clerkship directors (71%, 64) reported that hospitalists are more accessible to trainees than traditional attendings. A minority of residency program directors (36%, 39) reported that use of hospitalists has decreased senior resident autonomy. The role of hospitalists in resident and student education will likely continueto evolve over the next decade. Additional refinement of the roles and responsibilities of hospitalists will address lingering concerns in some programs about resident autonomy.