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Core Competencies Defined For Pediatric Hospitalists

NATIONAL HARBOR, MD. — After an 8-year development effort, the Society of Hospital Medicine has published core competencies for pediatric hospitalists.

The competencies define the expected standards for all pediatric hospitalists, regardless of practice setting or location, said Dr. Mary C. Ottolini of the SHM's pediatric committee. The competencies also are a means of differentiating hospitalists from primary care pediatricians or other pediatric specialists.

Although the competencies are viewed as the first step in gaining recognition as a new specialty through the American Board of Pediatrics, it is not guaranteed that a certification process will be forthcoming soon, Dr. Ottolini said at the annual meeting of the Society of Hospital Medicine.

Negotiations with the ABP are ongoing, said coauthor Dr. Erin R. Stucky of Rady Children's Hospital and the University of California, San Diego. The American Board of Pediatrics, however, has not been petitioned to consider a new pediatric hospitalist subspecialty, according to Dr. James A. Stockman III, president and CEO of the board. In the absence of a petition, the board will not formally weigh the pros and cons of introducing such certification, he noted in an interview.

The American Board of Internal Medicine and the American Board of Family Practice have chosen to offer Recognition of Focused Practice in Hospital Medicine, a credential available for the first time in 2010. The new certification requirements will be met through an exam, along with self-evaluation and practice improvement modules to be completed as part of the maintenance of certification process. But the ABP is not certain that such a mechanism would be appropriate for pediatrics, Dr. Stockman said.

Many hospitalists thought that the competencies had already been defined, because a development framework was published in 2006, noted Dr. Ottolini of Children's National Medical Center and George Washington University, both in Washington. In the years since the SHM's pediatric core competencies task force was created, there have been many iterations, corrections, and reviews, she said.

“This groundbreaking event now gives a context by which all pediatric hospitalists can judge their expertise and training. As this new subspecialty emerges, it will give training programs and examiners a body of knowledge and skill to aspire to,” commented Dr. Michelle Marks, director of pediatric hospitalist medicine and director of medical operations at the the Cleveland Clinic Children's Hospital.

The final publication contains 54 chapters covering 22 common clinical diagnoses, 6 specialized clinical services, 13 core skills, and 13 health care systems for supporting and advancing child health (J. Hosp. Med. 2010 April 9 [doi:10.1002/jhm.776

The competencies are not meant to be all-inclusive, rigid, or easily achieved during residency training, Dr. Ottolini said. They may even be difficult to achieve during a fellowship, Dr. Stucky added.

The competencies were reviewed by 9 section editors, 50-plus authors and contributors, 3 senior editors, 33 internal reviewers, and dozens of external reviewers, including all the major academic and certifying societies, “stakeholder” agencies such as the American Hospital Association and the American College of Emergency Physicians, and pediatric hospital medicine fellowship directors at major children's hospitals around the country.

Next steps include developing assessment strategies, including examinations, simulations, and practice reviews. The competencies themselves also will be continually assessed and revised, Dr. Ottolini said.

Disclosures: Dr. Ottolini, Dr. Stucky, and Dr. Marks reported no financial conflicts.

The competencies define the expected standards for all pediatric hospitalists, regardless of practice setting or location. However, the competencies are not meant to be all-inclusive, rigid, or easily achieved during residency training, Dr. Mary C. Ottolini said.

Source Courtesy Children's National Medical Center

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NATIONAL HARBOR, MD. — After an 8-year development effort, the Society of Hospital Medicine has published core competencies for pediatric hospitalists.

The competencies define the expected standards for all pediatric hospitalists, regardless of practice setting or location, said Dr. Mary C. Ottolini of the SHM's pediatric committee. The competencies also are a means of differentiating hospitalists from primary care pediatricians or other pediatric specialists.

Although the competencies are viewed as the first step in gaining recognition as a new specialty through the American Board of Pediatrics, it is not guaranteed that a certification process will be forthcoming soon, Dr. Ottolini said at the annual meeting of the Society of Hospital Medicine.

Negotiations with the ABP are ongoing, said coauthor Dr. Erin R. Stucky of Rady Children's Hospital and the University of California, San Diego. The American Board of Pediatrics, however, has not been petitioned to consider a new pediatric hospitalist subspecialty, according to Dr. James A. Stockman III, president and CEO of the board. In the absence of a petition, the board will not formally weigh the pros and cons of introducing such certification, he noted in an interview.

The American Board of Internal Medicine and the American Board of Family Practice have chosen to offer Recognition of Focused Practice in Hospital Medicine, a credential available for the first time in 2010. The new certification requirements will be met through an exam, along with self-evaluation and practice improvement modules to be completed as part of the maintenance of certification process. But the ABP is not certain that such a mechanism would be appropriate for pediatrics, Dr. Stockman said.

Many hospitalists thought that the competencies had already been defined, because a development framework was published in 2006, noted Dr. Ottolini of Children's National Medical Center and George Washington University, both in Washington. In the years since the SHM's pediatric core competencies task force was created, there have been many iterations, corrections, and reviews, she said.

“This groundbreaking event now gives a context by which all pediatric hospitalists can judge their expertise and training. As this new subspecialty emerges, it will give training programs and examiners a body of knowledge and skill to aspire to,” commented Dr. Michelle Marks, director of pediatric hospitalist medicine and director of medical operations at the the Cleveland Clinic Children's Hospital.

The final publication contains 54 chapters covering 22 common clinical diagnoses, 6 specialized clinical services, 13 core skills, and 13 health care systems for supporting and advancing child health (J. Hosp. Med. 2010 April 9 [doi:10.1002/jhm.776

The competencies are not meant to be all-inclusive, rigid, or easily achieved during residency training, Dr. Ottolini said. They may even be difficult to achieve during a fellowship, Dr. Stucky added.

The competencies were reviewed by 9 section editors, 50-plus authors and contributors, 3 senior editors, 33 internal reviewers, and dozens of external reviewers, including all the major academic and certifying societies, “stakeholder” agencies such as the American Hospital Association and the American College of Emergency Physicians, and pediatric hospital medicine fellowship directors at major children's hospitals around the country.

Next steps include developing assessment strategies, including examinations, simulations, and practice reviews. The competencies themselves also will be continually assessed and revised, Dr. Ottolini said.

Disclosures: Dr. Ottolini, Dr. Stucky, and Dr. Marks reported no financial conflicts.

The competencies define the expected standards for all pediatric hospitalists, regardless of practice setting or location. However, the competencies are not meant to be all-inclusive, rigid, or easily achieved during residency training, Dr. Mary C. Ottolini said.

Source Courtesy Children's National Medical Center

NATIONAL HARBOR, MD. — After an 8-year development effort, the Society of Hospital Medicine has published core competencies for pediatric hospitalists.

The competencies define the expected standards for all pediatric hospitalists, regardless of practice setting or location, said Dr. Mary C. Ottolini of the SHM's pediatric committee. The competencies also are a means of differentiating hospitalists from primary care pediatricians or other pediatric specialists.

Although the competencies are viewed as the first step in gaining recognition as a new specialty through the American Board of Pediatrics, it is not guaranteed that a certification process will be forthcoming soon, Dr. Ottolini said at the annual meeting of the Society of Hospital Medicine.

Negotiations with the ABP are ongoing, said coauthor Dr. Erin R. Stucky of Rady Children's Hospital and the University of California, San Diego. The American Board of Pediatrics, however, has not been petitioned to consider a new pediatric hospitalist subspecialty, according to Dr. James A. Stockman III, president and CEO of the board. In the absence of a petition, the board will not formally weigh the pros and cons of introducing such certification, he noted in an interview.

The American Board of Internal Medicine and the American Board of Family Practice have chosen to offer Recognition of Focused Practice in Hospital Medicine, a credential available for the first time in 2010. The new certification requirements will be met through an exam, along with self-evaluation and practice improvement modules to be completed as part of the maintenance of certification process. But the ABP is not certain that such a mechanism would be appropriate for pediatrics, Dr. Stockman said.

Many hospitalists thought that the competencies had already been defined, because a development framework was published in 2006, noted Dr. Ottolini of Children's National Medical Center and George Washington University, both in Washington. In the years since the SHM's pediatric core competencies task force was created, there have been many iterations, corrections, and reviews, she said.

“This groundbreaking event now gives a context by which all pediatric hospitalists can judge their expertise and training. As this new subspecialty emerges, it will give training programs and examiners a body of knowledge and skill to aspire to,” commented Dr. Michelle Marks, director of pediatric hospitalist medicine and director of medical operations at the the Cleveland Clinic Children's Hospital.

The final publication contains 54 chapters covering 22 common clinical diagnoses, 6 specialized clinical services, 13 core skills, and 13 health care systems for supporting and advancing child health (J. Hosp. Med. 2010 April 9 [doi:10.1002/jhm.776

The competencies are not meant to be all-inclusive, rigid, or easily achieved during residency training, Dr. Ottolini said. They may even be difficult to achieve during a fellowship, Dr. Stucky added.

The competencies were reviewed by 9 section editors, 50-plus authors and contributors, 3 senior editors, 33 internal reviewers, and dozens of external reviewers, including all the major academic and certifying societies, “stakeholder” agencies such as the American Hospital Association and the American College of Emergency Physicians, and pediatric hospital medicine fellowship directors at major children's hospitals around the country.

Next steps include developing assessment strategies, including examinations, simulations, and practice reviews. The competencies themselves also will be continually assessed and revised, Dr. Ottolini said.

Disclosures: Dr. Ottolini, Dr. Stucky, and Dr. Marks reported no financial conflicts.

The competencies define the expected standards for all pediatric hospitalists, regardless of practice setting or location. However, the competencies are not meant to be all-inclusive, rigid, or easily achieved during residency training, Dr. Mary C. Ottolini said.

Source Courtesy Children's National Medical Center

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