Paediatrics

The  majority  of  paediatric  residencies  and   student   clerkship   programs  depend  at  least  in  part  on  hospitalists  as  teaching  attending   physicians  for their   general   inpatient   services.   Evidence suggests that  trainees   are   more   satisfied   with   inpatient   teaching  from  hospitalists  than  with teaching   from  non hospitalists .  However,  we  are   not  aware  of   published  studies   comparing other   educational  outcomes,  such  as   knowledge   acquisition   or   clinical   performance,   under hospitalist    and  nonhospitalist     models. Of  note, the    proposed    PHM  fellowship  curriculum  includes    formal  training,  suggesting   that inpatient   paediatric  teaching   could   be   additionally  enhanced.  Paediatric  residencies   are   designed   so  that  trainees  assume  progressively  greater responsibilities  so that, on graduation, they   are   competent   to provide   high  quality  unsupervised care . Studies of  whether  the  presence  of  hospitalists  might  impede  the  development  of  resident autonomy  are   conflicting  : some  show   a   perceived   decrease  in   senior  resident  autonomy, and  others  show  the opposite. Thus, any firm  conclusions  about  the  impact   of  hospitalists  on  paediatric  resident autonomy  will require  more  rigorous  study.



 


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