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Now That Pediatric Hospitalist Medicine Is a New Board-Eligible Subspecialty, What Must Be Contained in a Fellowship Training Curriculum? :

June 9, 2017

This past year, the American Board of Pediatrics (ABP) recommended to the American Board of Medical Specialties (ABMS) that pediatric hospitalist medicine (PHM) be a boarded subspecialty.

This past year, the American Board of Pediatrics (ABP) recommended to the American Board of Medical Specialties (ABMS) that pediatric hospitalist medicine (PHM) be a boarded subspecialty. The ABMS approved this recommendation and work is underway to determine what curricular content should make up PHM fellowship training and evaluation.  Jerardi et al. (10.1542/peds.2017-0698) summarize in a special article being released this week, the work of a group of national PHM fellowship directors to establish common training requirement ground by creating the curricular standards and in turn competencies needed to sit for a PHM subspecialty certification examination following two years of fellowship training. This article describes the methodology underlying the consensus development of a curricular framework which involved multiple stakeholders weighing in including PHM fellowship graduates, PHM leaders, hospitalists, and of course fellowship program directors. Their work suggests three curricular areas of focus in a PHM fellowship including clinical care, systems and scholarship and an individualized curriculum to further differentiate a particular fellow’s needs.  

While not everyone may be excited about PHM becoming a new subspecialty, seeing the curricular areas that will now be part of the training will enable everyone to better understand the uniqueness of this training and what goes into it.  Since the rules and regulations for grandparenting hospitalists to be eligible to sit for their board certification without formal fellowship training have yet to be formalized, this article will help focus fellowship-or nonfellowship trained pediatricians on what this new subspecialty field should encompass and what diplomates will be tested on. We welcome your comments pro or con this framework by responding to this blog, sharing a comment on our website when you link to this article, or simply sharing your thoughts on our Facebook or Twitter sites.

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