Abstract
Objective
To describe supervision preferences among pediatric hospitalists, Pediatric Hospital
Medicine (PHM) fellows, and senior residents (SRs), and to better define the ideal
role of a PHM fellow.
Methods
We conducted a cross-sectional survey study at 6 institutions nationwide. We developed
3 complementary surveys, one for each population (hospitalists, fellows, SRs). We
calculated univariate descriptive and bivariate statistics for categorical variables
using Chi-square tests with the Rao-Scott correction to account for clustering by
institution.
Results
Survey respondents included 106 of 200 hospitalists (53%), all 20 fellows (100%),
and 149 of 380 SRs (39%). Most hospitalists and all fellows preferred the supervising
hospitalist to have 3+ years of experience or be fellowship-trained. Nearly all fellows
preferred the attending round in-person providing progressive independence; while
hospitalists and SRs desired greater attending presence on rounds. Hospitalists and
fellows wanted more frequent communication when the attending does not round with
the team, and more hospitalists desired at least 2 points of contact regardless of
attending presence on rounds. Fifty-five percent of SRs reported experiencing much
less/less autonomy when on with a fellow than when supervised by a hospitalist only.
Regarding the fellow's role, most participants agreed SRs should lead rounds and contact
the fellow first with questions. The majority agreed teaching should be a shared responsibility
but lacked consensus about how to provide feedback.
Conclusions
Study results reveal preferences about supervising fellows in this new subspecialty.
Hospitalists, fellows, and SRs may have differing opinions regarding workflow, communication,
and teaching, impacting team leadership and autonomy.
Keywords
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Article Info
Publication History
Published online: March 19, 2022
Accepted:
February 22,
2022
Received:
December 17,
2020
Publication stage
In Press Journal Pre-ProofFootnotes
The authors have no conflicts of interest to disclose.
Identification
Copyright
Copyright © 2022 by Academic Pediatric Association
