Tuesday, March 6, 2012

Focused Practice in PHM Option

Pros:

  • Accepted model for Maintenance of Certification in Internal Medicine 
  • Develops an identity and recognition for Pediatric Hospitalists due to specific test questions for MOC 
  • Requires Process Improvement Module every three years to assist clinicians in providing high quality care 
  • Improves value (quality/cost) of hospital medicine clinical care 
  • No opportunity cost (no lost wages or time due to additional formal training)
  • Can modify Internal Medicine procedures to meet Pediatric needs 
  • Can be used by a variety of hospitalists working in different settings (academic and community, NICU, PICU, etc.)



Cons:
  • ABIM model is still in pilot phase and this may not be available for other fields
  • Not a popular option in Adult Hospital Medicine field
  • No formal training in research 
  • No formal training in administration/leadership; difficult to find mentors
  • No formal training in QI/PI 
  • May create more barriers for general pediatrician to practice inpatient medicine 
  • Some graduating residents may not have the clinical experience necessary to begin work as a pediatric hospitalist without additional formal training. 
  • Similar “Cons” to No-Change

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