title: Perceived core competency achievements of fellowship and non-fellowship-trained early career pediatric hospitalists.
abstract: BACKGROUND
  The pediatric hospital medicine (PHM) core competencies were established in 2010 to identify the specific knowledge base and skill set needed to provide the highest quality of care for hospitalized children. The objectives of this study were to examine the perceived core competency achievements of fellowship-trained and non-fellowship-trained early career pediatric hospitalists and identify perceived gaps in our current training models.
  
  
  METHODS
  An anonymous Web-based survey was distributed in November 2013. Hospitalists within 5 years of their residency graduation reported their perceived competency in select PHM core competencies. χ(2) and multiprobit regression analyses were utilized.
  
  
  RESULTS
  One hundred ninety-seven hospitalists completed the survey and were included; 147 were non-fellowship-trained and 50 were PHM fellowship graduates or current PHM fellows. Both groups reported feeling less than competent in sedation and aspects of business practice. Non-fellowship-trained hospitalists also reported mean scores in the less than competent range in intravenous access/phlebotomy, technology-dependent emergencies, performing Plan-Do-Study-Act process and root cause analysis, defining basic statistical terms, and identifying research resources. Non-fellowship-trained hospitalists reported mean competency scores greater than fellowship-trained hospitalists in pain management, newborn care, and transitions in care.
  
  
  CONCLUSIONS
  Early career pediatric hospitalists report deficits in several of the PHM core competencies, which should be considered when designing PHM-specific training in the future. Fellowship-trained hospitalists report higher levels of perceived competency in many core areas.
authors.affiliation: Department of Hospital Medicine, Children's National Health Systems, Washington, DC.|George Washington School of Medicine and Health Science, Washington, DC.
authors.forename: Jamie
authors.initials: J
authors.lastname: Librizzi
authors.affiliation: Department of Hospital Medicine, Children's National Health Systems, Washington, DC.|George Washington School of Medicine and Health Science, Washington, DC.
authors.forename: Jeffrey C
authors.initials: JC
authors.lastname: Winer
authors.affiliation: Department of Hospital Medicine, Children's National Health Systems, Washington, DC.|George Washington School of Medicine and Health Science, Washington, DC.
authors.forename: Laurie
authors.initials: L
authors.lastname: Banach
authors.affiliation: Department of Hospital Medicine, Children's National Health Systems, Washington, DC.|George Washington School of Medicine and Health Science, Washington, DC.
authors.forename: Aisha
authors.initials: A
authors.lastname: Davis
mesh_terms: D002983:Clinical Competence / Q000592:standards*; D004503:Education, Medical, Graduate; D064416:Hospital Medicine / Q000193:education* / Q000592:standards; D020445:Hospitalists / Q000193:education* / Q000592:standards; D006776:Hospitals, Pediatric; D006801:Humans; D010372:Pediatrics / Q000193:education*; D012647:Self-Assessment; D011795:Surveys and Questionnaires