title: Long-term Plans for Those Selecting Hospital Medicine as an Initial Career Choice.
abstract: BACKGROUND
  The proportion of the newly graduated pediatric workforce that becomes hospitalists has been increasing slightly over the past decade. However, it is unknown what proportion of those who accept hospitalist positions as their first job intend to remain in the field longer term. This is important to workforce projections regarding the magnitude of those who will function in this role.
  
  
  METHODS
  The American Board of Pediatrics incorporated a structured questionnaire within the online application process to the General Pediatrics certification application. Respondents identified as residents or chief residents who selected "hospitalist position" as their immediate postresidency plan were the focus this study. We compared survey responses by gender and location of the medical school attended.
  
  
  RESULTS
  Since the initiation of the general pediatrics certification examination application survey, 6335 completed the questionnaire. 79% (n=5001) were either in residency training or were a chief resident. Of those, 8% (n=376) reported they planned to work as a pediatric hospitalist immediately after completing residency. Fewer than half (43%; n=161) reported this to be their long-term career plan. This finding varied by both medical school type and by gender.
  
  
  CONCLUSIONS
  The majority of pediatric residents and chief residents who take hospitalist positions immediately after training do not intend for hospital practice to be the long-term focus of their careers. As the field of hospital medicine continues to develop, understanding career trajectories can help inform current and future efforts regarding the potential for different mechanisms for training and certification.
authors.affiliation: Child Health Evaluation and Research Unit, Division of General Pediatrics, Department of Pediatrics and Communicable Diseases, and Department of Health Management and Policy, School of Public Health, University of Michigan, Ann Arbor, Michigan; and gfreed@med.umich.edu.
authors.forename: Gary L
authors.initials: GL
authors.lastname: Freed
authors.affiliation: The American Board of Pediatrics, Chapel Hill, North Carolina.
authors.forename: Gail A
authors.initials: GA
authors.lastname: McGuinness
authors.affiliation: The American Board of Pediatrics, Chapel Hill, North Carolina.
authors.forename: Linda A
authors.initials: LA
authors.lastname: Althouse
authors.affiliation: Child Health Evaluation and Research Unit, Division of General Pediatrics, Department of Pediatrics and Communicable Diseases, and.
authors.forename: Lauren M
authors.initials: LM
authors.lastname: Moran
authors.affiliation: Child Health Evaluation and Research Unit, Division of General Pediatrics, Department of Pediatrics and Communicable Diseases, and.
authors.forename: Laura
authors.initials: L
authors.lastname: Spera
mesh_terms: D002321:Career Choice; D005257:Fellowships and Scholarships; D064416:Hospital Medicine; D006801:Humans; D007396:Internship and Residency; D010372:Pediatrics; D011795:Surveys and Questionnaires; D014481:United States
keywords: career; hospitalists; pediatrics; workforce