title: Pediatric hospitalist perceptions regarding trainees' effects on cost and quality of care.
abstract: OBJECTIVE
  To determine pediatric hospitalists' perceptions about residents' effects on cost and quality of care and their own ability to provide and teach cost-effective, high-quality care.
  
  
  METHODS
  A 15-item survey assessing hospitalist perceptions of resident impact on costs/quality and their role in teaching cost-effectiveness was developed and sent to 180 hospitalists from 113 institutions in the United States.
  
  
  RESULTS
  Of 180 hospitalists surveyed, 127 completed surveys (71%). Overall, 76 (60%) and 91 (72%) hospitalists believed that residents increase quality and cost of care, respectively. Respondents who worked with residents all the time were more likely to state that residents increase quality (50 of 70 [71%]) compared with those who worked with residents sometimes (18 of 42 [43%]) or never (8 of 15 [53%]; P=.01). Similarly, academic hospitalists were more likely than community hospitalists to believe that residents increase quality (67 of 103 [65%] vs 9 of 24 [38%]; P=.03). Although only 28 (22%) respondents reported receiving formal cost-effectiveness training, 116 (91%) believed that they provided cost-effective care, and 103 (81%) believed that they were qualified to teach this topic. Most respondents (n=115 [91%]) believed that residents should participate in a cost-effectiveness curriculum.
  
  
  CONCLUSIONS
  Most respondents felt trainees increase both the costs and quality of care for hospitalized children. The perception of increased quality was associated with increased resident interaction, whereas cost perceptions were similar across groups. Pediatric hospitalists report a lack of formal cost-effectivesness training, but nearly all respondents supported the incorporation of such training into graduate medical education programs.
authors.affiliation: Divisions of Hospital Medicine and david.p.johnson.1@vanderbilt.edu.
authors.forename: David P
authors.initials: DP
authors.lastname: Johnson
authors.affiliation: Divisions of Hospital Medicine and.
authors.forename: Whitney L
authors.initials: WL
authors.lastname: Browning
authors.affiliation: General Pediatrics, Monroe Carell Jr Children's Hospital at Vanderbilt and the Department of Pediatrics, Vanderbilt University School of Medicine, Nashville, Tennessee.
authors.forename: James C
authors.initials: JC
authors.lastname: Gay
authors.affiliation: Divisions of Hospital Medicine and.
authors.forename: Derek J
authors.initials: DJ
authors.lastname: Williams
mesh_terms: D003362:Cost-Benefit Analysis; D003479:Curriculum; D017721:Hospital Costs; D020445:Hospitalists / Q000523:psychology*; D006764:Hospitals, Community / Q000191:economics / Q000592:standards*; D006784:Hospitals, Teaching / Q000191:economics / Q000592:standards*; D006801:Humans; D007396:Internship and Residency; D010465:Perception; D011787:Quality of Health Care; D013663:Teaching; D014481:United States
keywords: cost; cost-effectiveness; quality; residents
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