title: The Med-Peds Hospitalist Workforce: Results From the American Academy of Pediatrics Workforce Survey.
abstract: OBJECTIVE
  There is no published literature about the med-peds hospitalist workforce, physicians dually trained in internal medicine and pediatrics. Our objective was to analyze this subset of physicians by using data from the American Academy of Pediatrics (AAP) workforce survey to assess practice patterns and workforce demographics. We hypothesized that demographic differences exist between hospitalists and nonhospitalists.
  
  
  METHODS
  The AAP surveyed med-peds physicians from the Society of Hospital Medicine and the AAP to define workforce demographics and patterns of practice. We compared self-identified hospitalists with nonhospitalist physicians on multiple characteristics. Almost one-half of the hospitalists self-identified as being both primary care physicians and hospitalists; we therefore also compared the physicians self-identifying as being both primary care physicians and hospitalists with those who identified themselves solely as hospitalists.
  
  
  RESULTS
  Of 1321 respondents, 297 physicians (22.4%) self-reported practicing as hospitalists. Hospitalists were more likely than nonhospitalists to have been practicing<10 years (P<.001), be employed by a health care organization (P<.001), work>50 hours per week (P<.001), and see only adults (P<.001) or children (P=.03) in their practice rather than a mix of both groups. Most, 191/229 (83.4%), see both adults and children in practice, and 250/277 (90.3%) stated that their training left them well prepared to practice both adult and pediatric medicine.
  
  
  CONCLUSIONS
  Med-peds hospitalists are more likely to be newer to practice and be employed by a health care organization than nonhospitalists and to report satisfaction that their training sufficiently prepared them to see adults and children in practice.
authors.affiliation: Departments of Internal Medicine and Pediatrics at Medstar Georgetown University Hospital, Washington, District of Columbia; mjd55@gunet.georgetown.edu.
authors.forename: Michael J
authors.initials: MJ
authors.lastname: Donnelly
authors.affiliation: Departments of Internal Medicine and Pediatrics at Medstar Georgetown University Hospital, Washington, District of Columbia;
authors.forename: Lauren
authors.initials: L
authors.lastname: Lubrano
authors.affiliation: Division of Workforce and Medical Education Policy at the American Academy of Pediatrics, Elk Grove Village, Illinois;
authors.forename: Carrie L
authors.initials: CL
authors.lastname: Radabaugh
authors.affiliation: Departments of Internal Medicine and Pediatrics at the University of Michigan Health System, Ann Arbor, Michigan;
authors.forename: Michael P
authors.initials: MP
authors.lastname: Lukela
authors.affiliation: Departments of Internal Medicine and Pediatrics at Christiana Care Health System, Wilmington, Delaware; and.
authors.forename: Allen R
authors.initials: AR
authors.lastname: Friedland
authors.affiliation: Independent research professional under contract to the American Academy of Pediatrics, Elk Grove Village, Illinois.
authors.forename: Holly S
authors.initials: HS
authors.lastname: Ruch-Ross
mesh_terms: D000328:Adult; D001741:Black or African American / Q000706:statistics & numerical data; D001213:Asian / Q000706:statistics & numerical data; D005260:Female; D006280:Health Workforce; D006630:Hispanic or Latino / Q000706:statistics & numerical data; D020445:Hospitalists / Q000706:statistics & numerical data*; D006761:Hospitals / Q000706:statistics & numerical data; D006801:Humans; D007388:Internal Medicine / Q000706:statistics & numerical data*; D007588:Job Satisfaction; D008297:Male; D008875:Middle Aged; D010372:Pediatrics / Q000706:statistics & numerical data*; D058007:Physicians, Primary Care / Q000706:statistics & numerical data*; D044465:White People / Q000706:statistics & numerical data; D016526:Workload; D017132:Workplace