Well Newborn

COVID-19

Hospital-based Medicine

Community Pediatrics

General Pediatrics

Emergency Medicine

Hospitalists Scope of Practice: What They Do and What They Shouldn't Do (and What They Are Doing During COVID-19)

Chair(s)

• DR

  Daniel Rauch, MD

  Chief of Pediatric Hospital Medicine
  Pediatrics
  Tufts Children's Hospital
  Boston, Massachusetts, United States

In November 2019 the first PHM certification exam was administered, minting the first group of ABP certified Pediatric Hospitalists. Much is known about the current clinical roles served by hospitalists. However, the scope of clinical practice varies tremendously from general inpatient pediatric floor care to the intensive care units (neonatal and pediatric), newborn nursery, subspecialty inpatient care, surgical co-management, delivery room, sedation, complex care, and the emergency department. Prior to formal recognition of PHM by the ABP, the term hospitalist seemed to apply to everyone who worked in a hospital who did not have another certification beyond general pediatrics. The purpose of this session is to discuss the current scope of PHM practice and where, if at all, the edges of that practice should be. Absent delineation of scope and as several pediatric subspecialties workforce and trainees numbers decline, pediatric hospitalists have been and maybe further pushed into filling those gaps. Pediatric hospitalists have been at the forefront in providing value based care and have taken the lead in many quality improvement initiatives at hospitals around the country. These qualities and more make pediatric hospitalists a valued commodity as they fill these varied roles within the hospital. The presenters represent division leaders of groups with broad scopes of practice, a community hospitalist who covers the DR to ER, and the co-chair of the AAP Section on Hospital Medicine Neonatal Hospitalists sub-committee. Additionally all presenters can comment on even wider expansion of practice during the COVID surge. Updated

Presentations:

• 9:00 AM - 9:10 AM US CT

  Introduction and background
  

  Presenter: Daniel A. Rauch, MD – Tufts Children's Hospital
• 9:10 AM - 9:25 AM US CT

  Roles of the hospitalist in a tertiary care center 1
  

  Presenter: Ricardo Quinonez, MD, FHM, FAAP – Baylor College of Medicine
• 9:25 AM - 9:40 AM US CT

  Roles of the hospitalist in a tertiary care center 2
  

  Presenter: Michael Bryant, MD, MBA – Children's Hospital of Los Angeles
• 9:40 AM - 9:55 AM US CT

  Roles of the hospitalist in a community hospital
  

  Presenter: Melissa Mauro-Small, MD – Tufts Children's Hospital
• 9:55 AM - 10:10 AM US CT

  Roles of the hospitalist in newborn care
  

  Presenter: Arun Gupta, MD – Stanford University School of Medicine
• 10:10 AM - 10:30 AM US CT

  Disussion/Q&A
  

  Presenter: Daniel A. Rauch, MD – Tufts Children's Hospital
• 10:30 AM - 11:30 AM US CT

  Break
  

  Presenter: Belinda Thomas
• 11:30 AM - 12:00 PM US CT

  Click for Live Q&A: Hospitalists Scope of Practice: What They Do and What They Shouldn't Do (and What They Are Doing During COVID-19)
  

  Presenter: Belinda Thomas