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Transitional Hospitalists: Where Do They Go? - CANCELED

Sunday, October 21, 2012
Room 281-282 (Morial Convention Center)
Christopher J. Pingel, M.D., Jonathan Chiles, M.D., Shobha Bhaskar, M.D., Theresa Frey, M.D., G. Rosy Herath, M.D., Ruth Hwu, M.D., Abby Kushnir, M.D., Sarah Majcina, M.D., Monalisa Mullick, M.D., Purvi P. Shah, M.D. and Michael Turmelle, M.D., Pediatrics, Washington University School of Medicine, St. Louis, MO


Pediatric Hospital Medicine has seen tremendous growth in the last ten years. The Washington University program has been representative of that growth. Many of our former hospitalists chose our program as a transition to other careers. We suspect this is not unique to our group. Upon review of the literature, there is no description of how pediatricians perceive their time as a hospitalist, why they move on to new positions, or the types of positions they choose.  Our purpose is to determine which roles former hospitalists transition to after leaving the Division of Pediatric Hospital Medicine, and to evaluate their perception of their time spent as a hospitalist.


We contacted former hospitalists employed at Washington University since 2000 via email. The email provided a link to an anonymous survey. Former hospitalists were asked about career satisfaction while at Washington University. Data was collected regarding their subsequent positions.


70% (31/44) of former Washington University pediatric hospitalists completed the survey. 29% (9/31) stayed in hospitalist medicine (89% academic, 11% community). 35% (11/31) chose subspecialty care (36% emergency medicine, 18% neonatology, 18%, cardiology, 9% gastroenterology, 9% allergy/immunology, 9% infectious disease). 19% (6/31) transitioned to outpatient primary care. 97% (30/31) responded that their time as a hospitalist was helpful in reaching their career goals, while 3% (1/31) felt that it hindered their career. 32% (10/31) entered the position at our program with the intention of remaining in hospital medicine for the duration of their career. An additional 6% (2/31) later decided upon hospital medicine as a career. The most common reasons for leaving the program were relocation (35%, 11/31) and fellowship training (29%, 9/31).


Pediatricians who have worked as hospitalists at Washington University go on to pursue a variety of different careers. The vast majority found this experience to be helpful in reaching their individual career goals. While not all individuals who work as a pediatric hospitalist at our institution entered with the intention of remaining hospitalists, this role is a useful bridge to many different career opportunities. Further studies are needed to elucidate the factors that contribute to career satisfaction as it relates to varying career paths.