2023 State of Hospital Medicine Report (Electronic Version)-Section 4: Hospital Medicine Groups Serving Pediatric Patients

Section 4: Hospital Medicine Groups Serving Pediatric Patients

Pdf Summary

The "2023 State of Hospital Medicine Report" provides comprehensive data on hospital medicine groups (HMGs) serving pediatric patients, focusing on clinical practices, staffing, leadership, scheduling, compensation, and practice finances. Notably, the report focuses on groups that serve only pediatric patients.

Key highlights include:

1. <strong>Co-Management Roles</strong>: The report details hospitalists' roles in managing various medical specialties, such as critical care and cardiology. For instance, 64.7% of pediatric groups have no interaction with critical care teams, while 37.3% work as consultants in cardiology.

2. <strong>Innovative Practices</strong>: About 61.5% of pediatric groups have implemented telemedicine programs.

3. <strong>Staffing</strong>: The average full-time equivalent (FTE) for physicians is 16.9, with the majority being employed by hospital/health systems or universities.

4. <strong>Board Certification</strong>: The percentage of physicians board-certified in Pediatric Hospital Medicine (PHM) has risen to 37.2%.

5. <strong>Turnover and Anticipated Changes</strong>: Physician turnover stands at 7.3%, with 59.6% of groups planning to increase FTEs in the next year.

6. <strong>Leadership and Compensation</strong>: Groups have an average of 2.9 physician leaders, with compensation increasing substantially for leaders, partly because of higher percentages allocated for leadership roles (up to 23.4% of FTE).

7. <strong>Burnout Management</strong>: Only 18.9% of groups have employees focused on well-being, though 63.5% do measure burnout regularly.

8. <strong>Scheduling</strong>: Variable schedules are prevalent, utilized by 64.7% of pediatric groups. Common shift durations are 8-12 hours and only 11.8% follow a "seven on/seven off" model.

9. <strong>Benefits and Compensation</strong>: The report reveals various employee benefits, with the annual CME allotment typically ranging between $1,500 and $5,999. Hospitalist compensation largely consists of fixed base pay (91.8%), with smaller portions allocated for production and performance incentives.

10. <strong>Practice Finances</strong>: Financial support per FTE physician averages around $200,999, and support per FTE provider is approximately $170,168. 

The report uses fewer demographic breakdowns due to a limited response rate but offers robust insights into pediatric hospital medicine.

Keywords

hospital medicine

pediatric patients

clinical practices

staffing

leadership

compensation

telemedicine

board certification

burnout management

practice finances