Pediatric Hospitalist Medicine

The Division of Pediatric Hospitalist Medicine was created to fulfill the needs for a hospital-based, general pediatrician to provide coordinated patient care, communication between residents and subspecialists, educational training of residents and medical students, and general pediatric care to patients and their families.

Our philosophy is threefold:

  1. Provide the highest standards of care for infants, children, and adolescents with general pediatric medical issues requiring hospitalization.
  2. Provide outstanding teaching of pediatric residents and medical students in understanding general pediatric medicine.
  3. Contribute to the field of pediatric hospitalist medicine through research in hopes to continually improve patient care.

As a consistent member of the inpatient ward team, the hospitalist is the central figure and leader in coordinating patient care. In addition to caring for children without primary care physicians, or primary care physicians who choose not to admit to Children’s Hospital of Michigan (CHM), we work with specialists in the fields of neurology, pulmonology, allergy, and endocrinology to coordinate care for children with epilepsy, cystic fibrosis, asthma, and diabetes. We directly supervise pediatric residents on patient care during the day and are available 24 hours a day via pager.

In the practice of family-centered care, we often invite patients, parents, and other family members on morning ward rounds to voice concerns and participate in the medical decision-making process. Lastly, a strong emphasis is placed upon keeping each child’s primary care physician updated on the admission of their patient, any significant changes in clinical condition, and discharge information so that appropriate follow up is arranged.

As academic hospitalists, as much as half of our time is devoted to excellence in teaching residents and medical students the fundamentals of pediatric inpatient medicine. Our team consists of four to five first-year residents, one second-year resident, and one third-year resident, along with three third-year medical students. Teaching consists of ward rounds, hands-on bedside teaching, and lecture based didactic sessions. Our goal is to develop a general inpatient pediatric curriculum for each of the residents and medical students to master during their rotation.

Our commitment is to further the development of pediatric inpatient medicine through developing future hospitalist models, improving patient and family satisfaction during their hospitalization, reducing length-of-stay and cutting hospital costs, and improving patient safety.

In July 2005, the division was expanded to include in-house pediatric hospitalists to provide additional expertise and caring for the children. This service will provide 24/7 coverage independent of resident involvement, and will continue to provide direct communications with community pediatricians. Additionally, technology has provided us the ability to automatically fax discharge dictations directly to the community pediatricians’ offices to ensure excellent post-hospitalization follow-up.