Pediatric hospitalist medicine conference 2020

Pediatric hospitalist medicine conference 2020 DEFAULT

Pediatric Hospital Medicine Conference Marks 10th Year

This year marks an exciting milestone for pediatric hospitalists: the 10th anniversary of the only national conference dedicated to pediatric hospital medicine (PHM). Although the first meeting might have been just a handful of pediatric hospitalists gathering to better understand an emerging specialty, Pediatric Hospital Medicine 2013 will be a bustling gathering of leaders in the now-established field.

New this year are three conundrum sessions and a Sunday plenary session focusing on pediatric overuse in the hospital setting. And in response to participant demand, the concurrent workshop sessions have been expanded to include nine educational tracks, including the debut of the early-career and community hospitalist tracks.

PHM 2013 is sponsored by the American Academy of Pediatrics (AAP), the AAP Section on Hospital Medicine (SOHM), the Academic Pediatric Association, and SHM.


  • Only very old and sick die of COVID-19 if vaccinated, Italian study shows

    Publish date: October 22, 2021

  • CDC panel backs COVID-19 boosters for nearly all adults

    Publish date: October 21, 2021

  • COVID-19 ICU visit restrictions add to staff stress, burnout

    Publish date: October 21, 2021

  • Sepsis multiplies in-hospital mortality risk in COPD

    Publish date: October 21, 2021

  • Symptoms persist in patients after acute COVID-19

    Publish date: October 21, 2021

  • Comorbidities larger factor than race in COVID ICU deaths?

    Publish date: October 21, 2021

  • FDA authorizes boosters for Moderna, J&J, allows mix-and-match

    Publish date: October 20, 2021

  • No benefit from lower temps for out-of-hospital cardiac arrest

    Publish date: October 20, 2021

  • FDA approves combo pill for severe, acute pain

    Publish date: October 19, 2021

  • Children and COVID: Vaccinations lower than ever as cases continue to drop

    Publish date: October 19, 2021

Read More

Practice Management

  • COVID-19 ICU visit restrictions add to staff stress, burnout

    Publish date: October 21, 2021

  • Geographic cohorting increased direct care time and interruptions

    Publish date: October 20, 2021

  • Open ICUs giveth and taketh away

    Publish date: October 19, 2021

  • Resident physician work-hour regulations associated with improved physician safety and health

    Publish date: October 13, 2021

  • Major insurers running billions of dollars behind on payments to hospitals and doctors

    Publish date: October 8, 2021

  • Two Colorado nurses admit to stealing drugs from hospital patients

    Publish date: September 30, 2021

  • Telehealth models of care for pediatric hospital medicine

    Publish date: September 29, 2021

  • Mean leadership

    Publish date: September 23, 2021

  • Nurses ‘at the breaking point,’ consider quitting due to COVID issues: Survey

    Publish date: September 21, 2021

  • Embedding diversity, equity, inclusion, and justice in hospital medicine

    Publish date: September 21, 2021



Pediatric Hospital Medicine 2020 - Abstracts and Conundrums

Virtual Pediatric Hospital Medicine 2020

The American Academy of Pediatrics (AAP), the Society of Hospital Medicine (SHM) and the Academic Pediatric Association (APA) all thank you for submitting your work for PHM20 that was set to take place in Lake Buena Vista, FL. Unfortunately, the conference was cancelled due to the COVID-19 pandemic, so alternate plans were made to display your accepted work in a meaningful way.

All accepted submissions will be published on PHM20's Virtual Abstracts and Conundrums website. Communication was sent via email with further information concerning your submission and next steps that are needed from you. Please see below for the information that was sent via email

Authors accepted for the following presentation types will receive information in the near future regarding recording your presentation to be included in virtual PHM 2020:

-Top Research Plenary
-Oral Presentation

-Super Conundrum
-Conundrum Oral Presentation

These submissions will also be published on the PHM20 Abstracts and Conundrums Publishing Site, so if you choose to do so, you may login to the submission site and update your presentation's content so it is published accurately on the publishing site. Please wait to receive further information about the recording of your presentation within the next few weeks as these details are still being solidified.

Authors accepted for the following presentation types will have their written submission published online as part of virtual PHM 2020.

-Mini-Oral Presentation
-Poster Presentation

-Conundrum Mini-Platform
-Conundrum Poster
-Conundrum E-Poster

You may login to the submission site to update your proposal's content so it is published accurately on the publishing site. If you do not wish to update your submission it will be published online in its originally submitted form, there is no need to resubmit your submission if you do not wish to edit it.
You DO NOT need to create a poster/e-poster, PowerPoint or other material for your submission. All submissions will be published in written paragraph form.

Should you have any questions, please contact the Call for Research Abstract and Conundrum Manager, Hayleigh Scott- [email protected]

We look forward to seeing you next year at PHM21!
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The PHM 2021 Planning Committee invites all interested parties to submit content proposals for the Pediatric Hospital Medicine 2021 (PHM 2021) Conference. Please review the entirety of this call for content to determine which type of submission you would like to complete. Submissions must be completed online by Wednesday, January 20, 2021 at 11:59 p.m. ET. All submissions will be reviewed and considered for presentation at PHM 2021.

Various categories will be considered for selection. Categories include: Behavioral Health, the Business of Hospital Medicine, Clinical, Complex Care, Community Hospital, Education, Global Health, Health IT/Informatics, Innovation, Med-Peds, Mentorship, Newborn Medicine, Patient Experience, Patient Safety, Professional Development/Leadership Skills, Physician Wellness, Practice Management, Quality Improvement, Research, and Trainee/Early Career.

Please note the following before submitting a proposal:

  1. *NEW* PHM Stories The goal of PHM Stories is to help people reconnect with their purpose in medicine. This is meant to be a TED-style talk and sessions will be allotted a maximum of 10-15 minutes each. Presentation slides are not necessary, but minimal slides or other media can be used to enhance your story. This is a space for an open forum, focused on authentic stories. 2020 has been a challenging year, and we want to provide a space for sharing lessons learned within the PHM community. Topics could include, but are not limited to: wellness, racism, violence, bias, resiliency, advocacy, burnout, equality, LGBTTQQIAAP, kindness, mistreatment, mentorship, peer support, or any fascinating, sad, happy, brave, complex, or inspiring experiences. Written proposals (500-word max), as well as audio or video clips (up to 2 minutes in length), are all acceptable forms of submissions.
  2. Mini-Plenary Sessions will be allotted a maximum of 75 minutes and should be didactic in nature with audience engagement.
  3. Workshops/Didactic Interactive Sessions will be allotted a maximum of 75-minutes for presentation and should be engaging and interactive.
  4. Clinical Quick Hits will be allotted a maximum of 35 minutes for presentation and should be didactic.
  5. All faculty members/facilitators must be registered for the meeting to participate/facilitate in their sessions. Please communicate this information to each additional person for your workshop. Registration should be completed by the individual as soon as possible.
  6. Complimentary registration will be given to lead faculty (one per story) of the top 3 scoring PHM Stories. PHM staff will register the lead faculty member automatically.
  7. PHM Stories, Mini-Plenary sessions, Workshops and Clinical Quick Hits could be scheduled throughout the duration of the conference, August 5-8, 2021. Please do not submit a proposal unless you are able to appear on any of the four days of the conference.
  8. We recognize that your submission may fit into more than one category and the planning committee will address that when reviewing your complete submission.
  9. All proposals must be completed and submitted by Wednesday, January 20, 2021 at 11:59 pm EST. No extensions to this deadline will be granted.
  10. Acceptance notifications will be sent in February 2021.

Sponsored by: Academic Pediatric Association (APA), American Academy of Pediatrics Section on Hospital Medicine (SOHM) and Society of Hospital Medicine (SHM)

Healthcare systems challenges to managing Respiratory Syncytial Virus (RSV) infections - EHMA2020

Pediatric Hospital Medicine Educational Conferences

PHM Divisional Conferences

Pediatric Hospital Medicine Scholarship Series (Weekly): Conference series utilizing multiple formats, including works-in-progress style presentations, methods didactics, and lectures from invited guests, focused on scholarly career development topics.

Pediatric Hospital Medicine Journal Club (Monthly): Division faculty and fellows present recent literature relevant to the practice of hospital medicine.

Pediatric Hospital Medicine Case Conference (Monthly): Division faculty and fellows present challenging and interesting cases and lead discussion with reference to literature and evidence-based practices when available.

Fellow's Conferences

Pediatric Hospital Medicine Core Lecture Series (Twice/month): While much of the clinical knowledge gained during training will come through direct patient care, it is important to have in-depth discussions about nuances of disorders and issues that often cannot be discussed in a busy inpatient clinical setting. Therefore, the division will hold bi-monthly 1-hour lectures that will cover the core topics outlined in the medical knowledge milestones for PHM and will be covered on the pediatric hospital medicine boards.

Pediatric Hospital Medicine Leadership and Professional Development Series (Twice/month): Examples for these sessions include: How to compile an Educator's Portfolio; Methods for delivering verbal and written feedback; Teaching difficult learners and conflict resolution; Billing and Coding 101; The Alphabet Soup of Grant Funding. Additionally, fellows will participate in a book club with PHM leadership to discuss leadership in medicine.

Department of Pediatrics Core Curriculum for Fellows Conference: This conference for all departmental first-year fellows covers topics such as professionalism, clinical epidemiology, evidence-based medicine, biostatistics, research methodology, study design, ethical principles, manuscript preparation, and effective leadership. The lecture series for second-year fellows consists of three lectures held in the spring addressing topics of adult learning theory and leadership skills, and the lecture series for third-year fellows consists of three lectures held in the fall addressing team management, medical economics, and career planning.

Pediatric Academic Community Meetings: The academic communities bring together residents and fellows from across the department with similar interests and seeks to develop leaders in pediatrics through collaborative clinical experiences, mentorship, and scholarship in one of five core areas. The PHM fellow will be required to participate in one of the academic communities depending on career goals.

Departmental Conferences

Department of Pediatrics Research Conference is held on Mondays nine months per year. Original research and works-in-progress are formally presented by invited faculty from Vanderbilt and other institutions.

Pediatric Grand Rounds is held on Tuesday mornings nine months per year. Faculty from Vanderbilt and other institutions are invited to present on a topic of their choosing related to child health.

Department of Pediatrics Education Faculty Development Conference Series is held during the three months in which there is no research conference or Grand Rounds. Leaders in education within the department will present a variety of educational topics to help advance clinical and didactic teaching skills.

Pediatric Chief’s Case Conference is held on Thursday mornings nine months a year. Faculty, fellows, and residents work together through challenging cases presented by the pediatric chief residents. Each case is followed by didactic or teaching points highlighted by an expert in the field.

Departmental MMI: This hospital-wide conference provides a setting to discuss important cases from Children's Hospital and focus on ways in which we can improve systems that affect patient care.

Department of Pediatrics Annual Research Retreat is an all-day event held each Spring to highlight the research of the department’s trainees and junior investigators. Activities include a keynote address by a visiting senior investigator as well as oral and poster presentation sessions. All second- and third-year fellows will be expected to submit their scholarly work for this activity.

Fellows are required to attend the American Academy of Pediatrics PHM Fellows Conference (August) and 1-2 additional national conferences each year of fellowship. Fellows are expected to submit an abstract detailing their scholarly work to at least one conference annually and participate fully in career development activities offered at each conference they attend. Potential conferences include the Pediatric Academic Societies Conference (May), the Pediatric Hospital Medicine National Conference (July), and the Institute for Healthcare Improvement National Forum (December).

Other Resources

Pediatric Infectious Disease Case Conference (Encouraged but not required) is run by pediatric infectious disease fellows and attendings, discussing cases and important ID topics that come up in presented cases.

Research Works in Progress sessions are held weekly across campus in a wide array of focus areas, and fellows are expected to attend and present their work regularly in sessions relevant to their area of inquiry.

Vanderbilt Institute for Clinical and Translational Research (VICTR) Studios are funded by the Vanderbilt CTSA and are available year-round as needed to investigators engaged in clinical or translational research at the medical center. Studios are available for study design and hypothesis generation, study implementation, statistical planning, grant writing support, and manuscript preparation for high-impact journals. Studios are individualized and typically consist of the investigator, one or more of the investigator’s mentors, plus 3-5 senior investigators with thematic or methodological expertise in the area of need but not directly involved with the project.

Department of Biostatistics Research Skills Clinics are held every day of the week at noon nine months per year and allow investigators to discuss biostatistical methods related to their research and receive advice and informal consultation from departmental faculty.


Hospitalist 2020 conference pediatric medicine

#31: PHM 2021: The Top 10ish Articles in Pediatric Hospital Medicine


Dr. Rhonda Acholonu and Dr. John Morrison join us from the Pediatric Hospital Medicine Conference 2021 to discuss the top articles in pediatric hospital medicine over the past year. Get ready for a ton of high yield, practicing changing content on everything from BRUE to MISC-C treatment to gender disparities in pediatric hospital medicine leadership.



  • Producer: Jessica Hane, MD
  • Cover Art: Chris Chiu, MD
  • Hosts: Chris Chiu, MD and Justin Berk, MD
  • Editor: Justin Berk, MD; Clair Morgan of
  • Guest(s): Dr. Rhonda Acholonu and Dr. John Morrison
  1. Independent rounding for pediatric trainees (Moriarty et al, 2020)
  2. Bronchiolitis (Coon et al, 2020)
  3. Brief Resolved Unexplained Events (BRUE) (Tieder et al, 2021)
  4. Racial and socioeconomic disparities of COVID-19 infections (Goyal et al, 2020)
  5. Multisystem Inflammatory Syndrome in Children (MIS-C) (Son et al, 2021)
  6. Adverse events among children of parents with limited comfort with English (Khan et al, 2020)
  7. Phototherapy in hyperbilirubinemia (Kuzniewicz et al, 2021)
  8. Gender disparities in pediatric hospital medicine leadership (Allan et al, 2021)
  9. Physical restraints in children admitted for behavioral health concerns (Dalton et al, 2021)
  10. Early onset sepsis (Achten et al, 2021)
  11. PIV patency in children (Yeung et al, 2020)


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  1. Moriarty JA, Vellanki S, Trope LA, Hilgenberg SL, Blankenburg RL. Righting the Autonomy-Supervision Pendulum: Understanding the Impact of Independent Rounds on Medical Students, Residents, and Faculty. Acad Med. 2020;95(11S Association of American Medical Colleges Learn Serve Lead):S28-S36. doi:10.1097/ACM.000000000000364
  2. Coon ER, Destino LA, Greene TH, Vukin E, Stoddard G, Schroeder AR. Comparison of As-Needed and Scheduled Posthospitalization Follow-up for Children Hospitalized for Bronchiolitis: The Bronchiolitis Follow-up Intervention Trial (BeneFIT) Randomized Clinical Trial. JAMA Pediatr. 2020;174(9):e201937-e201937. doi:10.1001/JAMAPEDIATRICS.2020.1937
  3. Tieder JS, Sullivan E, Stephans A, et al. Risk Factors and Outcomes After a Brief Resolved Unexplained Event: A Multicenter Study. Pediatrics. 2021;148(1). doi:10.1542/PEDS.2020-036095
  4. Goyal MK, Simpson JN, Boyle MD, et al. Racial and/or Ethnic and Socioeconomic Disparities of SARS-CoV-2 Infection Among Children. Pediatrics. 2020;146(4):2020009951. doi:10.1542/PEDS.2020-009951
  5. Son MBF, Murray N, Friedman K, et al. Multisystem Inflammatory Syndrome in Children — Initial Therapy and Outcomes. 2021;385(1):23-34. doi:10.1056/NEJMOA2102605Yeung F, Miller MR, Ojha R, et al. Saline-Lock Versus Continuous Infusion: Maintaining Peripheral Intravenous Catheter Access in Children. Hosp Pediatr. 2020;10(12):1038-1043. doi:10.1542/hpeds.2020-0137
  6. Khan A, Yin HS, Brach C, et al. Association Between Parent Comfort With English and Adverse Events Among Hospitalized Children. JAMA Pediatr. 2020;174(12):e203215-e203215. doi:10.1001/JAMAPEDIATRICS.2020.3215
  7. Kuzniewicz MW, Park J, Niki H, Walsh EM, McCulloch CE, Newman TB. Predicting the Need for Phototherapy After Discharge. Pediatrics. 2021;147(5). doi:10.1542/PEDS.2020-019778
  8. Allan JM, Kim JL, Ralston SL, et al. Gender Distribution in Pediatric Hospital Medicine Leadership. J Hosp Med. 2021;16(1):31-33. doi:10.12788/jh
  9. Dalton EM, Herndon AC, Cundiff A, et al. Decreasing the Use of Restraints on Children Admitted for Behavioral Health Conditions. Pediatrics. 2021;148(1). doi:10.1542/PEDS.2020-003939
  10. Achten NB, Plötz FB, Klingenberg C, et al. Stratification of Culture-Proven Early-Onset Sepsis Cases by the Neonatal Early-Onset Sepsis Calculator: An Individual Patient Data Meta-Analysis. J Pediatr. 2021;234:77-84.e8. doi:10.1016/J.JPEDS.2021.01.065
  11. Yeung F, Miller MR, Ojha R, et al. Saline-Lock Versus Continuous Infusion: Maintaining Peripheral Intravenous Catheter Access in Children. Hosp Pediatr. 2020;10(12):1038-1043. doi:10.1542/hpeds.2020-0137


Detailed show notes are not available for this episode due to rapid turnaround time.


Listeners will learn about the top articles in pediatric hospital medicine that were presented at the Pediatric Hospital Medicine 2021 (#PHM21) virtual conference.

Learning objectives

After listening to this episode listeners will…  

  1. Be familiar with the latest research in pediatric hospital medicine
  2. Consider how these new studies will change their current clinical practice


Dr. Rhonda Acholonu and Dr. John Morrison report no relevant financial disclosures. The Cribsiders report no relevant financial disclosures. 


Hane J, Acholonu R, Morrision J, Masur S, Chiu C, Berk J. “PHM 2021: The Top 10ish Articles in Pediatric Hospital Medicine. ” The Cribsiders Pediatric Podcast. https:/ August 11, 2021.

Note: This episode will not be available for CME/MOC credit due to rapid turnaround time.



Filed Under: The Cribsiders Pediatric PodcastTagged With: pediatrics

Pediatric Hospital Medicine Fellowship at IU School of Medicine

The Pediatric Hospital Medicine Core Competencies: 2020 Revision. Introduction and Methodology (C)

The Pediatric Hospital Medicine Core Competencies were first published in 2010 to help define a specific body of knowledge and measurable skills needed to practice high quality care for hospitalized pediatric patients across all practice settings.1 Since then, the number of practicing pediatric hospitalists has grown to a conservative estimate of 3,000 physicians and the scope of practice among pediatric hospitalists has matured.2 Pediatric hospitalists are increasingly leading or participating in organizational and national efforts that emphasize interprofessional collaboration and the delivery of high value care to hospitalized children and their caregivers—including innovative and family-centered care models, patient safety and quality improvement initiatives, and research and educational enterprises.3-8 In response to these changes, the American Board of Medical Specialties designated Pediatric Hospital Medicine (PHM) as a pediatric subspecialty in 2016.

The field of PHM in the United States continues to be supported by three core societies—Society of Hospital Medicine (SHM), American Academy of Pediatrics (AAP), and Academic Pediatric Association (APA). Together, these societies serve as tri-sponsors of the annual Pediatric Hospital Medicine national conference, which now welcomes over 1,200 attendees from the United States and abroad.9 Each society also individually sponsors a variety of professional development and continuing medical education activities specific to PHM.

In addition, pediatric hospitalists often serve a pivotal role in teaching learners (medical students, residents, and other health profession students), physician colleagues, and other healthcare professionals on the hospital wards and via institutional educational programs. Nearly 50 institutions in the United States offer graduate medical education training in PHM.10 The PHM Fellowship Directors Council has developed a standardized curricular framework and entrustable professional activities, which reflect the tenets of competency-based medical education, for use in PHM training programs.11-13

These changes in the practice environment of pediatric hospitalists, as well as the changing landscape of graduate and continuing medical education in PHM, have informed this revision of The PHM Core Competencies. The purpose of this article is to describe the methodology of the review and revision process.



The PHM Core Competencies: 2020 Revision provide a framework for graduate and continuing medical education that reflects the current roles and expectations for all pediatric hospitalists in the United States. The acuity and complexity of hospitalized children, the availability of pediatric subspecialty care and other resources, and the institutional orientation towards pediatric populations vary across community, tertiary, and children’s hospital settings. In order to unify the practice of PHM across these environments, The PHM Core Competencies: 2020 Revision address the fundamental and most common components of PHM which are encountered by the majority of practicing pediatric hospitalists, as opposed to an extensive review of all aspects of the field.

The compendium includes 66 chapters on both clinical and nonclinical topics, divided into four sections—Common Clinical Diagnoses and Conditions, Core Skills, Specialized Services, and Healthcare Systems: Supporting and Advancing Child Health (Table 1). Within each chapter is an introductory paragraph and learning objectives in three domains of educational outcomes—cognitive (knowledge), psychomotor (skills), and affective (attitudes)—as well as systems organization and improvement, to reflect the emphasis of PHM practice on improving healthcare systems. The objectives encompass a range of observable behaviors and other attributes, from foundational skills such as taking a history and performing a physical exam to more advanced actions such as participating in the development of care models to support the health of complex patient populations. Implicit in these objectives is the expectation that pediatric hospitalists build on experiences in medical school and residency training to attain a level of competency at the advanced levels of a developmental continuum, such as proficient, expert, or master.14

The objectives also balance specificity to the topic with a timeless quality, allowing for flexibility both as new information emerges and when applied to various educational activities and learner groups. Each chapter can stand alone, and thus themes recur if one reads the compendium in its entirety. However, in order to reflect related content among the chapters, the appendix contains a list of associated chapters (Chapter Links) for further exploration. In addition, a short reference list is provided in each chapter to reflect the literature and best practices at the time of publication.

Finally, The PHM Core Competencies: 2020 Revision reflect the status of children as a vulnerable population. Care for hospitalized children requires attention to many elements unique to the pediatric population. These include age-based differences in development, behavior, physiology, and prevalence of clinical conditions, the impact of acute and chronic disease states on child development, the use of medications and other medical interventions with limited investigative guidance, and the role of caregivers in decision-making and care delivery. Heightened awareness of these factors is required in the hospital setting, where diagnoses and interventions often include the use of high-risk modalities and require coordination of care across multiple providers.


Project Initiation

Revision of The PHM Core Competencies: 2020 Revision began in early 2017 following SHM’s work on The Core Competencies in Hospital Medicine 2017 Revision.15 The Executive Committee of the SHM Pediatrics Special Interest Group (SIG) supported the initiation of the revision. The 3 editors from the original compendium created an initial plan for the project that included a proposed timeline, processes for engagement of previously involved experts and new talent, and performance of a needs assessment to guide content selection. The Figure highlights these and other important steps in the revision process.

Editor and Associate Editor Selection

The above editors reviewed best practice examples of roles and responsibilities for editor and associate editor positions from relevant, leading societies and journals. From this review, the editors created an editorial structure specifically for The PHM Core Competencies: 2020 Revision. A new position of Contributing Editor was created to address the need for dedicated attention to the community site perspective and ensure review of all content, within and across chapters, by a pediatric hospitalist who is dedicated to this environment. Solicitation for additional editors and associate editors occurred via the SHM Pediatrics SIG to the wider SHM membership. The criteria for selection included active engagement in regional or national activities related to the growth and operations of PHM, strong organizational and leadership skills, including the ability to manage tasks and foster creativity, among others. In addition, a deliberate effort was made to recruit a diverse editorial cohort, considering geographic location, primary work environment, organizational affiliations, content expertise, time in practice, gender, and other factors.

Chapter Topic Selection

The editors conducted a two-pronged needs assessment related to optimal content for inclusion in The PHM Core Competencies: 2020 Revision. First, the editors reviewed content from conferences, textbooks, and handbooks specific to the field of PHM, including the conference programs for the most recent 5 years of both the annual PHM national conference and annual meetings of PHM’s 3 core societies in the United States—SHM, AAP, and APA. Second, the editors conducted a needs assessment survey with several stakeholder groups, including SHM’s Pediatrics and Medicine-Pediatrics SIGs, AAP Section on Hospital Medicine and its subcommittees, APA Hospital Medicine SIG, PHM Fellowship Directors Council, and PHM Division Directors, with encouragement to pass the survey link to others in the PHM community interested in providing input (Appendix Figure). The solicitation asked for comment on existing chapters and suggestions for new chapters. For any new chapter, respondents were asked to note the intended purpose of the chapter and the anticipated value that chapter would bring to our profession and the children and the caregivers served by pediatric hospitalists.

The entire editorial board then reviewed all of the needs assessment data and considered potential changes (additions or deletions) based on emerging trends in pediatric healthcare, the frequency, relevance, and value of the item across all environments in which pediatric hospitalists function, and the value to or impact on hospitalized children and caregivers. Almost all survey ratings and comments were either incorporated into an existing chapter or used to create a new chapter. There was a paucity of comments related to the deletion of chapters, and thus no chapters were entirely excluded. However, there were several comments supporting the exclusion of the suprapubic bladder tap procedure, and thus related content was eliminated from the relevant section in Core Skills. Of the 66 chapters in this revision, the needs assessment data directly informed the creation of 12 new chapters, as well as adjustments and/or additions to the titles of 7 chapters and the content of 29 chapters. In addition, the title of the Specialized Clinical Services section was changed to Specialized Services to represent that both clinical and nonclinical competencies reside in this section devoted to comprehensive management of these unique patient populations commonly encountered by pediatric hospitalists. Many of these changes are highlighted in Table 2.

Author selection

Authors from the initial work were invited to participate again as author of their given chapter. Subsequently, authors were identified for new chapters and chapters for which previous authors were no longer able to be engaged. Authors with content expertise were found by reviewing content from conferences, textbooks, and handbooks specific to the field of PHM. Any content expert who was not identified as a pediatric hospitalist was paired with a pediatric hospitalist as coauthor. In addition, as with the editorial board, a deliberate effort was made to recruit a diverse author cohort, considering geographic location, primary work environment, time in practice, gender, and other factors.

The editorial board held numerous conference calls to review potential authors, and the SHM Pediatrics SIG was directly engaged to ensure authorship opportunities were extended broadly. This vetting process resulted in a robust author list and included members of all three of PHM’s sponsoring societies in the United States. Once participation was confirmed, authors received an “author packet” detailing the process with the proposed timeline, resources related to writing learning objectives, the past chapter (if applicable), assigned associate editor, and other helpful resources.

Internal and External Review Process

After all chapters were drafted, the editorial board conducted a rigorous, internal review process. Each chapter was reviewed by at least one associate editor and two editors, with a focus on content, scope, and a standard approach to phrasing and formatting. In addition, the contributing editor reviewed all the chapters to ensure the community hospitalist perspective was adequately represented.

Thirty-two agencies and societies were solicited for external review, including both those involved in review of the previous edition and new stakeholder groups. External reviewers were first contacted to ascertain their interest in participating in the review process, and if interested, were provided with information on the review process. Robust feedback was received from the APA Hospital Medicine SIG, SHM Pediatrics and Medicine-Pediatrics SIGs, Association of Pediatric Program Directors Curriculum Committee, and 20 AAP committees, councils, and sections.

The feedback from the external reviewers and subsequent edits for each chapter were reviewed by at least one associate editor, two editors, and the contributing editor. Authors were engaged to address any salient changes recommended. As the final steps in the review process, the SHM Board of Directors approved the compendium and the APA provided their endorsement.


This second edition of The PHM Core Competencies: 2020 Revision addresses the knowledge, skills, attitudes, and systems organization and improvement objectives that define the field of pediatric hospital medicine and the leadership roles of pediatric hospitalists. This compendium reflects the recent changes in the practice and educational environments of pediatric hospitalists and can inform education, training, and career development for pediatric hospitalists across all environments in which comprehensive care is rendered for the hospitalized child. Future work at the local and national level can lead to development of associated curricula, conference content, and other training materials.


We wish to humbly and respectfully acknowledge the work of the authors, editors, and reviewers involved in the creation of the first edition, as well as this revision, of The PHM Core Competencies. In addition, we are grateful for the input of all pediatric hospitalists and other stakeholders who informed this compendium via contributions to the needs assessment survey, conference proceedings, publications, and other works. Finally, we acknowledge the support and work of SHM project coordinator, Nyla Nicholson, the SHM Pediatrics SIG, and the SHM Board of Directors.


SHM provided administrative support for project coordination (N. Nicholson). No author, editor, or other involved member received any compensation for efforts related to this work. There are no reported conflicts of interest.


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