BACKGROUND: Pediatric hospital medicine (PHM) became a subspecialty of the American Board of Pediatrics (ABP) in 2016. Starting in 2019, residency graduates are required to complete fellowship training to qualify for PHM board eligibility. These requirements pose unique challenges to internal medicine–pediatrics (med-peds) residents interested in practicing combined adult hospital medicine (HM) and PHM.

OBJECTIVE: To describe the needs of med-peds residents interested in PHM fellowship training and how the current PHM training environment can meet these needs.

METHODS: We conducted two cross-sectional electronic survey studies: one of med-peds residents and one of PHM fellowship program directors (FDs). Surveys were distributed to resident and FD listservs. Questions were designed using an iterative consensus process among authors. Responses were analyzed with descriptive statistics.

RESULTS: Four hundred sixty-six residents responded to the resident survey. Ninety-six percent (n = 446) had considered a career in HM. Almost all (n = 456, 97.9%) respondents indicated a preference for a fellowship with both adult HM and PHM clinical training. Subspecialty designation decreased desire to pursue a career including PHM for 90.1% of respondents. Twenty-eight (58.3%) FDs responded to the FD survey. Fifteen (53.6%) programs reported being able to accommodate adult HM and PHM clinical time.

CONCLUSION: The majority of resident respondents reported a desire for a PHM fellowship with clinical time in both PHM and adult HM. Approximately 30% of current US PHM fellowship programs can accommodate adult HM practice for med-peds fellows, and many other programs would be willing to explore such opportunities.

背景：儿科医院医学 (PHM) 于 2016 年成为美国儿科学会 (ABP) 的一个亚专科。从 2019 年开始，住院医师毕业生必须完成奖学金培训才有资格获得 PHM 委员会资格。这些要求对有兴趣实践成人医院医学 (HM) 和 PHM 相结合的内科 - 儿科 (med-peds) 住院医师提出了独特的挑战。

目标：描述对 PHM 奖学金培训感兴趣的 med-peds 居民的需求，以及当前的 PHM 培训环境如何满足这些需求。

方法：我们进行了两项横断面电子调查研究：一名 med-peds 居民和一名 PHM 奖学金计划主任 (FD)。调查已分发给居民和 FD 列表服务。问题是使用作者之间的迭代共识过程设计的。使用描述性统计分析响应。

结果： 466 名居民对居民调查做出了回应。96% (n = 446) 曾考虑在 HM 从事职业。几乎所有 (n = 456, 97.9%) 受访者都表示更喜欢与成人 HM 和 PHM 临床培训的奖学金。对于 90.1% 的受访者来说，亚专业指定降低了从事包括 PHM 在内的职业的愿望。二十八名 (58.3%) FD 对 FD 调查做出了回应。十五个 (53.6%) 计划报告能够适应成人 HM 和 PHM 临床时间。

结论：大多数居民受访者表示希望在 PHM 和成人 HM 中获得具有临床时间的 PHM 奖学金。目前大约 30% 的美国 PHM 奖学金计划可以为 med-peds 研究员提供成人 HM 实践，并且许多其他计划愿意探索此类机会。