Session/Time	Patient Care/Sat, 3:00 - 4:00 PM
Title	Pediatric Intensivists as Hospitalists: Resident Supervision and In-Patient Coverage Compared with Office-Based Pediatricians
Author	RI Metz
Affiliation	Division of Pediatric Critical Care, University of Tennessee Medical Center at Knoxville (UTMC-K), Knoxville, TN
Introduction	Critical Care phyaiciam are increasingly being asked to cover general inpatients as hospitalists.Little is written on this trend in pediatrics. In July 1997, Pediatric Intensivists at UTMC-K assumed the role of Hospitailist for most general pediatric in-patients, replacing' general pediatric faculty. PICU patients were alng covered by a separate intensivist. Two private pediatric groups maintained coverage of their own in-patients.
Method	In May, 1998, 12 of 16 pediatric residents (PI- I through PL-3) responded to a rurvey comparing general in-patient coverage by Pediatric Intensivists (PI) and office-based Pediatricians (OBP). Care by sub- specialists was not compared Survey results of 8 items, using a Lckart Scale of I (PI best) to 5 (OBP best) are listed in table 1. Results of 2 items using a Lickart Scoe of I (strongly agree) to 5 (strongly disagree) are listed in Table 2. A sectionwaa provided for general comments. Responses were based on residenta'entire training experience, not just the previous 10 months. Mean, standard deviation (rd) and percentage of responses of 2 or less were computed for each item-
Conclusion
	No comments can be made regarding differences in patient outcomes. Surveys of other similar programs are needed to confirm these results.

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Document created April 12, 1999