The Best Relevant Articles in Pediatric Hospital Medicine

[摘要] On a cool fall morning in a San Antonio courtyard, I stared into the bottom of my thick, white porcelain hotel mug wondering if more caffeine would enlighten me, perhaps even help me to establish a path toward a meaningful career. It was 2003, I was <6 months out of residency, and I had somehow found myself alongside 70 other pediatricians at the first official Pediatric Hospital Medicine (PHM) Conference. This town of the Wild West, shaped by trailblazers riding the wave of western expansion, framed the spirit of the participants and their conversations remarkably well. These were some enthusiastic hospital-based cowboys and cowgirls, and they were set on improving the care for hospitalized children. The future of hospital medicine was clearly beginning and so was my career, but the trail was not well marked, and it was fraught with uncertainty. By the end of the conference, I was convinced, however, and I decided to saddle up and ride out toward the horizon with this posse. Mixed with the din of the convention center dishes being put away, I could almost hear the faint echo of birds cawing against a bright orange mesa canyon wall as I looked forward to the future.Early on, the posse was aware of an outlaw standing in the way. As residents, we all witnessed the wide variability in how attending physicians managed the care of the hospitalized child. Tests that are “certain” to aid in diagnosis are ordered by 1 attending only to be cancelled or ignored by the attending rotating onto the service the next day. “Life-saving treatments,” such as antibiotics or nebulized solutions, are given by 1 attending but are soon deemed unnecessary and cancelled by the next. Patients are admitted and told they will receive 2 weeks of intravenous therapy by …

[学科分类] 儿科学

[关键词] Campylobacter;proljev;dob