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Can anyone elaborate on the role of a Peds Hospitalist PA? What are their responsibilities? How is they pay and schedule? How many MDs do they typically work with? What is the typical pt population (diagnosis-wise)? Do they typically deal strictly with Gen Peds kids or pts from all specialties? I really love Peds Cardiology (there's something about those tiny HLHS kids that gets to me) but I don't really want to narrow my skills down so specifically in case I change my mind in 5 years. Plus I want to eventually work as a medical missionary so I want a broad base of knowledge, skills, and practice.



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  • 2 years later...

Elkay, I wish I would have seen this a bit sooner.  I am not sure if you will even see this post, considering it is like 2+ years later.  Anyhow, I will tell you about my position.  I worked in an inner city ED for a year.  Was kind of head hunted for a inpatient pediatric position at the nations 4th or 5th largest pediatric hospital.  The position is in inpatient pulmonology.  We basically serve as an unofficial step down ICU, chronic care, ventilator/trach management unit.  We don't really see things like asthma, more cystic fibrosis cases, and pulm problems for those with trachs/vents.  That being said, since we do manage vents/trachs, we get all of the patients on our floor that have this equipment, regardless of their illness.  So, we care for the entire spectrum, ortho, cardiology, GI, neuro, genetics, post-surgical, ENT, and of course pulm.  The place I am at is attached to a large academic center.  So, we have a fellow, an PA/NP, an intern, a senior resident, and an attending physician running things during the day (we have up to 14 beds reserved for our service, so 7 patients go to NP/PA, and the other 7 patients go to intern).  At night, it is an NP/PA, with a fellow on call.  Basically during the day you see your patients, do rounds in the AM, and then you are responsible for their care for the remainder of the day.  We always have support with either the senior resident, or fellow, if needed.  At night it is of course the same, but with more patients and a fellow on call, if needed.  I think this position is unique in that you get to see every aspect of medicine due to the vent/trach situation.  We have to consult a ton of services, considering their patients come to us because they have trach/vent.  It doesn't feel like you narrow down your skills, but that may be due to the nature of this specific position.  We don't do a ton of procedures, it is heavy medicine with lots of ventilator management, bugs&drugs, cards, neuro, and GI.  I think the only procedures I am actually allowed to do are lumbar punctures, gtube management, trach care/replacement, and then sedation privileges.   All in all, the position does feel like a hospitalist position, but without the general pediatric patients.  The pediatric hospitalist attendings will usually take our stable patients if we don't have enough room, but in general they see your typical general pediatric patients.  There aren't really any NP/PA people, that I have seen, working in general inpatient pediatrics, because the interns/second year residents fill that role.  You did ask about pay.  I am very fortunate that my particular hospital has an umbrella leadership organization for NP/PA clinicians as part of the leadership structure.  We are known as Advanced Practice Services, and in practice as advanced practice providers.  Our salaries are very competitive, as well as our benefits.  It also helps that we are employees of the hospital, rather than a private physician group.  This allows for better benefits etc.       

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fakingpatience, That year of ER experience was all I had.  We are actually adding to the team.  Here is a link if you are interested:




Here is the recruiter listing, if you have interest, I would go through the recruiter listing:



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Thanks for the information!  I am just hoping to apply to PA schools this year, so I'm still pretty far out from looking for a job, but its great to know the different types of opportunities out there for PAs, and the backgrounds people had going into them.


Getmeouttathismess, when I read it I thought it said a masters degree was needed for NPs, PAs just needed to have graduated from an accredited program.   Whats DART?

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