Akshara Malla, MD, MPH; Katherine Halper, MD; Esther Kang, MD; Asma Bahrami, MD; Nathan VanderVeen, MD

Our project seeks to create an inpatient Internal Medicine-Pediatrics consult service (MPCS) to provide transitional support and medical recommendations tailored to the management of vulnerable youth, adolescents, and adults with childhood-onset conditions. Med-Peds providers have expertise in caring for a diverse range of patients, including adolescents aged 17-25, patients transitioning from pediatric to adult care, gender and neurodiverse patients, and patients experiencing chronic diseases. These patients face many barriers to accessing comprehensive age- and disease-specific care on inpatient pediatric and adult services. We plan to assess the perceived gaps in knowledge in the care of this patient population through a needs assessment by surveying inpatient and outpatient pediatric, internal medicine, and subspecialty physicians. Next, these identified barriers will be utilized to develop an educational lecture series for pediatric and adult providers and to define our roles in MPCS. MPCS will be staffed by Med-Peds residents and faculty who will join patients and caregivers at the bedside to perform comprehensive evaluations and uncover any unmet needs to enhance the inpatient experience and ensure safe transitions of care. Services will include but are not limited to: coordination of care, disease-specific management recommendations, age- and developmentally-appropriate in-hospital support, discharge coordination including relevant supplies, and identifying suitable primary care providers. The number/ages of patients consulted on, ICD diagnoses, and primary teams requesting consults will be formally assessed in 6-month intervals. Patients and their care partners will complete a satisfaction survey to guide PDSA cycles every 6 months. Through these efforts, we aim to establish a sustainable Med-Peds consult service at our institution, run by Med-Peds residents and staffed by Med-Peds faculty, to enhance both the experience of our trainees and our patients.