A Practical Guide to Establishing a Gastroenterology Hospitalist Program

Inpatient Endoscopy Delay: Evaluating a Real World Problem and Search for Solutions

“…18 Another positive report from New York University Langone Health provided an outline for an easy transition from a traditional service to the hospitalist model based on detailed understanding of the inpatient consultation volume, staffing, and resources. 19 A hybrid system (a full-time hospitalist combined with an afternoon faculty member), or a structured schedule that ensures the availability of a gastroenterologist, advanced endoscopist, and a hepatologist every day of the week have been described with favorable outcomes in urban teaching centers. 19,20 However, potential barriers exit, including limiting faculty diversity for GI trainees and challenges in maintaining skills because some providers will perform fewer inpatient interventions.…”

“…19 A hybrid system (a full-time hospitalist combined with an afternoon faculty member), or a structured schedule that ensures the availability of a gastroenterologist, advanced endoscopist, and a hepatologist every day of the week have been described with favorable outcomes in urban teaching centers. 19,20 However, potential barriers exit, including limiting faculty diversity for GI trainees and challenges in maintaining skills because some providers will perform fewer inpatient interventions. 21 Will GI hospitalist be a widely accepted model that helps to mitigate the delays and inpatient procedures and discharges?…”

Adapting to the Challenge of Hospital-Based Care: The Evolving Role of Gastroenterology Hospitalists

“…The American Journal of GASTROENTEROLOGY evaluated, practices can more successfully determine whether 1, or more, GI hospitalists, would add value to the practice (10).…”

“…This includes patient volume, distribution of consults and procedures throughout the day and week, demand for subspecialty or primary service care (e.g., general GI, advanced endoscopy, and hepatology), and environmental factors such as hospital size, patient population, and access to support services. Once critically evaluated, practices can more successfully determine whether 1, or more, GI hospitalists, would add value to the practice (10).…”

“…Similar to internal medicine hospitalists, specialty hospitalists have shown improvement in consult and procedure volume, time to procedures, and reduced complications (5)(6)(7)(8)(9). Accumulating research suggests gastroenterology (GI) hospitalists may allow GI practices to successfully adapt to the evolving landscape of modern practice (10,11). Coopting the original definition, a GI hospitalist is defined as a gastroenterologist who provides consultation and endoscopic services to hospitalized patients.…”