Reflections: The hospitalist movement a decade later

Wachter, Robert M.

doi:10.1002/jhm.105

Cited by 36 publications

(22 citation statements)

References 5 publications

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“…2 This growth was further catalyzed when widely expressed concerns about safety and quality became public, [27][28] and hospitalists incorporated patient safety and quality improvement activities into their efforts. 3 The confluence of these factors also prompted emergence of hospital medicine programs at AMCs, a growth that came with anticipated dangers. 29 Reflecting the recognition that hospital medicine is becoming a separate specialty 30 and is integral to the functioning of an AMC, institutions now operate dedicated divisions of hospital medicine.…”

Section: The Hospitalist Movementmentioning

confidence: 99%

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Non–housestaff medicine services in academic centers: Models and challenges

Sehgal

Shah

Parekh

et al. 2008

Journal of Hospital Medicine

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Non-housestaff medicine services are growing rapidly in academic medical centers (AMCs), partly driven by efforts to comply with resident duty hour restrictions. Hospitalists have emerged as a solution to providing these services given their commitment to delivering efficient and high-quality care and the field's rapid growth. However, limited evidence is available on designing these services, including the similarities and differences of existing ones. We describe nonhousestaff medicine services at 5 AMCs in order to share our experiences and outline important considerations in service development. We discuss common challenges in building and sustaining these models along with local institutional factors that affect decision making. Keys to success include ensuring an equitable system for scheduling and staffing, fostering opportunities for scholarly activities and academic promotion (defining the ''academic hospitalist''), and providing compensation that supports recruitment and retention of hospitalists. With further work hour restrictions expected in the future and increased requests for surgical comanagement, the relationship between AMCs and hospitalists will continue to evolve. To succeed in developing hospitalist faculty who follow long careers in hospital medicine, academic leadership must carefully plan for and evaluate the methods of providing these clinical services while expanding on our academic mission.

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Section: The Hospitalist Movementmentioning

confidence: 99%

“…The primary forces driving this growth include Accreditation Council for Graduate Medical Education (ACGME) resident duty hour restrictions, 1 growth of the hospitalist movement, 2 and the emphasis on simultaneously improving financial performance and quality of care in AMCs. 3 …”

mentioning

confidence: 99%

Non–housestaff medicine services in academic centers: Models and challenges

Sehgal

Shah

Parekh

et al. 2008

Journal of Hospital Medicine

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“…Care by hospitalists has become a considerable piece of the health care delivery system in the United States. 6 In some areas of the country, up to 70% of inpatient geriatric care is provided by internal medicine hospitalists. 1 For a variety of reasonsincluding financial structure, interest in quality improvement, and training responsibilities-large academic centers have generally been at the forefront of this trend.…”

Section: Introductionmentioning

confidence: 99%

“…The increasing mandate for hospitalists has been followed by the development of journals and professional organizations devoted to hospital medicine, and it has spawned a growing literature on the impact of hospitalist medicine on medical student and resident training, patient satisfaction, and quality/safety of overall care. [6][7][8][9][10][11][12][13][14] A search of the peer-reviewed literature for articles about psychiatric hospitalists per se yields a sparse return. The notable exception to this paucity is a recent comparison study from a Veteran's Administration hospital.…”

Section: Introductionmentioning

confidence: 99%

The Academic Psychiatric Hospitalist

Bess

Casher²

2011

Journal of Psychiatric Practice

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Recent years have seen the expanding presence of hospitalists, most prominently in internal medicine, but also in other areas such as neurology, pediatrics, and psychiatry. In contrast to a burgeoning literature on general medicine hospitalists, very little has been written about the role of psychiatric hospitalists-psychiatrists who work exclusively in the hospital setting-and the advantages of this model in the inpatient setting. The authors trace the history of hospitalists in psychiatry and argue that this model can fit well with the clinical and teaching mission of the modern academic psychiatry inpatient program. High quality care of acutely ill psychiatric inpatients involves a body of knowledge and a set of core competencies that may be best served by psychiatric hospitalists.

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“…There is abundant evidence that this is occurring, primarily through the praiseworthy efforts of the leadership and members of the Society of Hospital Medicine (SHM). Efforts to prove our value to inpatient care and align ourselves with quality improvement, as promoted early in the hospitalist movement, 2 are coming to fruition. However, I would like to raise a flag of concern; and this is based on my experience working as a hospitalist in 10 community hospitals in 5 states, including positions as a locum tenens hospitalist, staff hospitalist, medical director of a hospitalist group, and full-time teaching hospitalist for a community hospital residency program.…”

mentioning

confidence: 99%