Updating the Core Competencies in Hospital Medicine—2017 Revision: Introduction and Methodology

Nichani, Satyen; Crocker, Jonathan; Fitterman, Nick; Lukela, Michael

doi:10.12788/jhm.2715

Cited by 42 publications

(48 citation statements)

References 6 publications

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“…Finally, the Core Competencies for Hospital Medicine outlines some goals for hospitalist performance but does not speak to specific measurement approaches. 11 Overall, assessing individual hospitalist performance is hindered by lack of consensus on important concepts to measure, a limited number of valid measures, and challenges in data collection such as resource limitations and feasibility. Developing and refining measures grounded in the STEEEP framework may provide a more comprehensive assessment of hospitalist quality and identify approaches to improve overall health outcomes.…”

Section: Discussionmentioning

confidence: 99%

A STEEEP Hill to Climb: A Scoping Review of Assessments of Individual Hospitalist Performance

Dow¹,

Chopski²,

Cyrus³

et al. 2020

Journal of Hospital Medicine

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BACKGROUND: Although ensuring high-quality care requires assessment of individual hospitalist performance, current assessment approaches lack consistency and coherence. The Institute of Medicine’s STEEEP framework for quality healthcare conceptualizes quality through domains of “Safe,” “Timely,” “Effective,” “Efficient,” “Equitable,” and “Patient Centered.” This framework may be applicable to assessing individual hospitalists. OBJECTIVE: This scoping review sought to identify studies that describe variation in individual hospitalist performance and to code this data to the domains of the STEEEP framework. METHODS: Via a systematic search of peer-reviewed literature that assessed the performance of individual hospitalists in the Medline database, we identified studies that described measurement of individual hospitalist performance. Forty-two studies were included in the final review and coded into one or more domains of the STEEEP framework. RESULTS: Studies in the Safe domain focused on transitions of care, both at discharge and within the hospital. Many studies were coded to more than one domain, especially Timely, Effective, and Efficient. Examples include adherence to evidence-based guidelines or Choosing Wisely recommendations. The Patient Centered domain was most frequently coded, but approaches were heterogeneous. No included studies addressed the domain Equitable. CONCLUSIONS: Applying the STEEEP framework to the published literature on assessment of individual hospitalist performance revealed strengths and weaknesses. Areas of strength were assessments of transitions of care and application of consensus guidelines. Other areas, such as equity and some components of safe practice, need development. All domains would benefit from more practical approaches. These findings should stimulate future work on feasibility of multidimensional assessment approaches.

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Section: Discussionmentioning

confidence: 99%

A STEEEP Hill to Climb: A Scoping Review of Assessments of Individual Hospitalist Performance

Dow¹,

Chopski²,

Cyrus³

et al. 2020

Journal of Hospital Medicine

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“…Given the variable nature of these rotations nationally, developing standards around core hospitalist competencies within these rotations should be a key component to career preparation and a goal for the field at large. 14,15 Our study has limitations. The survey focused only on internal medicine as it is the most common training background of hospitalists; however, the field has grown to include other specialties including pediatrics, neurology, family medicine, and surgery.…”

Section: (7)mentioning

confidence: 93%

Training Residents in Hospital Medicine: The Hospitalist Elective National Survey

Ludwin

Harrison

Ranji

et al. 2018

Journal of Hospital Medicine

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As the field of hospital medicine expands, internal medicine residency programs can play a role in preparing future hospitalists. To date, little is known of the prevalence and characteristics of hospitalist-focused resident rotations. We surveyed the largest 100 Internal Medicine Residency Programs to better understand the prevalence, objectives, and structure of hospitalist-focused rotations in the United States. Residency leaders from 82 programs responded (82%). The prevalence of hospitalist-focused rotations was 50% (41/82) with an additional 9 programs (11%) planning to start one. Of these 41 rotations, 85% were elective rotations and 15% were mandatory rotations. Rotations involved clinical responsibilities, and most programs incorporated nonclinical curricular activities such as teaching, research, and work on quality improvement and patient safety. Respondents noted that their programs promoted autonomy, mentorship, and "real-world" hospitalist experience. Hospitalist-focused rotations may supplement traditional inpatient rotations and teach skills that facilitate the transition from residency to a career in hospital medicine.

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“…22,23 In quanto case manager medico, l'Hospitalist gestisce in maniera completa l'intero percorso intra-ospedaliero del paziente rivcoverato e facilita il suo passaggio sul territorio. [24][25][26] Al di là dell'attività clinica, l'Hospitalist è diventato figura chiave in ambito di qualità, sicurezza del paziente, tecnologie innovative, cure palliative, educazione sanitaria, co-management dei pazienti chirurgici.…”

Section: Il Movimento Degli Hospitalistunclassified

“…20 La SHM ha espresso quali debbano essere le core competencies dell'hospitalist. 21,22 All'hospitalist si richiedono non solo le conoscenze fisiopatologiche e cliniche di organi e apparati, ma anche l'abilità nell'eseguire procedure semplici (accessi vascolari, toracentesi, rachicentesi, ecc. ), gestire malati nelle fasi peri-operatorie, nelle cure palliative, gestire pazienti fragili, complessi e con multiple comorbilità.…”

Section: Le Competenze Dell'hospitalistunclassified

La figura dell’Hospitalist in Italia

et al. 2018

View full text Add to dashboard Cite

Updating the Core Competencies in Hospital Medicine—2017 Revision: Introduction and Methodology

Cited by 42 publications

References 6 publications

A STEEEP Hill to Climb: A Scoping Review of Assessments of Individual Hospitalist Performance

A STEEEP Hill to Climb: A Scoping Review of Assessments of Individual Hospitalist Performance

Training Residents in Hospital Medicine: The Hospitalist Elective National Survey

La figura dell’Hospitalist in Italia

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