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hospital medicine

Notes: - lower malpractice rates than outpatient medicine [1] - Medicare patients cared for by hospitalists in their first year of practice experience higher mortality [4] - hospitalists provide critical care to many ICU patients - 1/3 may practice beyond their ICU skill level [5] - U.S. graduate fellowship programs may not have enough training positions to fill the need for board-certified intensivists [5] - continuity of care & patient outcome are better when hospitalists work several days in a row [6]

General

medical specialty

References

  1. Schaffer AC et al. Liability impact of the hospitalist model of care. J Hosp Med 2014 Oct 21 PMID: 25331989
  2. Goroll AH, Hunt DP Bridging the Hospitalist - Primary Care Divide through Collaborative Care. N Engl J Med 2015; 372:308-309. January 22, 2015. PMID: 25607426 http://www.nejm.org/doi/full/10.1056/NEJMp1411416
  3. Wachter RM, Goldman L Zero to 50,000 - The 20th Anniversary of the Hospitalist. N Engl J Med 2016; 375:1009-1011. September 15, 2016 PMID: 27508924 Free Article http://www.nejm.org/doi/full/10.1056/NEJMp1607958
  4. Goodwin JS, Salameh H, Zhou J et al Association of Hospitalist Years of Experience With Mortality in the Hospitalized Medicare Population. JAMA Intern Med. Published online December 26, 2017. PMID: 29279886 https://jamanetwork.com/journals/jamainternalmedicine/article-abstract/2665733
  5. Sweigart JR, Aymond D, Burger A et al. Characterizing hospitalist practice and perceptions of critical care delivery. J Hosp Med 2018 Jan; 13:6. PMID: 29240847 https://www.journalofhospitalmedicine.com/jhospmed/article/152886/hospital-medicine/characterizing-hospitalist-practice-and-perceptions - Flanders SA, Cooke CR. Hospitalists in the ICU: Necessary but not sufficient. J Hosp Med 2018 Jan; 13:65. PMID: 29240848 https://www.journalofhospitalmedicine.com/jhospmed/article/152887/hospital-medicine/hospitalists-icu-necessary-not-sufficient
  6. Goodwin JS, Li S, Kuo YF Association of the Work Schedules of Hospitalists With Patient Outcomes of Hospitalization. JAMA Intern Med. Published online November 25, 2019 PMID: 31764937 https://jamanetwork.com/journals/jamainternalmedicine/article-abstract/2755292