Abstract:
: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 non-housestaff 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.
journal_name
J Hosp Medjournal_title
Journal of hospital medicineauthors
Sehgal NL,Shah HM,Parekh VI,Roy CL,Williams MVdoi
10.1002/jhm.311subject
Has Abstractpub_date
2008-05-01 00:00:00pages
247-55issue
3eissn
1553-5592issn
1553-5606journal_volume
3pub_type
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pub_type: 杂志文章,meta分析
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abstract:: ...
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pub_type: 评论,社论
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pub_type: 杂志文章
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更新日期:2010-01-01 00:00:00
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更新日期:2014-09-01 00:00:00
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