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Education The commitment of Hospital Medicine physicians to education is reflected in the variety of their involvement with teaching services. Educational activities of hospital medicine physicians Attend on the medicine firms Medicine residents rotate through several months of general inpatient medicine each year, along with medical students on third- and fourth-year clerkships. Each team consists of an attending physician, a second- or third-year medicine resident, two interns, and medical students. The attending physician plays a supervisory role and provides didactic sessions and bedside teaching throughout the week. Hospital Medicine attendings are able to provide a unique perspective, as the majority of their clinical time is spent engaged in direct inpatient care. Attend on medical oncology Medicine residents rotate during their internship and residency through an inpatient medical oncology service. This busy service allows residents to expand their clinical knowledge and provides an intensive exposure to medical oncology. Hospital Medicine attendings work closely with the residents to develop management plans and supervise procedures. During rounds with medical oncologists, the team develops a multidisciplinary approach to optimal patient care. Staff medicine consults Medicine residents during their third year spend two weeks performing medical consultation for non-medicine services, including psychiatry, obstetrics, gynecology, and surgery. Hospital Medicine physicians staff each new and established patient with the residents daily during rounds, teaching principles of patient care and inpatient consultation. Consults provide another opportunity for Hospital Medicine physicians to share their expertise in clinical and bedside care with medicine residents. Attend on Hospitalist Service clerkships and electives Over the past year, the popularity of rotations on the Hospitalist Service has grown. Second and third year residents are offered an elective month with the Hospitalist Service to improve their clinical acumen and to experience some of the unique challenges that face hospitalists today. The clerkship offers a degree of autonomy and faculty exposure not afforded by the traditional Firm experience, while providing patient care in a structured and closely supervised environment. At the same time, residents are encouraged and helped to pursue independent research projects they can continue throughout their training. Develop training publications One prominent commitment of Hospital Medicine is to the development of evidence-based inpatient medicine practices. Through development of publications such as the Consult Manual, Hospital Medicine physicians have increased the exposure of internal medicine residents and medical students to principles of quality inpatient care. Their unique focus on inpatient care affords Hospital Medicine physicians a practical experience base on which to build sound and sensible guidelines for management. Provide conferences and didactic sessions Throughout the academic year, Hospital Medicine physicians develop and present a variety of topics to faculty, residents, and medical students across the medical center. These conferences focus on inpatient care topics and draw on the experience of the Hospital Medicine faculty. Subinternship Clerical Internal Medicine allows a fourth year medical student the opportunity to work one on one with the hospitalist attendings. Students admit patients everyday, and have more opportunity to perform bedside procedures. Promote Compliance with billing regulations Education does not end with residency. Although residency programs produce superior clinicians, researchers, and educators, most residency programs spend little time discussing practical issues of documentation and compliance. These topics become more important as regulations become more complex and strict, and physicians of the 21st century must be familiar with these principles. Hospital Medicine physicians have played an integral role in the education of other medicine faculty in the principles of compliance and proper documentation through sessions held throughout the year.
Division of Hospital Medicine & Hospitalist Service
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