Challenges and opportunities in academic hospital medicine: report from the academic hospital medicine summit

doi:10.1007/s11606-009-0944-6

. 2009 May;24(5):636-41.

doi: 10.1007/s11606-009-0944-6. Epub 2009 Mar 4.

Challenges and opportunities in academic hospital medicine: report from the academic hospital medicine summit

Scott A Flanders¹, Bob Centor, Valerie Weber, Thomas McGinn, Karen Desalvo, Andrew Auerbach

Affiliations

PMID: 19259748
PMCID: PMC2669869
DOI: 10.1007/s11606-009-0944-6

Challenges and opportunities in academic hospital medicine: report from the academic hospital medicine summit

Scott A Flanders et al. J Gen Intern Med. 2009 May.

. 2009 May;24(5):636-41.

doi: 10.1007/s11606-009-0944-6. Epub 2009 Mar 4.

Authors

Scott A Flanders¹, Bob Centor, Valerie Weber, Thomas McGinn, Karen Desalvo, Andrew Auerbach

Affiliation

¹ UCSF Division of Hospital Medicine, San Francisco, CA 94143, USA.

PMID: 19259748
PMCID: PMC2669869
DOI: 10.1007/s11606-009-0944-6

Abstract

Background: The field of hospital medicine is growing rapidly in academic medical centers. However, few organizations have explicitly considered the opportunities and barriers posed to hospital medicine's development as an academic field in internal medicine.

Objective: To develop consensus around key areas limiting or facilitating hospital medicine's development as an academic discipline.

Design: Consensus format conference of key stakeholders in academic hospital medicine.

Results: The Consensus Group identified several issues impeding the development of academic hospital medicine as a recognized entity in academic settings, including extraordinarily rapid growth, increasingly preponderate non-teaching roles, and demands to perform non-clinical duties (such as quality improvement) not generally viewed as academic pursuits. The Consensus Group developed recommendations for addressing these concerns, specifically 1) characterizing the 'optimal' job description for an academic hospitalist, 2) developing better local and at-a-distance opportunities for training academic hospitalists in key aspects of early career success, 3) advocacy for development of fellows and junior faculty researchers in hospital medicine. Fostering academic hospital medicine will help address these issues more effectively and will help the field while also attracting the next generation of generalists needed to care for an increasingly complex inpatient population.

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References

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2. Saint S, Flanders SA. Hospitalists in teaching hospitals: opportunities but not without danger. J Gen Intern Med. 2004;19:392–93. - PMC - PubMed

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Kralovec PD, Miller JA, Wellikson L, Huddleton JM. The Status of Hospital Medicine Groups in the United States. Journal of Hospital Medicine. 2006;1:75–80. - PubMed

[2] {'text': '', 'ref_index': 1, 'ids': [{'type': 'DOI', 'value': '10.1002/jhm.82', 'is_inner': False, 'url': 'https://doi.org/10.1002/jhm.82'}, {'type': 'PubMed', 'value': '17219476', 'is_inner': True, 'url': 'https://pubmed.ncbi.nlm.nih.gov/17219476/'}]}

[3] Kralovec PD, Miller JA, Wellikson L, Huddleton JM. The Status of Hospital Medicine Groups in the United States. Journal of Hospital Medicine. 2006;1:75–80. - PubMed

[4] {'text': '', 'ref_index': 1, 'ids': [{'type': 'DOI', 'value': '10.1111/j.1525-1497.2006.00558.x', 'is_inner': False, 'url': 'https://doi.org/10.1111/j.1525-1497.2006.00558.x'}, {'type': 'PMC', 'value': 'PMC1831623', 'is_inner': False, 'url': 'https://pmc.ncbi.nlm.nih.gov/articles/PMC1831623/'}, {'type': 'PubMed', 'value': '16836622', 'is_inner': True, 'url': 'https://pubmed.ncbi.nlm.nih.gov/16836622/'}]}

Auerbach AD, Chlouber R, Singler J, Lurie JD, Bostrom A, Wachter RM. Trends in market demand for internal medicine 1999 to 2004: an analysis of physician job advertisements. J Gen Intern Med. 2006;21:1079–85. - PMC - PubMed

[5] {'text': '', 'ref_index': 1, 'ids': [{'type': 'DOI', 'value': '10.1111/j.1525-1497.2006.00558.x', 'is_inner': False, 'url': 'https://doi.org/10.1111/j.1525-1497.2006.00558.x'}, {'type': 'PMC', 'value': 'PMC1831623', 'is_inner': False, 'url': 'https://pmc.ncbi.nlm.nih.gov/articles/PMC1831623/'}, {'type': 'PubMed', 'value': '16836622', 'is_inner': True, 'url': 'https://pubmed.ncbi.nlm.nih.gov/16836622/'}]}

[6] Auerbach AD, Chlouber R, Singler J, Lurie JD, Bostrom A, Wachter RM. Trends in market demand for internal medicine 1999 to 2004: an analysis of physician job advertisements. J Gen Intern Med. 2006;21:1079–85. - PMC - PubMed

[7] Hospital Medicine Survey. Society of Hospital Medicine, 2007. (Accessed Last Accessed 01/07/2009, at http://www.hospitalmedicine.org/Content/NavigationMenu/Media/MediaKit/Me....)

[8] Hospital Medicine Survey. Society of Hospital Medicine, 2007. (Accessed Last Accessed 01/07/2009, at http://www.hospitalmedicine.org/Content/NavigationMenu/Media/MediaKit/Me....)

[9] {'text': '', 'ref_index': 1, 'ids': [{'type': 'DOI', 'value': '10.1001/jama.294.9.1088', 'is_inner': False, 'url': 'https://doi.org/10.1001/jama.294.9.1088'}, {'type': 'PubMed', 'value': '16145030', 'is_inner': True, 'url': 'https://pubmed.ncbi.nlm.nih.gov/16145030/'}]}

Fletcher KE, Underwood W 3rd, Davis SQ, Mangrulkar RS, McMahon LF Jr., Saint S. Effects of work hour reduction on residents’ lives: a systematic review. Jama. 2005;294:1088–1100. - PubMed

[10] {'text': '', 'ref_index': 1, 'ids': [{'type': 'DOI', 'value': '10.1001/jama.294.9.1088', 'is_inner': False, 'url': 'https://doi.org/10.1001/jama.294.9.1088'}, {'type': 'PubMed', 'value': '16145030', 'is_inner': True, 'url': 'https://pubmed.ncbi.nlm.nih.gov/16145030/'}]}

[11] Fletcher KE, Underwood W 3rd, Davis SQ, Mangrulkar RS, McMahon LF Jr., Saint S. Effects of work hour reduction on residents’ lives: a systematic review. Jama. 2005;294:1088–1100. - PubMed

[12] {'text': '', 'ref_index': 1, 'ids': [{'type': 'DOI', 'value': '10.1111/j.1525-1497.2004.42002.x', 'is_inner': False, 'url': 'https://doi.org/10.1111/j.1525-1497.2004.42002.x'}, {'type': 'PMC', 'value': 'PMC1492190', 'is_inner': False, 'url': 'https://pmc.ncbi.nlm.nih.gov/articles/PMC1492190/'}, {'type': 'PubMed', 'value': '15061750', 'is_inner': True, 'url': 'https://pubmed.ncbi.nlm.nih.gov/15061750/'}]}

Saint S, Flanders SA. Hospitalists in teaching hospitals: opportunities but not without danger. J Gen Intern Med. 2004;19:392–93. - PMC - PubMed

[13] {'text': '', 'ref_index': 1, 'ids': [{'type': 'DOI', 'value': '10.1111/j.1525-1497.2004.42002.x', 'is_inner': False, 'url': 'https://doi.org/10.1111/j.1525-1497.2004.42002.x'}, {'type': 'PMC', 'value': 'PMC1492190', 'is_inner': False, 'url': 'https://pmc.ncbi.nlm.nih.gov/articles/PMC1492190/'}, {'type': 'PubMed', 'value': '15061750', 'is_inner': True, 'url': 'https://pubmed.ncbi.nlm.nih.gov/15061750/'}]}

[14] Saint S, Flanders SA. Hospitalists in teaching hospitals: opportunities but not without danger. J Gen Intern Med. 2004;19:392–93. - PMC - PubMed

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Challenges and opportunities in academic hospital medicine: report from the academic hospital medicine summit

Affiliation

Challenges and opportunities in academic hospital medicine: report from the academic hospital medicine summit

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Abstract

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