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The Modern Hospital pp 325–339Cite as

The Role of Hospitalists in a New Hospital: Physician’s Perspective

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Abstract

In the 1990s, financial pressures combined with logistical concerns pressured general internists to choose between inpatient and outpatient practice. Those who decided to focus mainly on inpatient management became hospitalists. Over a 20-year period, their numbers grew quickly, and physicians from many other specialty areas joined their ranks. Today they number over 50,000, and hospitalists are on the medical staff of over 75% of US hospitals. The movement is credited with reductions in length of stay and hospital cost, but measures relating to patient outcomes are mixed – with studies showing a mixture of positive, neutral, or even negative results. Hospitalists have generally been satisfied with their careers and often serve as leaders of quality and safety initiatives. They also play a vital role in the education of both house officers and medical students and are well positioned to lead innovations that will positively impact the future of health care in the United States. Continuing realignment of residency training with hospital and community needs will promote well-being of providers and the durability of hospital medicine.

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Acknowledgments

The authors graciously acknowledge the support received from Michael Israel, Chief Executive Officer, Westchester Medical Center, and the hospital administration, which made possible the initiatives described herein.

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Authors and Affiliations

  1. Department of Medicine, Westchester Medical Center, New York Medical College, Valhalla, NY, USA

    Christopher Nabors & William H. Frishman

  2. Department of Medicine, New York Presbyterian Brooklyn Methodist Hospital, Brooklyn, NY, USA

    Stephen J. Peterson

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Correspondence to William H. Frishman .

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  1. New York Medical College, School of Medicine, Department of Surgery and Westchester Medical Center, Valhalla, NY, USA

    Rifat Latifi

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Nabors, C., Peterson, S.J., Frishman, W.H. (2019). The Role of Hospitalists in a New Hospital: Physician’s Perspective. In: Latifi, R. (eds) The Modern Hospital. Springer, Cham. https://doi.org/10.1007/978-3-030-01394-3_31

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