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

  • Christopher Nabors
  • Stephen J. Peterson
  • William H. FrishmanEmail author
Chapter

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.

Keywords

Hospitalist Internist Generalist Hospital medicine Nocturnists Information technology Innovation 

Notes

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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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Christopher Nabors
    • 1
  • Stephen J. Peterson
    • 2
  • William H. Frishman
    • 1
    Email author
  1. 1.Department of MedicineWestchester Medical Center, New York Medical CollegeValhallaUSA
  2. 2.Department of MedicineNew York Presbyterian Brooklyn Methodist HospitalBrooklynUSA

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