Biomaterial Database

Achieving hospital medicine's promise through internal medicine residency redesign. 2008

Jeffrey J Glasheen, and Jill Goldenberg, and John R Nelson

Department of Medicine, Division of General Internal Medicine, Hospital Medicine Section, University of Colorado at Denver Health Sciences Center, Denver, CO, USA. jeffrey.glasheen@ucdenver.edu

The promise of the hospital medicine movement is that the hospitalist model of care will provide better outcomes than the system it replaced. This means improving the quality and processes of care, reducing inefficiencies and lowering costs. Despite some documented improvements in these areas hospitalists have yet to achieve their pinnacle. These shortfalls likely result from training providers in residencies that have yet to evolve to address the specific needs of hospitalists. While most internal medicine residency training programs stress inpatient care they underemphasize key components of a successful hospitalist career. This paper overviews the state of the hospitalist movement, the current educational training deficiencies and the methods to deliver hospitalist-focused training.

UI	MeSH Term	Description	Entries
D007388	Internal Medicine	A medical specialty concerned with the diagnosis and treatment of diseases of the internal organ systems of adults.	General Internal Medicine,Medicine, Internal,Internal Medicine, General,Medicine, General Internal
D007396	Internship and Residency	Programs of EDUCATION, MEDICAL, GRADUATE training to meet the requirements established by accrediting authorities.	House Staff,Internship, Dental,Residency, Dental,Residency, Medical,Dental Internship,Dental Internships,Dental Residencies,Dental Residency,Internship,Internship, Medical,Internships, Dental,Medical Residencies,Medical Residency,Residencies, Dental,Residencies, Medical,Residency,Residency and Internship,Internships, Medical,Medical Internship,Medical Internships,Residencies,Staff, House
D009936	Organizational Innovation	Introduction of changes which are new to the organization and are created by management.	Organizational Change,Change, Organizational,Innovation, Organizational,Changes, Organizational,Innovations, Organizational,Organizational Changes,Organizational Innovations
D006801	Humans	Members of the species Homo sapiens.	Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D017145	Models, Educational	Theoretical models which propose methods of learning or teaching as a basis or adjunct to changes in attitude or behavior. These educational interventions are usually applied in the fields of health and patient education but are not restricted to patient care.	Educational Models,Instructional Models,Educational Model,Instructional Model,Model, Educational,Model, Instructional,Models, Instructional
D020445	Hospitalists	Physicians who are employed to work exclusively in hospital settings, primarily for managed care organizations. They are the attending or primary responsible physician for the patient during hospitalization.	Hospitalist