ArticleJournal of general internal medicine2004
The positive impact of initiation of hospitalist clinician educators.
Article in Journal of general internal medicine, 2004. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.
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Who cites it
21 citing papers in PubMed, 1 synthesis or guideline pooled it, 69 citations in OpenAlex.
- Do hospitalist physicians improve the quality of inpatient care delivery? A systematic review of process, efficiency and outcome measures.BMC medicine · 2011Pooled it
- What effect does physician "profiling" have on inpatient physician satisfaction and hospital length of stay?BMC health services research · 2006Trial
- Medical education on inpatient medical oncology service before and after oncology hospitalist program.BMC medical education · 2025Article
- The construction of a psychometric instrument for the educational role enactment of attending physicians in teaching hospitals.BMC medical education · 2025Article
- WISE Framework: Teaching Guide for Early Career Hospitalists.Journal of Brown hospital medicine · 2025Article
- Education Research: Educational Outcomes Associated With the Introduction of a Neurohospitalist Program.Neurology. Education · 2024Article
- Fostering Emotional Intelligence in Hospital Medicine Education.Journal of Brown hospital medicine · 2024Review
- Hospitalists And The Learning Environment.Journal of Brown hospital medicine · 2024Article
- Nationwide survey of internal medicine hospitalists in Korea: motivation and sustainability of a hospitalist career.The Korean journal of internal medicine · 2023Article
- Harnessing the potential of CRISPR-based platforms to advance the field of hospital medicine.Expert review of anti-infective therapy · 2020Review
- Impact of hospitalists on the efficiency of inpatient care and patient satisfaction: a systematic review and meta-analysis.Journal of community hospital internal medicine perspectives · 2019Review
- A 15-year review of the Stanford Internal Medicine Residency Program: predictors of resident satisfaction and dissatisfaction.Advances in medical education and practice · 2017Article
- Impact of an Overnight Internal Medicine Academic Hospitalist Program on Patient Outcomes.Journal of general internal medicine · 2015Article
- An academic hospitalist model to improve healthcare worker communication and learner education: results from a quasi-experimental study at a Veterans Affairs medical center.Journal of hospital medicine · 2013Article
- What are the safety risks for patients undergoing treatment by multiple specialties: a retrospective patient record review study.BMC health services research · 2013Article
- The acute physician: the future of acute hospital care in the U.K.Clinical medicine (London, England) · 2010Article
- Hospitalists in medical education: coming to an academic medical center near you.Journal of the National Medical Association · 2006Article
- Reforming internal medicine residency training. A report from the Society of General Internal Medicine's task force for residency reform.Journal of general internal medicine · 2005Article
- Internal medicine training in the inpatient setting. A review of published educational interventions.Journal of general internal medicine · 2005Review
- The hospitalist movement.Journal of general internal medicine · 2005Article
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Authors and funding
7 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveAlthough hospitalists have been shown to improve both financial and educational outcomes, their ability to manage dual roles as clinicians and educators has been infrequently demonstrated, particularly in the community setting where large numbers of residents train. We evaluated the impact of hospitalists on financial and educational outcomes at a mid-sized community teaching hospital 1 year after implementation.
designTwo hospitalist clinician educators (HCEs) were hired to provide inpatient medical care while participating in resident education. Length of stay and cost per case data were calculated for all patients admitted to the hospitalist service during their first year and compared with patients admitted to private physicians. The hospitalists' top 11 discharge diagnoses were individually assessed. For the same time period, categorical medicine residents (N = 36) were given an anonymous written survey to assess the HCEs' impact on resident education and service.
resultsResource consumption: length of stay was reduced by 20.8% and total cost per case was reduced by 18.4% comparing the HCEs with community-based physicians. Reductions in both length of stay and cost per case were noted for 8 of the 11 most common discharge diagnoses. Resident survey: over 75% of residents responded, with all noting improvement in the quality of attending rounds, bedside teaching, and the overall inpatient experience. Residents' roles as teachers and team leaders were largely unchanged.
conclusionHospitalist clinician educators as inpatient teaching attendings effectively reduce length of stay and resource utilization while improving resident education at community-based teaching hospitals.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.