Hospitalist Involvement in Internal Medicine Residencies
Hospitalist Involvement in Internal Medicine Residencies
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DOI：
10.1002/jhm.522
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发表时间：
2009-10-01
影响因子：
2.6
通讯作者：
McDonald, Furman S.
中科院分区：
文献类型：
--
作者：
Beasley, Brent W.;McBride, Jennifer;McDonald, Furman S.
背景：在美国，医院医生与内科住院医师互动和贡献的方式已经在当地进行了描述，但尚未在全国范围内进行记录。目的：描述全国住院医师在住院医师队伍中的渗透情况，并记录他们对教学活动的贡献。设计、环境和参与者：2005年（272名应答者）和2007年（236名应答者）对美国所有386名内科住院医师主任的调查。测量指标：使用医院医师的教学医院数量、使用医院医师教学的项目数量、医院医师教学职责以及具有医院医师专业的数量。结果：2005年，54%的教学医院项目主管在实施工时限制前和实施工时限制后分别召回了聘用医院医师和聘用医院医师。在那些雇用医院医生的学校中，东北部和西部92%的项目使用他们来教学。两年后，中西部（78%）和南部（76%）在教学医院医生的比例上继续落后。医院医师的具体教学活动包括：参加教学服务（92%）、查房（81%）、临床技能观察（67%）、讲座（68%）和晨报（52%）。7%的项目主任报告了医院医生的其他职责，包括：监督程序、审查夜间浮动病人、担任副项目主任和编写课程。11%的培训项目有医院医生的培训。结论：随着住院医师在社区和大学医院的普及和高效临床医生的出现，大多数内科住院医师都邀请他们提供查房、讲座和床边教学。一小部分住院医师已经开始为毕业生提供这一新的职业选择。医院医学杂志2009；4:471-475。(C) 2009年医院医学学会。
CONTEXT: The ways hospitalists interact with and contribute to internal medicine residencies in the United States have been described locally, but have not been documented on a national level.OBJECTIVES: To describe the penetration of hospitalists into medicine residency faculty nationally, and document their contributions to teaching activities.DESIGN, SETTING, AND PARTICIPANTS: Survey of all 386 internal medicine residency directors in the United States in 2005 (272 respondents) and 2007 (236 respondents).MEASUREMENTS: Number of teaching hospitals utilizing hospitalists, number of programs utilizing hospitalists to teach, hospitalist teaching duties, and number with hospitalist tracks.RESULTS: In 2005, program directors recalled 54% of teaching hospitals employed hospitalists before and 73% after implementation of work-hour limitations. Of those employing hospitalists, 92% of programs in the Northeast and West used them to teach. Two years later, the Midwest (78%) and South (76%) continued to lag behind in the proportion of teaching hospitalists. Specific teaching activities of hospitalists included: attending on teaching service (92%), conducting rounds (81%), observation of clinical skills (67%), lectures (68%), and morning report (52%). Seven percent of program directors reported other duties of hospitalists, including: Supervising procedures, reviewing night float patients, serving as associate program directors, and writing curricula. Eleven percent of training programs had hospitalist tracks.CONCLUSIONS: As hospitalists have become prevalent and have become efficient clinicians in community and university hospitals, the majority of internal medicine residencies have enlisted them to provide rounds, lectures, and bedside teaching. A small number of residencies are beginning to develop tracks to facilitate this new career option for graduates. Journal of Hospital Medicine 2009;4:471-475. (C) 2009 Society of Hospital Medicine.