The hospitalist model of care quickly showed value in proving both efficiency and improved patient outcomes. Studies have even shown how hospitalists helped reduce the length of patient stays. The need for hospitalists emerged from increasingly complex hospital patient cases.
These cases needed dedicated physicians, rather than clinicians also managing ambulatory care and other clinical obligations. Hospitalists emerged from this gap in the medical workforce, and this specialized area of medicine was born.
Hospitalists provide general medical care to hospitalized patients. They lead the hospital medical team, coordinating care for inpatients. Hospitalists examine test results, order treatments and medical services , and prescribe medications. For example, a hospitalist may order respiratory therapy for a patient with pneumonia. They may prescribe antibiotics for a patient with a kidney infection. Many patients that end up in the hospital have complicated cases. They could have multiple health conditions occurring at once, making hospitalists incredibly important.
Unlike specialists that work solely with one organ system or a certain patient demographic, hospitalists see it all.
But they also refer patients to specialists when needed. Aside from clinical care, hospitalists may also pursue other endeavors like research, teaching, and performing additional leadership duties. Hospitalists are commonly confused with internists. Tips for negotiating compensation May Dying after leaving AMA September Tough choices: the right diuretic for heart failure and the best July Raises and subsidies are back on the table May Is the ED admitting too many patients?
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In addition to every article from the print issues, our website offers interactive features including blogs written by hospitalists, surveys asking hospitalists for their opinions on important issues, and the most comprehensive recruitment software listing jobs for hospitalists. Contact us: editor todayshospitalist. Career Center. Edward Doyle - November What I don't understand though is that I have been told to call the hospitalist go get orders instead of the attending physician.
I would think the hospitalist does not know the patient as well as the patient's primary. How about the covering service ER doc? I could understand calling the hospitalist for a code or a rapid response but, otherwise I don't get it. Thanks a bunch for your help.
The idea behind the hospitalist is that they can coordinate a person's inpatient needs better than an attending MD. Yes, the primary care doc knows the patient's history, but many people have more than one doc, and covering all their needs can become complicated. For example, if someone goes in for a gall bladder surgery, they may need their cardiac and diabetes meds while they're inpatient along with any other home meds they take.
Their primary doc will not be the one admitting them. The surgeon will. So who orders all the stuff not related to the surgery? The hospitalist. Who will come to see the patient for anything not pertaining to the GI situation? They can call any of the patient's docs if a consult is needed. And they'll get through more easily and have their calls returned quicker than the patient would. Many specialists tend to have tunnel vision for their area. A hospitalist is supposed to be looking at the big picture and providing coverage for the whole person, not just the area of concern at the moment.
I have a relative who periodically goes in for complex ortho or neuro-surgery. Do you think the orthopod or the neurosurgeon wants to order his laxitives and his asthma meds? They will if need be, but they will only order what he's already on.
If something new crops up during his stay, they just want to refer to someone else. The hospitalists now cover the situation, and it's a whole lot easier to get things accomplished. Someone else in my family also had surgery a while back for a broken ankle.
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