Stephen J.LurieMD, PhD, Senior EditorIndividualAuthor
To the Editor: Drs Wachter and Goldman1 acknowledge that the growth of the hospitalist
movement may result in more discontinuity of care. In addition, physicians
may lose some of their clinical skills after prolonged absence from the hospital
In my experience, a hybrid program of rotating hospitalists from a group
practice can provide an effective alternative. A group of 5 or 6 primary care
physicians can generally maintain a hospital service of sufficient size to
warrant at least a half-time hospital presence by one member of the group.
This approach not only improves information flow throughout and after the
hospitalization, but also allows physicians to maintain their inpatient skills.
Applebaum GE. Advantages and Limitations of the Hospitalist Movement. JAMA. 2002;287(16):2073–2076. doi:10.1001/jama.287.16.2073