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A Piece of My Mind
February 10, 2015

Efficacy at the Bedside

Author Affiliations
  • 1Section of Palliative Medicine, Saint Francis Hospital and Medical Center, Hartford, Connecticut, University of Connecticut School of Medicine, Farmington, and Yale School of Nursing, New Haven, Connecticut
JAMA. 2015;313(6):569-570. doi:10.1001/jama.2014.13720

Last year I changed jobs. After 19 years full-time at a geriatric facility, I became a palliative care physician-leader at a large tertiary teaching hospital. Among the blizzard of change since I last served as a ward attending physician in 1995, hospitalist coverage is now permeative and house staff presence less so. Many patient care duties are now performed (beautifully) by advanced practice registered nurses (APRNs) or physician assistants. The roles of the consultant attending physician have also changed.

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