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Controversies in Internal Medicine
June 23, 2008

Rebuttal

Author Affiliations
 

ANN B.NATTINGERMD, MPH

Arch Intern Med. 2008;168(12):1259. doi:10.1001/archinte.168.12.1259

Quibbling over definitions instead of evaluating the evidence cannot conceal the growing and increasingly irrefutable evidence demonstrating that hospitalists deliver quality care and do it more cost-effectively than outpatient-based internists.1,2Practicing outpatient internists also seem pleased with the evolution of hospitalists.3As the fastest growing specialty in the history of health care, hospital medicine continues to evolve with multiple descriptions of various models in both academic and community settings now being published and more recent research showing hospitalists delivering higher quality care for common conditions requiring hospitalization. In addition, hospitalists also seem to be preferred academic educators in the hospital for both residents and medical students.4,5Although some academicians continue to hold out, yearning for the good old days, the American Board of Internal Medicine (ABIM) now recognizes that hospital medicine deserves special recognition.6

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