Copyright 2002 American Medical Association. All Rights Reserved.
Applicable FARS/DFARS Restrictions Apply to Government Use.2002
To the Editor: As an internal medicine residency
training program director, I have had a unique vantage point to view the growth
of the hospitalist movement through the eyes of our recent graduates who have
entered into this fledgling specialty. Drs Wachter and Goldman1
provide insight into the developing academic dimension of the field and introduce
the notion of an academic hospitalist. I, unfortunately, have become very
alarmed regarding the academic hospitalist's polar opposite. Namely, the all-to-common
full-time, revenue-generating, quick-rounding, inpatient physician who often
works exceedingly long hours without interruption while caring for many patients,
often in multiple institutions. Such care runs the risk of being superficial
and pedestrian. Sometimes these physicians elect very unreasonable duty hours
for themselves and other times institutions foist them upon hospitalist physicians
through extreme employment agreements.
Crausman RS. Advantages and Limitations of the Hospitalist Movement. JAMA. 2002;287(16):2073–2076. doi:10.1001/jama.287.16.2073
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