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Editor's Correspondence
April 9, 2007

The Spectrum of Community-Based Hospitalist Practice: A Call to Tailor Internal Medicine Residency Training

Author Affiliations

Copyright 2007 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.2007

Arch Intern Med. 2007;167(7):727-728. doi:10.1001/archinte.167.7.727

The field of hospital medicine is growing rapidly, with a projected workforce approaching 30 000.1-3 While approximately 85% of hospitalists are internal medicine (IM) trained,4 very few IM residency training programs offer focused training in hospital medicine. Plauth and colleagues1 have described a training mismatch for IM-trained hospitalists in geriatrics, palliative care, neurology, and perioperative and consultative medicine. Arora et al5 suggest that a “training practice gap” may exist in hospital medicine and called for training to more accurately reflect the clinical practice of hospital medicine. To address the magnitude of this gap, we assessed the spectrum of diagnoses encountered and the manner of involvement of hospitalists practicing in a large community-based hospitalist group.