Academic Hospitalist

Overview

The hospitalist elective is a two to four-week elective rotation. The purpose of this elective rotation is to further bolster skills in inpatient medicine specifically focusing on multitasking, acute patient care management and care delivery.  The intent is to further solidify core skills and principles that have been developed during the first two years of residency.

Goals

The Academic Hospitalist Elective curriculum experiences will provide the Family Medicine resident:

• Training to help further enhance ability to triage patient care responsibilities
• Managing inpatient medicine patients with oversight from core faculty and hospitalists

Objectives

At the completion of this rotation, the resident will be able to:

• Independently manage inpatient medicine patients.
• Effectively communicate with specialists involved in patient care
• Complete documentation in a timely and effective manner

Implementation

This is a preceptorial rotation.  The resident will be assigned to work with the hospitalist and/or faculty staffing the inpatient staff medicine service. The resident should expect to round on 5-6 patients while on this rotation while also being available for new admissions with oversight from the faculty. The resident is expected to field calls on patients they are covering, write daily progress notes, admission history and physicals and discharge summaries on patients they are covering and place orders. If working with the academic hospitalists, they will round on patients from the academic hospitalist pool of patients.

The faculty will provide oversight as well as role modeling to the resident while they are rotating with them. They will review notes and orders placed by the residents and provide daily feedback in addition to end of rotation feedback.  They will also provide bedside and formal didactic teaching on issues arising within patient care.

During the rotation, the resident will be expected to attend daily rounds and will be expected to lead didactic presentations at the direction of the faculty and medicine chief.  The resident should expect four days off, or an average of one day off per week, while rotating on this elective with a specific amount of days off to be determined by the preceptor. The schedule will be drafted with the resident’s team leaders and hospitalist and the resident should expect to contact each of these people two weeks prior to the start of this elective.

Readings

1. DKA
2. CHF exacerbation
3. CAD, stress testing
4. AKI

Evaluation

Hospitalist and faculty will evaluate the resident at the end of the rotation on the following milestones:

• PC-1: Cares for acutely ill or injured patients in urgent and emergent situations and in all settings.
• PC-2: Cares for patients with chronic conditions.
• PC-3: Partners with the patient, family, and community to improve health through disease prevention and health promotion.
• MK-1: Demonstrates medical knowledge of sufficient breadth and depth to practice family medicine.
• SBP-1: Provides cost-conscious medical care.
• PBLI-2: Demonstrates self-directed learning.
• PROF-2: Demonstrates professional conduct and accountability.
• PROF-3: Demonstrates humanism and cultural proficiency.
• C-2: Communicates effectively with patients, families and the public.