Background: In the late 1990s, the hospitalist role emerged in the United States, and the effectiveness of hospitalists in improving healthcare quality and patient safety has been demonstrated. Due to a shortage of medical personnel for inpatients, Korean government initiated hospitalist programs starting in 2016. The patient care model focused on inpatients by surgical specialists [...]

Background: Enhanced Recovery After Surgery (ERAS) is a framework or pathway of standardized preoperative, intraoperative, and postoperative elements shown to improve recovery after a surgical operation (Table 1). ERAS has shown benefits in pediatrics by reducing hospital length of stay, opioid use, readmission rates, health care costs and improving patient satisfaction scores(1,2). At our institution, [...]

Background: Hip fracture surgery is associated with a significant incidence of postoperative myocardial infarction (postop-MI) up to 14% in the first 7 days after repair. Patients who sustain postop-MI have 1-year mortality rates up to 36%. However, the impact of risk factor modification and routine troponin monitoring on the incidence and prognosis of postop-MI remains [...]

Background: Perioperative medicine focuses on providing patient-centered care throughout the pre-operative and post-operative periods. This area of medicine is critical given its potential to limit complications, improve post-operative outcomes, and decrease the duration of hospitalization after surgery. In recent years, perioperative medicine teaching during residency has become a requirement by The Accreditation Council for Graduate [...]

Background: Internal Medicine physicians are increasingly involved in Perioperative care. Medicare claims data in colectomy & total hip arthroplasty patients shows >50% had a medicine consult (1) Surgeons, when surveyed, felt Internist’s role in preoperative risk stratification and medication management were vital (2).In one study, 82.2% of medical consultations came from surgical services commonly from [...]

Background: As surgical and anesthetic practices have advanced, an increasing population of older adults with increased medical complexity are undergoing surgery. A significant portion of these patients may present to the hospital requiring urgent surgical intervention and there is an evolving and expanding role for hospitalists in preoperative risk assessment. However, there remains variable exposure [...]