Background: Co-management across service lines has become increasingly common in hospital medicine. While debate continues over clinical outcomes, some co-management arrangements have led to enhanced provider satisfaction, which may have implications for burnout. We have established successful co-management services with orthopedics, urology (GU), otorhinolaryngology (ENT), trauma and neurosurgery (NS). We are a large urban/suburban academic [...]

Background: Trauma co-management is a growing field within hospital medicine. While improvements in quality metrics have been documented in other co-management services, the impact of co-management of trauma patients is uncertain. This study aimed to determine whether a hospitalist trauma co-management program improves clinical outcomes. Methods: This was a pre- and post-implementation study comparing trauma [...]

Background: Co-management across service lines has become increasingly common in hospital medicine. While debate continues over clinical outcomes, some co-management arrangements have led to enhanced provider satisfaction, which may have implications for burnout. We have established successful co-management services with orthopedics, urology (GU), otorhinolaryngology (ENT), trauma and neurosurgery (NS). We are a large urban/suburban academic [...]

Background: Two-thirds of surgical inpatients have at least 2 medical comorbidities, and 14% have six or more. Since 2001, there has been exponential growth of comanagement services, in which hospitalists embedded on surgical services take ownership over medical management. While advanced practice providers (APPs) increasingly manage surgical inpatients, successful comanagement models between hospitalists and APPs [...]

Background:   Academic medical centers are complex healthcare delivery systems that are quickly adopting electronic health records (EHR) nationwide while still using alpha-numeric paging for physicians-in-training raised with cell phones, texting, messaging, and newer technologies.  Understanding workflow processes for these providers of patient care are key to finding solutions to improve healthcare quality and safety.   [...]

Background: Surgical co-management is an up-and-coming field within Hospital Medicine, with great successes documented in the improvement in quality metrics and patient satisfaction owing to the involvement of hospitalists in peri-operative inpatient care. Currently, orthopedic and neurosurgical co-management programs are the most commonly developed partnerships. Our institution is a Level 1 regional trauma center with [...]

Background: Previous studies have shown reduced costs and length of hospital with surgical comanagement performed by hospitalists. In Latin America, however, this practice of comanagement is still not standard among surgeons. The Hospital Nossa Senhora da Conceição, localized in Southern Brazil, was the pioneer of Hospital Medicine in our country. It is a public, tertiary, [...]

Background: Comanagement is a structured collaboration between hospitalists and a surgical service to improve outcomes of surgical patients perioperatively. We identified the potential to improve patient safety and throughput metrics on the Surgical Oncology and Otolaryngology (ENT) services at our institution. We partnered with these two services to create a novel Surgical Oncology Comanagement Service. [...]

Background: Consultative medicine is an important part of Internal Medicine (IM) resident education. According to the Accreditation Council for Graduate Medical Education, residents are expected to “act in a consultative role to other physicians and health professionals.” However, individual programs each have the ability to integrate the consultative experience into training in their own unique [...]