Hospitalists in the United States continue to increase. The scope of their practice has also evolved over time. Of this growing cadre of hospitalists, >80% are internal medicine–trained. Residency in internal medicine (IM) provides robust basic clinical skills and comprehensive management of common IM conditions. However, it does not adequately meet the clinical and professional needs of today's hospitalist. It is our responsibility as educators in hospital medicine to meet and fulfill this educational gap between our traditional IM training programs and the professional needs of hospitalists in practice.
We therefore sought to develop a hospital medicine track for those residents interested in pursuing a career in hospital medicine. At the University of Miami/Jackson Memorial Hospital, we developed a multidisciplinary working group comprised of internal medicine educators, program directors and academic hospitalists to design this track. We used the core competencies published by the society of hospital medicine and incorporated suggestions from the literature that documented the current needs of hospitalists in practice to construct the outline of our curriculum (Table 1). What we describe here is an outline of the hospital medicine track and details of the Patient Safety, Quality Improvement and Leadership I rotation.
Approximately, 38 categorical incoming PGY‐2 IM residents were offered the whole track (PGY‐2 and PGY‐3) curriculum as outlined in Table 1. The 38 incoming PGY‐3 were offered an abridged track included rotations A + B + C (Table 1). We had 6 residents (2 PGY‐2s and 4 PGY‐3s) sign up and complete the first rotation on patient safety, quality improvement, and Leadership. The overall goal of this specific rotation was on acquiring core knowledge, skills, and attitudes in areas of quality, safety, leadership, and hospital‐acquired infections that would enable residents to be better prepared to be hospitalists. During this 4‐week rotation they were assigned an experienced hospitalist mentor to develop and implement their quality improvement project. They attended committee meetings and participated in 2 weekly educational sessions, that is, the quality and safety journal club and the weekly seminar. The PGY‐2 residents also spent 2 days a week on the Procedure service. In addition, each week the resident was required to do a self‐reflection summary based on the assigned AHRQ Web morbidity and mortality rounds. At the end of the rotation, the resident was expected to make a presentation outlining the progress on their Ql project. The evaluation of the rotation by the residents was extremely positive with all residents saying that they would recommend the rotation to their colleague.
Hospital medicine tracks and rotations in patient safety, quality improvement, and leadership such as ours may better prepare IM residents going into practice as hospitalists and perhaps even get them ready for the planned ABIM certification in hospital medicine.
A. Jaffer, none; E. Manjarrez, none; J. David, none; J. Lenchus, none; J. Zuleta, none; D. Kahn, none; S. Keitz, none; S. Symes, none.
To cite this abstract:Jaffer A, Manjarrez E, David J, Lenchus J, Zuleta J, Kahn D, Keitz S, Symes S. A Hospital Medicine Track and Patient Safety, Quality Improvement, and Leadership Experience for Residents. Abstract published at Hospital Medicine 2009, May 14-17, Chicago, Ill. Abstract 116. Journal of Hospital Medicine. 2009; 4 (suppl 1). https://www.shmabstracts.com/abstract/a-hospital-medicine-track-and-patient-safety-quality-improvement-and-leadership-experience-for-residents/. Accessed April 3, 2020.