Hospitalist Track for Internal Medicine Residents

1University of California, Irvine, Orange, CA

Meeting: Hospital Medicine 2007, May 23-25, Dallas, Texas

Abstract number: 69

Background:

Internal medicine (IM) resident training in the United States is undergoing a “relook” through “residency reform” by various medical organizations. One idea is to give residents more flexibility in planning their training to meet their career goals. At the same time a new specialty, hospital medicine (HM), has emerged over the past decade. A recent survey of second‐year IM residents during their in‐training exams showed trainees interested in HM as a career choice more than doubled from 2002 to 2006, from 3% to 6.5%, and was fourth among IM specialties, behind cardiology, gastroenterology (GI), and hematology/oncology (Heme/Onc). Currently, the literature has described rotations in HM and fellowships in HM. With the increased interest and growth in HM, we developed a novel hospitalist track (HT) that spans the third year of IM training.

Purpose:

The purpose of the study was to report the implementation of an HT within a traditional IM residency as a novel third‐year curricu‐lar option for residents at the University of California, Irvine (UCI).

Description:

The core HT faculty is from the UCI Hospitalist Program, which consists of internal medicine, geriatrics, palliative care, neurology, and critical care hospitalists. HT is marketed to incoming interns, first‐ and second‐year residents interested in HM or in subspe‐cializing in critical care, geriatrics, palliative care, infectious disease (ID), cardiology, nephrology, Heme/Onc, or GI. Each HT resident is required to do 1‐2 semesters of each of the following rotations during the third year:

  • Hospitalist rotation;

  • MICU;

  • Inpatient wards;

  • Inpatient geriatrics/palliative care/ethics;

  • Emergency medicine;

  • Preoperative clinic/posthospital clinic;

  • Procedure rotation;

  • Inpatient neurology;

  • Float;

  • Vacation; and

  • Electives/research.

Electives must be chosen from inpatient nephrology, cardiology, ID, GI, pulmonology, and Heme/Onc. Research must be in the field of HM, preapproved by the HT program director. Other curricula for HT residents include a continuity clinic, longitudinal palliative care experience, committee work, participation in the UCI Hospitalist Program journal clubs and skills workshops, a performance improvement project, patient transfer facilitation, and code blue pager.

Conclusions:

The HT is an innovative educational track that (1) spans the third year of IM residency, (2) meets the career demands of our trainees, (3) offers residents the opportunity to customize their training, and (4) meets the current requirements of the Residency Review Committee (RRC) for IM training. During our last interview/recruitment season, the HT was the most asked about by intern applicants. All residents completing the HT receive a certificate of completion that can be marketed to future employers or fellowships. Ongoing research and data collection are being carried out to evaluate the HT, but preliminary feedback has been positive.

Author Disclosure:

A. N. Amin, None.

To cite this abstract:

Amin A. Hospitalist Track for Internal Medicine Residents. Abstract published at Hospital Medicine 2007, May 23-25, Dallas, Texas Abstract 69. Journal of Hospital Medicine. 2007; 2 (suppl 2). https://www.shmabstracts.com/abstract/hospitalist-track-for-internal-medicine-residents/. Accessed May 26, 2019.

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