The Hospitalist Scholars Training Program: Leveraging Nonacademic Clinical Service into Fellowship Training for Academic Hospitalists

1University of Chicago, Chicago, IL
2University of Chicago, Chicago, IL
3University of Chicago, Chicago, IL

Meeting: Hospital Medicine 2009, May 14-17, Chicago, Ill.

Abstract number: 134

Background:

The advancement of academic hospital medicine requires that academic hospitalists receive training that allows them to become leaders in research, education, quality improvement, and other scholarly aspects of academic medicine. However there are few dedicated programs to provide advanced training for graduating residents pursuing careers in academic hospital medicine. The need for nonteaching clinical hospitalists in our institution provided us with an opportunity to develop a financially viable program to train hospitalists for academic careers.

Purpose:

To develop a rigorous academic postresidency training program in research, education, and quality improvement funded through support for nonteaching clinical work.

Description:

In response to residency work‐hour restrictions, we developed a model of caring for patients without house staff by a hospitalist scholar/NP team. During the 2‐year program, scholars are expected to do 3 months of clinical service each year, which is scheduled around the academic calendar. However, if they are on service during classes, they are expected to make every attempt to attend class nighttime coverage is performed by the hospitalist program as part of a 24/7 in‐house system. The remaining 18 months of the program are free of clinical responsibilities and are dedicated to: (1) an intense summer program introducing the fundamentals of research, (2) master's level training, and (3) a mentored academic project. The summer program includes courses in statistics, epidemiology, and fundamentals of clinical research. Master's training is usually in health studies or public policy. One scholar completed a masters in medical education at an off‐site institution. Each scholar is expected to present his or her work on a regular basis to conferences attended by their peers, fellows from other specialties, and appropriate faculty, as well as to present the work at a national conference and in peer reviewed publications. Scholars' salaries are midway between those of traditional fellows and those of new faculty members. The first class of 2 scholars began in July 2005, and both graduated in June 2007. Currently there are 2 second‐year and 3 first‐year scholars. All 4 graduates to date have been successfully recruited into our own regular faculty: 2 have 80/20 research positions, 1 has important medical education roles, and 1 has clinical administrative leadership and quality roles. All 4 have external funding for portions of their time.

Conclusions:

This novel program leverages traditionally nonacademic clinical service that is increasingly a large role in academic hospital medicine programs into a rich opportunity for intense and effective training for future academic hospitalists. To date, this model has been sustainable with excellent outcomes for the scholars and has served as an outstanding pipeline of well trained academic hospitalists for our regular faculty program.

Author Disclosure:

C. Whelan, none; D. Meltzer, none; V. Arora, none.

To cite this abstract:

Whelan C, Arora V, Meltzer D. The Hospitalist Scholars Training Program: Leveraging Nonacademic Clinical Service into Fellowship Training for Academic Hospitalists. Abstract published at Hospital Medicine 2009, May 14-17, Chicago, Ill. Abstract 134. Journal of Hospital Medicine. 2009; 4 (suppl 1). https://www.shmabstracts.com/abstract/the-hospitalist-scholars-training-program-leveraging-nonacademic-clinical-service-into-fellowship-training-for-academic-hospitalists/. Accessed November 11, 2019.

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