TY - CHAP M1 - Book, Section TI - The Face of Health Care: Emerging Issues for Hospitalists A1 - Cawley, Patrick J. A2 - McKean, Sylvia C. A2 - Ross, John J. A2 - Dressler, Daniel D. A2 - Scheurer, Danielle B. PY - 2017 T2 - Principles and Practice of Hospital Medicine, 2e AB - Hospital medicine is entering its third decade since the term “hospitalist” was first created by Wachter and Goldman. There are now approximately 40,000 hospitalists and the number is likely to reach 50,000 in the next decade. The specialty has emerged from vigorous early debate about whether there was sufficient evidence to justify the role of hospitalists to a point where hospital medicine programs are hard-wired and indispensable in the majority of US hospitals. Early leaders and pioneers in hospital medicine were frequently two to three physician programs with heavy call burdens. Current hospital medicine groups, particularly in larger hospitals, average approximately 15 clinicians and have complicated alternating schedules with clear time off. Early hospitalists often served in hospital leadership roles with no dedicated time. They were often the only source of quality and safety leadership across the hospital. Today, hospitalists frequently have committed time to serve in quality and safety positions as well as other medical leadership roles. Most hospitals now have numerous staff that oversee various quality functions and ably assist these hospitalist leaders. While some aspects have greatly advanced for hospital medicine, two things have not changed: SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/03/29 UR - accessmedicine.mhmedical.com/content.aspx?aid=1137604904 ER -