RT Book, Section A1 Budnitz, Tina A1 McKean, Sylvia A2 McKean, Sylvia C. A2 Ross, John J. A2 Dressler, Daniel D. A2 Brotman, Daniel J. A2 Ginsberg, Jeffrey S. SR Print(0) ID 56191291 T1 Chapter 5. The Core Competencies in Hospital Medicine T2 Principles and Practice of Hospital Medicine YR 2012 FD 2012 PB The McGraw-Hill Companies PP New York, NY SN 978-0-07-160389-8 LK accessmedicine.mhmedical.com/content.aspx?aid=56191291 RD 2024/04/23 AB Initially, the hospitalist movement arose to reduce length of stay by having dedicated physicians in the hospital most of the time. Over time, the role evolved, and it became clear that hospitalists could improve the quality of inpatient care, promote patient safety, and educate the next generation of physicians. Although the term hospitalist was coined in 1996, over the subsequent decade there remained considerable variability in the definition of hospitalist and the scope of work attributed to that role from one practice setting to the next. At the same time that Hospital Medicine leaders embraced the importance of evidence-based care and systems improvement—especially around transitions of care and the well-publicized safety and quality issues facing hospitalized patients—they were recruiting physicians from traditional residency programs that had not adequately prepared them for their new roles. In fact, the Accreditation Council for Graduate Medical Education (ACGME) acknowledged training gaps in six main competency areas for evaluation of medical trainees: patient care, medical knowledge, practice-based learning improvement, interpersonal and communication skills, professionalism, and systems based learning.