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- W1545417963 abstract "In the last few years, increasing attention has been paid to the concept of the hospitalist, a physician whose practice is limited to hospitalized patients.1, 2 Some of the advantages and disadvantages of the hospitalist system, for patients, providers, hospitals, and purely outpatient physicians (“officists,” to keep the rather awkward terminology consistent), are listed in Table 1. As an internist who, for the last 30 years, has prided himself on his ability to manage patients chronically in any setting, I am particularly concerned about the lower right-hand corner of Table 1—the potential disadvantages of the hospitalist system to an officist. These include such obvious problems as reduced academic stimulation, technical skills, and income, and such intangibles as loss of patient “bonding,” professional “edge,” collegiality, and self-esteem. Trained in a hospital, identified in many patients’ minds with a particular hospital, fortified by the conviction that I can manage the majority of acute medical problems in the hospital, would I revert to the status of that nebulous “LMD” of my housestaff days if removed from one? Would I still be an internist?" @default.
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- W1545417963 date "1999-03-01" @default.
- W1545417963 modified "2023-09-28" @default.
- W1545417963 title "Hospitalists and ‘officists’" @default.
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- W1545417963 doi "https://doi.org/10.1046/j.1525-1497.1999.00310.x" @default.
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