Creating a subspecialty track for experienced hospitalists

KevinMD August 3, 2024
David M. Mitchell, MD, PhD

A formal clinical track should allow experienced hospitalists to function as inpatient subspecialists: a so-called “focused practice in inpatient subspecialty.” This proposal makes sense on multiple levels.

First, there is a shortage of inpatient subspecialists, particularly in small community settings. Hospitalists, qualified and certified as inpatient subspecialists, could fill this gap.

Second, the practice of hospital medicine is an ideal launching pad for a focused practice in an inpatient subspecialty. Hospitalists are continuously exposed to inpatient subspecialty cases over years of practice. Thus, a conscientious and studious hospitalist can accrue substantial knowledge of inpatient subspecialty management. By working with numerous subspecialists in any particular field, hospitalists have a unique opportunity to observe (and learn from) variations in their practice patterns....

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