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Letter from the editor
From the March ACP Hospitalist, copyright © 2009 by the American College of Physicians
Most hospitalists comanage surgical patients as part of their day-to-day responsibilities, but the hows, whens and whys of a comanagement relationship can vary from hospital to hospital and even from physician to physician. Successful comanagement, experts say, involves defining hospitalists’ and surgeons’ roles from the very start. In our cover story, Stacey Butterfield examines the evidence for and against comanagement, some common pitfalls to avoid, and tips on making comanagement work for your group.
In 2006, Johns Hopkins Bayview Medical Center in Baltimore had some of the highest ambulance diversion hours in the region due to overcrowding and lack of beds. To address the problem, hospitalists and ED physicians teamed up for an active bed management initiative that put hospitalists in charge of monitoring and assigning available beds. Less than a year later, the ED’s “red alert” hours (ambulance diversion due to lack of ICU beds in the hospital) had decreased by 27 percentage points, and ED throughput time had decreased by 98 minutes. For more specifics, read our latest Success Story.
This issue also features the next installment of Mindful Medicine, in which Jerome Groopman, FACP, and Pamela Hartzband, FACP, use readers’ case studies to discuss the art of diagnosis. Read about a hospitalist who successfully diagnosed a Tylenol overdose by using deliberative thinking and keeping an open mind.
If you have a Success Story of your own, or a potential Mindful Medicine case that required a tricky diagnosis, we’d love to hear about it. Send your experiences, or any other comments and questions, to acphospitalist@acponline.org.
Sincerely,
Jennifer Kearney-Strouse
Editor, ACP Hospitalist
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ACP Career Connection can help you find your next job in hospital medicine. Search hospitalist positions nationwide that suit your criteria and preferences. Jobs are posted about two weeks before print publication of Annals of Internal Medicine, ACP Internist, and ACP Hospitalist. Exclusive “Online Direct” opportunities are updated weekly. Check us out online.
ABIM Maintenance of Certification for Hospitalists
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Earn Hospitalist CME credits at Internal Medicine 2012. The hospital medicine track and several pre-courses offer a collection of CME courses designed for hospitalists. Register early and reserve your spot today.
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ACP Launches Depression Care Guide
This evidence-based, free online resource provides concise, practical information and strategies to enable health professionals to reduce the treatment gaps that exist for depression care.
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