A recent article in the AMA News-soon to be a publication to which only AMA members are privy-describes what some perceive to be a need for a " hospitalist track" in the IM residency training program. It was not that long ago when the most pressing weakness of IM programs was thought to be too much emphasis on hospitalized patients and not enough on out patient care. Enter the requirement for continuity clinics. Basically as medicine residents we learned how to take care of sick people in hospitals.This including working with surgeons, neurologists , psychiatrists, ob-gyn,orthopedists and urologists.CCU,ICU and surg.ICU were places in which we became comfortable.
The Society of Hospital Medicine suggested several areas that need to be " beefed up":
working with nurses,pharmacists and administrators, (how one could work in the hospital as a internist and not work those folks is unclear), learn about hospital systems and infrastructure, (OK I didn't have that training and I'll admit I don't know what that means), end of life care and care outside the hospital, palliative care and of course "quality" improvement..
I think sometimes you just have to comment on the emperor's clothes.Here's the thing" Internists are already trained as hospitalists"