Abstract
This article was migrated. The article was not marked as recommended. Purpose: The Stanford Hospitalist Advanced Practice and Education (SHAPE) Program was established in 2015 as a hospital medicine training track within an academic internal medicine residency program. It is unique because it was created and is currently run by residents with a goal of better preparing residents for careers in hospital medicine. The SHAPE curriculum is based on three principles: (1) clinical excellence in hospitalist-relevant clinical areas, (2) academic development through research and quality improvement, and (3) career mentorship. We provide a two-year follow-up since the establishment of SHAPE and resident attitudes toward the program's effectiveness. Methods: We assessed resident attitudes toward the SHAPE Program and subjective readiness to begin practice via electronic survey from 2015 to 2017. Results: 154 out of 324 (47.5%) total internal medicine residents responded to the surveys. Of those, 17 out of 21 (81.0%) were members of SHAPE. Compared to non-hospitalist-bound residents, SHAPE residents reported improved readiness for independent practice (OR 3.39 [95% CI: 1.1-10.9]) and providing care within the specific domain of palliative care. Conclusions: Here we describe the challenges of maintaining a hospitalist curriculum and the successes that have come from the first resident-run hospitalist training program in the country.
Highlights
Over the past 20 years, hospitalist medicine has evolved into a unique specialty requiring a skillset separate from that of the outpatient internist or the sub-specialist (Steve Pantilat, 2006; Miller et al, 2017)
154 out of 324 (47.5%) total internal medicine residents responded to the surveys
Compared to non-hospitalist-bound residents, Stanford Hospitalist Advanced Practice and Education (SHAPE) residents reported improved readiness for independent practice and providing care within the specific domain of palliative care
Summary
Over the past 20 years, hospitalist medicine has evolved into a unique specialty requiring a skillset separate from that of the outpatient internist or the sub-specialist (Steve Pantilat, 2006; Miller et al, 2017) Aside from their clinical duties, hospitalists are expanding their presence in surgical co-management, subspecialty consultation, medical education, research, hospital leadership, quality improvement, patient safety, and multiple other domains of expertise within the hospital (Wachter, 2002; O’Leary, Kevin J, WIlliams, 2008; Pete Welch et al, 2014; Seymann et al, 2016). Two years since the establishment of this program, we describe the challenges of program sustainment, trainee attitudes, and qualitative assessments of its effectiveness
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