The rotating hospitalist: a solution for an academic internal medicine practice.
BACKGROUND
Concerns have been raised about the role that hospitalists may have in changing the educational process for medical students and residents, especially with regard to the primary care specialties.


METHODS
We implemented rotating hospital and office duties within our five-physician group.


RESULTS
Resident and student satisfaction increased, and additional faculty members could be added without expanding office space. Financial benefits then also ensued.


CONCLUSIONS
Rotating hospital with office duties among a small group of internists has resulted in most of the advantages with few of the drawbacks related to the hospitalist approach.
D000046:Academic Medical Centers / Q000458:organization & administration*; D039602:After-Hours Care / Q000458:organization & administration; D001291:Attitude of Health Personnel; D002983:Clinical Competence / Q000592:standards; D003266:Continuity of Patient Care / Q000458:organization & administration; D005180:Faculty, Medical / Q000458:organization & administration; D006123:Group Practice / Q000458:organization & administration*; D006302:Health Services Research; D020445:Hospitalists / Q000193:education / Q000458:organization & administration*; D006801:Humans; D007388:Internal Medicine / Q000193:education / Q000458:organization & administration*; D007396:Internship and Residency / Q000458:organization & administration; D007588:Job Satisfaction; D008505:Medical Staff, Hospital / Q000458:organization & administration / Q000523:psychology; D009819:Office Visits; D009936:Organizational Innovation; D010561:Personnel Staffing and Scheduling / Q000458:organization & administration*; D010819:Physician's Role; D015397:Program Evaluation; D013337:Students, Medical / Q000523:psychology; D016526:Workload