title: Hospital medicine in the internal medicine clerkship: results from a national survey.
abstract: BACKGROUND
  Hospital medicine is growing rapidly. This changing inpatient work force has had consequences on medical education, with an increasing hospitalist presence in resident and student training. Initially met with apprehension, there is growing literature to suggest that hospitalists are perceived to be more effective clinical teachers than non-hospitalists. However, the extent to which hospitalists are involved in teaching Internal Medicine (IM) to medical students is not known.
  
  
  METHODS
  In order to determine the role of hospitalists in medical student education within the United States and Canada, we queried clerkship directors in Internal Medicine as part of the 2010 annual Clerkship Directors in Internal Medicine (CDIM) survey. In June 2010, CDIM surveyed its North American institutional members, which represent 110 of 143 Departments of Medicine in the US and Canada.
  
  
  RESULTS
  Eight-two of 107 departments responded to the survey (77%). Seventy-five (91%) indicated that hospitalists served as teaching attendings at their teaching hospital. In twenty-two (27%) IM departments, 75% to 100% of students rotate with a hospitalist during their IM clerkships. Thirty-three (42%) departments report that students are directly supervised by in-house hospitalists during their nighttime call requirements. Sixty-six (81%) indicated that academic hospitalists hold educational administrative positions. Hospitalists are significantly less likely to have additional clinical commitment as compared to non-hospitalist teaching attendings (16% vs 53%, (χ 21df = 33.1; P < 0.0001).
  
  
  CONCLUSIONS
  Hospitalists are involved in medical student education in the large majority of Departments of Internal Medicine throughout the US and Canada, reflecting the growth of hospital medicine nationally.
authors.affiliation: Division of Hospital Medicine, The Ohio State University College of Medicine, Columbus, OH 43210, USA. Beth.Liston@osumc.edu
authors.forename: Beth W
authors.initials: BW
authors.lastname: Liston
authors.forename: Nathan
authors.initials: N
authors.lastname: O'Dorisio
authors.forename: Curt
authors.initials: C
authors.lastname: Walker
authors.forename: Dario
authors.initials: D
authors.lastname: Torre
authors.forename: Klara K
authors.initials: KK
authors.lastname: Papp
mesh_terms: D000046:Academic Medical Centers; D016009:Chi-Square Distribution; D002982:Clinical Clerkship; D004503:Education, Medical, Graduate / Q000379:methods; D019538:Health Care Surveys; D020445:Hospitalists / Q000193:education*; D006801:Humans; D007388:Internal Medicine / Q000193:education*; D012577:Schools, Medical; D013337:Students, Medical; D014481:United States