title: The otolaryngology hospitalist: a novel practice paradigm.
abstract: OBJECTIVE
  To define a new clinical hospitalist practice paradigm originating at the University of California, San Francisco.
  
  
  METHODS
  Retrospective administrative database review at a tertiary referral hospital.
  
  
  METHODS
  A consortium model of an otolaryngologist hospitalist practice was developed. Billing records, including Current Procedural Terminology (CPT) and International Classification of Disease-9 (ICD-9) codes, were reviewed to evaluate the number and type of consultations and surgeries generated during a 2-year period.
  
  
  RESULTS
  A total of 375 new inpatient consultations generated 951 patient encounters. The most common diagnoses were respiratory failure (12%), sinusitis (10.6%), stridor (10.6%), and dysphonia (7.6%). Twenty-six percent of consultations involved a procedure or surgical intervention, the most common of which were endoscopic sinus surgery, laryngoscopy, and tracheotomy.
  
  
  CONCLUSIONS
  To our knowledge, ours is the first full-time otolaryngology hospitalist model in the United States. The hospitalist practice is a conceptually viable and clinically beneficial paradigm that should be considered at other similar institutions.
authors.affiliation: Department of Otolaryngology-Head and Neck Surgery, University of California, San Francisco, California 94115, USA. mrussell@ohns.ucsf.edu
authors.forename: Matthew S
authors.initials: MS
authors.lastname: Russell
authors.forename: David
authors.initials: D
authors.lastname: Eisele
authors.forename: Andrew
authors.initials: A
authors.lastname: Murr
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D002675:Child, Preschool; D002983:Clinical Competence; D004630:Emergencies; D005260:Female; D005500:Follow-Up Studies; D020445:Hospitalists / Q000592:standards*; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D008875:Middle Aged; D010036:Otolaryngology; D010038:Otorhinolaryngologic Diseases / Q000175:diagnosis* / Q000628:therapy; D012017:Referral and Consultation / Q000706:statistics & numerical data*; D012189:Retrospective Studies; D062606:Tertiary Care Centers; D055815:Young Adult