title: [Re-organization of internal medicine wing in hospitals: a last-ditch effort or the beginning of reform?].
abstract: Over the last decade numerous publications have dealt with ongoing changes in the traditional practice of internal medicine. In general, in-hospital medicine has evolved into ambulatory or specialized care. In this volume of Harefuah, Yinon et al. discuss trends at Shaare-Zedek Medical Center, focusing on the challenge of attracting residents to general internal medicine. Their model addresses local problems, but they have laid the groundwork for a more radical change. They present an evolutionary process that would transform hospital practice to become both more patient-centered and integrative, with an interdisciplinary team that translates the strengths of in-hospital (in- and out-patient care) vs. ambulatory or over-specialized care. Such reform should also include changes in clinical medical education, coupled with research and academic activities that can only take place in hospitals. The health care system is waiting for the next academic medical center that will take the lead in accepting this challenge and spearhead much needed reform.
authors.forename: Yehonatan
authors.initials: Y
authors.lastname: Sharabi
mesh_terms: D000046:Academic Medical Centers / Q000458:organization & administration*; D035843:Biomedical Research / Q000458:organization & administration; D004501:Education, Medical / Q000458:organization & administration; D018166:Health Care Reform; D006801:Humans; D007388:Internal Medicine / Q000458:organization & administration*; D007396:Internship and Residency / Q000458:organization & administration*; D007557:Israel; D018802:Patient-Centered Care / Q000458:organization & administration