Attending on the Hospitalist Service Elective
Over the past year, the popularity of rotations on the Hospitalist Service has grown. Second- and third-year residents are offered an elective month with the Hospitalist Service to improve their clinical acumen and to experience some of the unique challenges that face hospitalists today. The elective offers a degree of autonomy and faculty exposure not afforded by the traditional Firm experience, while providing patient care in a structured and closely supervised environment. At the same time, residents are encouraged and helped to pursue independent research projects they can continue throughout their training.
Attending on the Firm Team
Medicine residents rotate through several months of general inpatient medicine each year, along with medical students on third- and fourth-year clerkships. Each team consists of an attending physician, a second- or third-year medicine resident, two interns, and medical students.
The attending physician plays a supervisory role and provides didactic sessions and bedside teaching throughout the week. Hospital medicine attendings are able to provide a unique perspective, as the majority of their clinical time is spent engaged in direct inpatient care.
Attending on the Procedure Service
Internal medicine and categorical interns, and senior medicine residents, spend one or more weeks on the Procedure service. Hospital Medicine physicians directly supervise the residents performing invasive bedside procedures and provide didactic presentations regarding indications, contraindications, complications, and test interpretation for the various bedside procedures. Instruction in the use of bedside ultrasound is also provided. Hospitalist faculty have collaborated to write the Washington Manual of Bedside Procedures and have contributed to various quality and safety initiatives regarding invasive procedures at Barnes-Jewish Hospital.