Just because you can, doesn't mean that you should: A call for the rational application of hospitalist comanagement
✍ Scribed by Eric M. Siegal
- Publisher
- John Wiley and Sons
- Year
- 2008
- Tongue
- English
- Weight
- 69 KB
- Volume
- 3
- Category
- Article
- ISSN
- 1553-5592
- DOI
- 10.1002/jhm.361
No coin nor oath required. For personal study only.
✦ Synopsis
Abstract
Medical comanagement has become a mainstay of hospital medicine. Several studies, however, suggest that medical consultation and comanagement may not be as effective as originally anticipated. The expansion of comanagement services has helped fuel massive demand for hospitalists and with it a critical and potentially destabilizing hospitalist manpower shortage. Comanagement may also drive unanticipated consequences such as facilitating surgeon and specialist disengagement and hospitalist career dissatisfaction and burnout. Comanagement services should be developed carefully and methodically, paying close attention to consequences, intended and unintended. Journal of Hospital Medicine 2008;3:398–402. © 2008 Society of Hospital Medicine.