The Hospitalist Joins the Surgical Team
Authors: Geno J. Merli
Journal: Annals of Internal Medicine (2004)

Editorials6 July 2004The Hospitalist Joins the Surgical TeamGeno J. Merli, MDGeno J. Merli, MDFrom Jefferson Medical College, Thomas Jefferson University Hospital, Philadelphia, PA 19107.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-141-1-200407060-00017 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail The principal providers of medical consultation for the surgical patient have been internists, family practitioners, cardiologists, and pulmonary physicians. The model for the medical consultant's roles and responsibilities in the care of this patient population has been to provide the surgeon with an assessment of medical problems and concise recommendations on the management of patients in the perioperative period (1). Sometimes, the surgeon retains full responsibility for carrying out the recommendations. Alternatively, the consultant serves as a comanager for all medical problems. A point of demarcation between these 2 models of consultation is the hospital setting. In community hospitals, the ...References1. Merli GJ, Weitz HH. Approaching the surgical patient. Role of the medical consultant. Clin Chest Med. 1993;14:205-10. [PMID: 8519167] CrossrefMedlineGoogle Scholar2. Huddleston JM, Hall Long K, Naessens JM, Vanness D, Larson D, Trousdale R, et al . Medical and surgical comanagement after elective hip and knee arthroplasty. A randomized, controlled trial. Ann Intern Med. 2004;141:28-38. LinkGoogle Scholar3. Wachter RM, Goldman L. The emerging role of “hospitalists” in the American health care system. N Engl J Med. 1996;335:514-7. [PMID: 8672160] CrossrefMedlineGoogle Scholar4. Wachter RM. An introduction to the hospitalist model. Ann Intern Med. 1999;130:338-42. [PMID: 10068402] LinkGoogle Scholar5. Diamond HS, Goldberg E, Janosky JE. The effect of full-time faculty hospitalists on the efficiency of care at a community teaching hospital. Ann Intern Med. 1998;129:197-203. [PMID: 9696727] LinkGoogle Scholar6. Auerbach AD, Wachter RM, Katz P, Showstack J, Baron RB, Goldman L. Implementation of a voluntary hospitalist service at a community teaching hospital: improved clinical efficiency and patient outcomes. Ann Intern Med. 2002;137:859-65. [PMID: 12458985] LinkGoogle Scholar7. Meltzer D, Manning WG, Morrison J, Shah MN, Jin L, Guth T, et al . Effects of physician experience on costs and outcomes on an academic general medicine service: results of a trial of hospitalists. Ann Intern Med. 2002;137:866-74. LinkGoogle Scholar Author, Article, and Disclosure InformationAffiliations: From Jefferson Medical College, Thomas Jefferson University Hospital, Philadelphia, PA 19107.Disclosures:Consultancies, Honoraria, and Grants received (Aventis, Astra-Zeneca, Bayer).Corresponding Author: Geno J. Merli, MD, Jefferson Medical College, Thomas Jefferson University Hospital, Suite 701, 833 Chestnut Street, Philadelphia, PA 19107; e-mail, geno.[email protected]edu. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoMedical and Surgical Comanagement after Elective Hip and Knee Arthroplasty Jeanne M. Huddleston , Kirsten Hall Long , James M. Naessens , David Vanness , Dirk Larson , Robert Trousdale , Matt Plevak , Miguel Cabanela , Duane Ilstrup , Robert M. Wachter , and Metrics Cited ByAnesthesiologists as perioperative hospitalists and outcomes in patients undergoing major urologic surgery: a historical prospective, comparative effectiveness studyTime Has Come for the Acute Care AnesthesiologistComplications and mortality in older surgical patients in Australia and New Zealand (the REASON study): a multicentre, prospective, observational study*Perioperative Medicine in the United StatesThe Role and Responsibilities of the Medical ConsultantThe Surgical Hospitalist: A New Model for Emergency Surgical CarePostoperative complications and mortality in older patients having non‐cardiac surgery at three Melbourne teaching hospitalsHospitalists and Anesthesiologists as Perioperative Physicians: Are Their Roles Complementary?Is there a geriatrician in the house? Geriatric care approaches in hospitalist programsDetermining the professional attributes of a hospitalist: experience in one Australian metropolitan hospital 6 July 2004Volume 141, Issue 1Page: 67-69KeywordsAbdominal surgeryFeversForecastingHospitalistsLength of stayOrthopedicsPatientsSurgeonsTotal hip arthroplasty ePublished: 6 July 2004 Issue Published: 6 July 2004 CopyrightCopyright © 2004 by American College of Physicians. All Rights Reserved.PDF DownloadLoading ...