UCSF Division of Hospital Medicine, San Francisco, CA 94143, USA.
J Gen Intern Med. 2009 May;24(5):636-41. doi: 10.1007/s11606-009-0944-6. Epub 2009 Mar 4.
The field of hospital medicine is growing rapidly in academic medical centers. However, few organizations have explicitly considered the opportunities and barriers posed to hospital medicine's development as an academic field in internal medicine.
To develop consensus around key areas limiting or facilitating hospital medicine's development as an academic discipline.
Consensus format conference of key stakeholders in academic hospital medicine.
The Consensus Group identified several issues impeding the development of academic hospital medicine as a recognized entity in academic settings, including extraordinarily rapid growth, increasingly preponderate non-teaching roles, and demands to perform non-clinical duties (such as quality improvement) not generally viewed as academic pursuits. The Consensus Group developed recommendations for addressing these concerns, specifically 1) characterizing the 'optimal' job description for an academic hospitalist, 2) developing better local and at-a-distance opportunities for training academic hospitalists in key aspects of early career success, 3) advocacy for development of fellows and junior faculty researchers in hospital medicine. Fostering academic hospital medicine will help address these issues more effectively and will help the field while also attracting the next generation of generalists needed to care for an increasingly complex inpatient population.
医院医学领域在学术医疗中心迅速发展。然而，很少有组织明确考虑过医院医学作为内科学术领域发展所带来的机遇和障碍。
就限制或促进医院医学作为一门学术学科发展的关键领域达成共识。
学术医院医学的主要利益相关者的共识格式会议。
共识小组确定了一些阻碍学术医院医学作为学术环境中公认实体发展的问题，包括极其迅速的增长、日益占主导地位的非教学角色，以及履行非临床职责（如质量改进）的要求，这些职责通常不被视为学术追求。共识小组为解决这些问题提出了建议，特别是 1）描述学术医院医师的“最佳”工作描述，2）在早期职业成功的关键方面为学术医院医师提供更好的本地和远程培训机会，3）倡导在医院医学中培养研究员和初级研究人员。促进学术医院医学将有助于更有效地解决这些问题，并有助于该领域的发展，同时也吸引下一代需要照顾日益复杂的住院患者人群的通才。
