The Hospitalist Movement — Time to Move On

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Abstract
The rapid emergence of hospitalist care in the United States has been extraordinary, with more than 20,000 hospitalists practicing today.1 Several factors underlie this growth, including the increased demands placed on primary care physicians that make caring for both inpatients and outpatients difficult, restrictions on the work hours of residents, and the belief that “practice makes perfect.”1,2 Although hospitalists may improve outcomes and enhance clinical efficiency, there has been concern that fragmenting the continuity of care could lead to more medical errors and dissatisfied patients.3