The foundation of any successful hospitalist program is the delivery of outstanding care in an efficient and patient-centered manner. The tremendous growth of the hospitalist service has been due to recognition of the increased need for specialists in inpatient medicine and of the outstanding care and teaching provided by our team. The management of mild acute manifestations of disease has largely shifted from the inpatient to outpatient setting, leaving only the most acutely ill within the hospital. Caring for today’s hospitalized patients requires a cadre of physicians with extensive experience, knowledge, and skills specific to inpatient care.
The Division of Hospital Medicine plays a central role in the clinical care of patients throughout The Mount Sinai Hospital. DHM at The Mount Sinai Hospital campus provides a large portion of the coverage for the:
Teaching Medicine Service
The members of the DHM faculty are the primary clinical and teaching attendings for the housestaff on the general medicine wards. Teams consist of 2nd and 3rd year residents, interns, 3rd year students, and sub-interns.
Non-teaching Service (known as the Attending Directed Service – ADS)
Our hospitalists work with nurse practitioners to prove care for patients not covered by the teaching service. A majority of patients are geographically localized, fostering better cooperation amongst clinicians, social workers, and nurses. The service also serves as a great opportunity to implement small scale patient safety projects, such as improving hand-offs amongst clinicians.
Medical Consult Service: Hospitalists work with a PGY-3 resident to provide medical consultation and pre-operative evaluations for patients on non-medical services.
This program joins hospitalists with various surgical services-- vascular surgery and surgical oncology-- to provide comprehensive care for patients with complex medical conditions. The co-management services replace standard consultation by providing automatic attending input for patients admitted to the surgical services. The program aims to reduce the rate of post-operative complications, decrease length of stay, and decrease mortality. Early research shows that this unique service is improving clinical outcomes.
DHM hospitalists manage the pre-operative consult service, handling in-patient assessments not covered by the Medicine Consult service or Cardiology service. Additionally, hospitalists collaborate with anesthesiologists to manage the outpatient pre-operative clinic, where patients get a medical and anesthesia evaluation prior to surgery. Physician assistants provide support for the inpatient and outpatient pre-operative services.