{"database":"biostudies-literature","file_versions":[],"scores":null,"additional":{"omics_type":["Unknown"],"volume":["40(1)"],"submitter":["Molitch-Hou E"],"pubmed_abstract":["

Background

Direct Care Hospitalist Services (DCHS) can increase internal medicine (IM) sub-internship rotation availability while providing hospitalists additional teaching opportunities.

Aim

Implement and evaluate a DCHS sub-internship.

Setting

Urban Academic Medical School.

Participants

IM sub-interns, hospitalists.

Program description

One to two sub-interns were paired with three hospitalists on 3 weeks of day service and five nights in an apprenticeship model. Sub-interns admitted and followed patients on days and cross-covered and admitted on nights.

Program evaluation

DCHS sub-intern rotation satisfaction and skills preparedness were surveyed over 2 years. Sub-interns rotating on resident-covered service (RCS) were surveyed in year 2, and results compared to DCHS. Hospitalists were surveyed year 1 to rate satisfaction. Year 2 DCHS cross-cover paging data was tabulated to evaluate clinical content. DCHS and RCS sub-interns rated satisfaction and preparedness similarly. DCHS sub-interns rated time management (3.86 vs 4.33, p = 0.19) and calling consults (4.4 vs 4.8, p = 0.56) lower, but cross-cover higher (4.14 to 3.67, p = 0.34) than RCS. DCHS sub-interns averaged 39.4 (SD 4.1) nightly cross-cover pages with most related to acute symptoms (46%). Hospitalists were highly satisfied with their rotation experience.

Discussion

Sub-interns were highly satisfied with DCHS sub-internship. Future work will target gaps in preparedness for urgent patient care issues."],"journal":["Journal of general internal medicine"],"pagination":["277-283"],"full_dataset_link":["https://www.ebi.ac.uk/biostudies/studies/S-EPMC11780010"],"repository":["biostudies-literature"],"pubmed_title":["Development and Evaluation of a Direct Care Hospitalist Service Internal Medicine Sub-internship Rotation."],"pmcid":["PMC11780010"],"pubmed_authors":["Tewari A","Feaster N","Martin SK","Kowalczyk NS","Molitch-Hou E","Anderson I"],"additional_accession":[]},"is_claimable":false,"name":"Development and Evaluation of a Direct Care Hospitalist Service Internal Medicine Sub-internship Rotation.","description":"

Background

Direct Care Hospitalist Services (DCHS) can increase internal medicine (IM) sub-internship rotation availability while providing hospitalists additional teaching opportunities.

Aim

Implement and evaluate a DCHS sub-internship.

Setting

Urban Academic Medical School.

Participants

IM sub-interns, hospitalists.

Program description

One to two sub-interns were paired with three hospitalists on 3 weeks of day service and five nights in an apprenticeship model. Sub-interns admitted and followed patients on days and cross-covered and admitted on nights.

Program evaluation

DCHS sub-intern rotation satisfaction and skills preparedness were surveyed over 2 years. Sub-interns rotating on resident-covered service (RCS) were surveyed in year 2, and results compared to DCHS. Hospitalists were surveyed year 1 to rate satisfaction. Year 2 DCHS cross-cover paging data was tabulated to evaluate clinical content. DCHS and RCS sub-interns rated satisfaction and preparedness similarly. DCHS sub-interns rated time management (3.86 vs 4.33, p = 0.19) and calling consults (4.4 vs 4.8, p = 0.56) lower, but cross-cover higher (4.14 to 3.67, p = 0.34) than RCS. DCHS sub-interns averaged 39.4 (SD 4.1) nightly cross-cover pages with most related to acute symptoms (46%). Hospitalists were highly satisfied with their rotation experience.

Discussion

Sub-interns were highly satisfied with DCHS sub-internship. Future work will target gaps in preparedness for urgent patient care issues.","dates":{"release":"2025-01-01T00:00:00Z","publication":"2025 Jan","modification":"2026-05-28T03:20:25.942Z","creation":"2026-05-28T03:11:06.041Z"},"accession":"S-EPMC11780010","cross_references":{"pubmed":["39285072"],"doi":["10.1007/s11606-024-08878-5"]}}