biostudies-literatureUnknown40(1)Molitch-Hou E<h4>Background</h4>Direct Care Hospitalist Services (DCHS) can increase internal medicine (IM) sub-internship rotation availability while providing hospitalists additional teaching opportunities.<h4>Aim</h4>Implement and evaluate a DCHS sub-internship.<h4>Setting</h4>Urban Academic Medical School.<h4>Participants</h4>IM sub-interns, hospitalists.<h4>Program description</h4>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.<h4>Program evaluation</h4>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.<h4>Discussion</h4>Sub-interns were highly satisfied with DCHS sub-internship. Future work will target gaps in preparedness for urgent patient care issues.Journal of general internal medicine277-283https://www.ebi.ac.uk/biostudies/studies/S-EPMC11780010biostudies-literatureDevelopment and Evaluation of a Direct Care Hospitalist Service Internal Medicine Sub-internship Rotation.PMC11780010Tewari AFeaster NMartin SKKowalczyk NSMolitch-Hou EAnderson IfalseDevelopment and Evaluation of a Direct Care Hospitalist Service Internal Medicine Sub-internship Rotation.<h4>Background</h4>Direct Care Hospitalist Services (DCHS) can increase internal medicine (IM) sub-internship rotation availability while providing hospitalists additional teaching opportunities.<h4>Aim</h4>Implement and evaluate a DCHS sub-internship.<h4>Setting</h4>Urban Academic Medical School.<h4>Participants</h4>IM sub-interns, hospitalists.<h4>Program description</h4>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.<h4>Program evaluation</h4>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.<h4>Discussion</h4>Sub-interns were highly satisfied with DCHS sub-internship. Future work will target gaps in preparedness for urgent patient care issues.2025-01-01T00:00:00Z2025 Jan2026-05-28T03:20:25.942Z2026-05-28T03:11:06.041ZS-EPMC117800103928507210.1007/s11606-024-08878-5