Q: What’s the biggest change you would like to see in HM?
A: I’m interested to see how hospital medicine engages students and trainees who are interested in hospital medicine. How we educate them, and how much we allow them to educate and change us, will be a defining issue as hospital medicine comes of age.
Q: What aspect of teaching in the 21st century is most difficult? And, what is most enjoyable?
A: As technology becomes increasingly integrated into healthcare and education, there are so many different modalities for engaging learners. Picking a topic and learning points is easy—picking how to teach it is the tough part! Seeing learners take knowledge you’ve imparted—whether it relates to management of renal failure, high-value care, or the patient experience—and put it into clinical practice is amazing.
Q: What is your biggest professional reward?
A: Remaining open to new ideas is a challenge and reward. It’s easy to get caught up in “this is the way we’ve always done this and thought about this.” For me, part of trying to become a better doctor means learning something new each day. I don’t always succeed, but it feels so good when I do.
Q: What SHM event has made the most lasting impression on you?
A: My first national HM conference as a PGY-2 resident. It was an amazing and energizing feeling to sit in the large plenary session with 3,000 hospitalists. I thought to myself, ‘This is a movement that is changing healthcare. I want in.’
Q: Where do you see yourself in 10 years?
A: One of the great things about hospital medicine is how flexible it can be as a career choice. Hospitalists can be residency program directors, hospital administrators, important academics, lauded teachers, and even the CMO of Medicare. None of those things are possible without first being a good clinical hospitalist, which is what I’m focusing on right now.
Q: What impact do you feel devices like smartphones and tablets have had on HM?
A: It’s amazing to see how much bottom-up innovation Apple and Google have inspired with their products. Without waiting for large, hospital-wide investments (e.g. electronic health records), physicians, start-ups, and patients are empowering themselves and changing healthcare. I would just recommend avoiding the mentality that every problem can be solved by buying patients/physicians/staff an iPad. Technology is not a substitute for well-designed healthcare delivery systems.
Richard Quinn is a freelance writer in New Jersey.