He attributed part of that growth to several changes, including the additional responsibility of hospitalists for caring for surgical patients—something he sees as eventually becoming the norm. Another factor is the role hospitalists play in replacing residents in teaching hospitals, an area that has seen unplanned growth.
And finally, Dr. Wachter speculated that the quality measures movement will also boost the ranks of hospitalists. “We’re already seeing tremendous pressure on hospitalists to help their hospitals achieve success in pay-for-performance programs and in publicly reported measures,” he said. “This type of responsibility was originally considered a nice add-on for using hospitalists, but now it’s getting to be a crucial part. There’s a building expectation that hospitalists will guarantee superb performance.”
Dr. Wachter also touched on how information technology might change hospital medicine. “IT will definitely have an impact, in some exciting ways, and in other ways that have not been thought through,” he warned. “For example, consultation may be very different.” For example, a hospitalist in 2017 may be able to use a video link at a patient’s bedside to consult with one of 100 cardiologists around the country or around the world.
Following Dr. Wachter’s view of the future, Sylvia C. McKean, MD, had the last word at the meeting. As the chair in charge of next year’s Annual Meeting in San Diego, she presented the wrap-up on Friday afternoon, covering “What Have We Learned.”
Looking back on the previous three days, Dr. McKean pronounced, “The future is now.” Pointing to the number of meeting sessions, abstracts and poster presentations that emphasized recent innovations in hospital medicine, she said, “The Annual Meeting helps us find our expertise as hospitalists.” The Annual Meeting, along with SHM’s published Core Competencies helps define the role that hospitalists play in patient-centered care and in patient safety.
Dr. McKean thanked Chad Whelan, chair of the Annual Meeting Committee, for all his work, and said she was looking forward to 2008.