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Subspecialty Careers: Highlights about Careers in Internal Medicine: Hospital Medicine/Hospitalists

The Discipline
The national association for hospitalists, Society of Hospital Medicine, defines hospitalists as “physicians whose primary professional focus is the general medical care of hospitalized patients.” 95% of hospitalists are trained in internal medicine and 5% in family medicine.

The scope of hospitalist practice may include the care of general medical patients and co-management of surgical cases, palliative care, and intensive care unit (ICU) patients. Common procedures are arthrocentesis, lumbar puncture, paracentesis, thoracentesis, and vascular access.

Although fellowship training is currently not required of hospitalists, more than 20 fellowship programs exist. They are typically one to two years in length and offer additional certifications in public health, quality improvement and clinical research.

No certification currently exists for hospitalists.

Training Positions
Fewer than 50 hospital medicine fellowships are available annually.

In hospitalist practice, 34% are employed by hospitals, 20% employed by academic institutions, 20% by management companies, 20% by medical groups and the remainder in hybrid arrangements.

Major Professional Societies

  • Infectious Diseases Society of America

  • 66 Canal Center Plaza, Suite 600
    Alexandria, VA 22314
    (703) 299-0200


Major Professional Societies

Major Publications

Back to February 2009 Issue of IMpact

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