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The 24/7 hospitalist debate

Hospitalist Leadership Connection, July 8, 2008

When it comes to overnight patient care, many debate the pros and cons of employing a 24/7 hospitalist program against on-call overnight shifts.  Kenneth Epstein, MD, MBA, of the IPC The Hospitalist Company, Inc. says there is little evidence of any difference between quality of care in around-the-clock or on-call programs.  On the other hand, David J. Shulkin, MD, president and CEO of Beth Israel Medical Center and professor of medicine at Albert Einstein College of Medicine, both in New York City, says there is a clear difference in care in hospitals with nocturnists versus those without.  Look for the detailed story and case study in the upcoming August issue of our premium subscription newsletter Hospitalist Management Advisor.

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