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Ask the expert: What are hospitalists’ responsibilities with regard to residents and fellows?

Hospitalist Leadership Connection, October 28, 2009

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Some hospitalists may be responsible for overseeing resident and fellow activities. Consider the following responsibilities when drafting a job description for hospitalists at your facility:

• Supervise residents
• See all patients briefly to ensure appropriateness of care and to demonstrate/establish the role of attending physicians to patients
• See all scheduled patients if there are no residents or fellows
• Ensure that students, residents, and fellows practice efficiently
• Serve as a rule model and mentor for assigned students, residents, and fellows
• Participate in any appropriate utilization protocols
• Arrive on time at the start of each scheduled attending session
• Do not leave until all patients under your supervision have been discharged
• Document all visits in the patient’s medical record
• Co-sign the billing sheet and ensure that procedure and diagnosis codes are entered correctly
• Ensure that the resident and fellow physicians finish prescribing all medication refills, chart checks, forms, etc. before they leave
• Submit requests for time off in writing to the hospitalist program executive director

This week’s question and answer are adapted from Tools and Strategies for an Effective Hospitalist Program, by Jeffrey R. Dichter, MD, FACP and Kenneth G. Simone, DO, now available at a reduced price!

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