"...[B]ecause the [hospitalist] role has not been carefully defined it is morphing into that of a jack-of-all-trades house doctor, a career few of us signed up for.
"Uncritical enthusiasm for some nebulous notion of 'comanagement' has blurred the boundaries of responsibility among hospitalists and other specialists and forced hospitalists into clinical encounters way beyond the scope of their training, pushing them out of their comfort zones and creating liability concerns.
"Under the rubric of comanagement some hospitalist programs are being made to function as H&P and discharge planning services in which they perform the clerical scut work on surgical and subspecialty patients who have no need of their clinical expertise.
"Hospitalists are increasingly coming to be viewed as administrative and business solutions more than clinicians. Not exactly what a candidate looks for in a career.
"These factors may increase the risk of burnout, increase turnover in hospitalist programs and exacerbate the shortage in the work force."
Continued...
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