Current Status and Future Perspective of Hospital Medicine in Medical Education

10.6145/jme.202303_27(1).0002

Nin-Chieh Hsu；Chia-Lin Tseng；Yu-Feng Lin；Tzung-Dau Wang；Wang-Huei Sheng

hospital medicine ； hospitalists ； medical education ； interprofessional education ； patient-centered care

Journal of Medical Education

27卷1期（2023 / 03 / 01）

9 - 19

英文

Hospital medicine emerged in the United States in the 1990s to cope with the growing need for integrated care for complex and ageing hospitalized patients. The hospitalist model has rapidly spread out worldwide to European and Asian countries. It was also introduced to Taiwan in 2009 and obtained the government support since 2015 with a pilot project among more than two thirds of medical centers. Hospital medicine has also involved in medical education in the US, with medical schools and residency programs offer dedicated training in hospital medicine. Hospital medicine aims to provide a highly coordinated, patient-and-family-centered, goal-directed care to the patients. Incorporating these strategies into the medical school curriculum facilitate students to acquire the ability of multidisciplinary approach and integrated care. Hospitalists act as valuable clinical role models to demonstrate interprofessional education, team-based care, life course perspective, and health systems science. Hospitalists instruct patient-centered care, teach communication skills, address social determinants of health, integrating modern technology, and lead by example of physician well-being and resilience. Hospital medicine is growing the new generation of physicians who may lead the way in the future health care reform.

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