TY - JOUR
T1 - Defining Clinical Excellence in Hospital Medicine
T2 - A Qualitative Study
AU - Kotwal, Susrutha
AU - Peña, Ivonne
AU - Howell, Eric E
AU - Wright, Scott
N1 - Funding Information:
Disclosures: The authors declare no conflict of interest. S.K. and I.P. contributed equally to this work. S.W. is a Miller-Coulson Family Scholar and is supported through the Johns Hopkins Center for Innovative Medicine. All Authors: Division of Hospital Medicine, Johns Hopkins Bayview Medical Center, Johns Hopkins University School of Medicine, Baltimore, MD. Correspondence: Susrutha Kotwal, MD, Johns Hopkins University School of Medicine, Johns Hopkins Bayview Medical Center, 5200 Eastern Avenue, MFL building West Tower, 6th floor CIMS suite, Baltimore, MD 21224; e-mail: Skotwal1@jhmi.edu.
Publisher Copyright:
© 2017 The Alliance for Continuing Education in the Health Professions, the Association for Hospital Medical Education, and the Society for Academic Continuing Medical Education.
PY - 2017/12/1
Y1 - 2017/12/1
N2 - Introduction:There are now more than 50,000 hospitalists working in the United States. Limited empiric research has been performed to characterize clinical excellence in hospital medicine. We conducted a qualitative study to discover elements judged to be most pertinent to excellence in clinical care delivered by hospitalists.Methods:The chiefs of hospital medicine at five hospitals were asked to identify their "clinically best" hospitalists. Data collection, in the form of one-on-one interviews, was directed by an interview guide. Interviews were transcribed verbatim, and the informants' perspectives were analyzed using editing analysis to identify themes.Results:A total of 26 hospitalists were interviewed. The mean age of the physicians was 38 years, 13 (50%) were women, and 16 (62%) were non-white. Seven themes emerged that related to clinical excellence in hospital medicine: communicating effectively, appreciating partnerships and collaboration, having superior clinical judgment, being organized and efficient, connecting with patients, committing to continued growth and development, and being professional and humanistic.Discussion:This qualitative study describes how respected hospitalists think about excellence in clinical care in hospital medicine. Their perspectives can be used to guide continuing medical education, so that offered programs can pay attention to enhancing the skills of learners so they can develop towards excellence, rather than using only competence as the desired target objective.
AB - Introduction:There are now more than 50,000 hospitalists working in the United States. Limited empiric research has been performed to characterize clinical excellence in hospital medicine. We conducted a qualitative study to discover elements judged to be most pertinent to excellence in clinical care delivered by hospitalists.Methods:The chiefs of hospital medicine at five hospitals were asked to identify their "clinically best" hospitalists. Data collection, in the form of one-on-one interviews, was directed by an interview guide. Interviews were transcribed verbatim, and the informants' perspectives were analyzed using editing analysis to identify themes.Results:A total of 26 hospitalists were interviewed. The mean age of the physicians was 38 years, 13 (50%) were women, and 16 (62%) were non-white. Seven themes emerged that related to clinical excellence in hospital medicine: communicating effectively, appreciating partnerships and collaboration, having superior clinical judgment, being organized and efficient, connecting with patients, committing to continued growth and development, and being professional and humanistic.Discussion:This qualitative study describes how respected hospitalists think about excellence in clinical care in hospital medicine. Their perspectives can be used to guide continuing medical education, so that offered programs can pay attention to enhancing the skills of learners so they can develop towards excellence, rather than using only competence as the desired target objective.
KW - clinical excellence
KW - communication skills
KW - continuing medical education (CME)
KW - hospital medicine
KW - hospitalist
KW - interprofessional education
KW - patient safety
KW - patient-centered care
KW - performance improvement CE
KW - professionalism/ethics
KW - reflective practice
KW - strategic issues in CME/CPD
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U2 - 10.1097/CEH.0000000000000145
DO - 10.1097/CEH.0000000000000145
M3 - Article
C2 - 28252466
AN - SCOPUS:85043345915
SN - 0894-1912
VL - 37
SP - 3
EP - 8
JO - Journal of Continuing Education in the Health Professions
JF - Journal of Continuing Education in the Health Professions
IS - 1
ER -