Development of a Community Hospital Medicine Affiliated Inpatient Rotation for Family Medicine Residents-A...

Area of Science:

• Medical Education
• Health Services Research
• Family Medicine

Background:

• Hospitalists are crucial educators for family medicine residents.
• Duke University Family Medicine Residency Program previously utilized non-Duke facilities for inpatient rotations.
• A shift towards an affiliated community hospital was initiated.

Purpose of the Study:

• To detail the development of an inpatient family medicine residency rotation at Duke Regional Hospital.
• To present outcomes data for this newly established rotation.
• To evaluate the feasibility and impact of integrating residency training within a community hospital setting.

Main Methods:

• Collaboration between Duke Family Medicine Residency and Duke Regional Hospital Medicine.
• Comparison of performance metrics (length of stay, 30-day readmissions) between family medicine and internal medicine inpatient teams.
• Analysis of resident satisfaction survey results.

Main Results:

• Family medicine inpatient service demonstrated comparable length of stay and 30-day readmission rates to internal medicine.
• Resident evaluations indicated overall satisfaction with the learning objectives of the inpatient rotation.
• The new rotation provided valuable teaching opportunities for hospitalists.

Conclusions:

• The developed inpatient family medicine rotation offers significant benefits to residents, hospitalists, and the institution.
• Quality performance metrics are comparable to established internal medicine services.
• Residents gain core inpatient experience at a Duke-affiliated community hospital.