“Hospitals started turning to physicians who wanted to specialize in the care of inpatients. So that is what I do as a hospitalist,” explains Held, an assistant professor in the Department of Internal Medicine, and a hospitalist at UC Health. “I don’t have an ambulatory practice of my own. All my patients are admitted patients at UC Medical Center. Over the years, hospital medicine has developed a niche in which physicians in this specialty see it as their job to improve efficiency in the hospital.
“We take care of almost everything under the sun,” says Held. “The mainstays of hospital medicine are acute infectious illnesses, respiratory problems, patients with diabetes and heart disease, and a variety of complex multi-organ diseases that need a bit of coordination around that care. It often is described that we act like a patient’s primary care physician within the hospital. Sometimes, we have to coordinate multiple different specialties who become involved in a patient’s care in order to track down a difficult diagnosis, or manage a problem that might cross the line between medical and surgical.”
Hospitalists at UCMC keep a weekly schedule and are on service for about seven days at a time before handing off to a partner and then returning the following week, says Held. He notes there are patients who have longer hospital stays and will see a particular hospitalist on a more frequent basis. Typically, patients seeing a hospitalist may be under their care for three to four days before they are released to home or a care facility.
“Our patients are highly complex, but their care and well-being is among the reasons my colleagues and I like to serve UC Medical Center and the College of Medicine,” says Held.