We are pleased to announce the continuation of the hospitalist track within the LSU Internal Medicine Residency Program.  The first two years of the hospitalist track was utilized by eight outstanding residents and was a great success.  The hospitalist track consists of a curriculum that focuses on skills needed for those residents interested in a career in hospital medicine.  LSU is one of the only residencies in the southern United States offering such a track within their residency.  Residents graduating after completing this track will have a competitive advantage in their search for academic and private hospitalist positions in the future.  There is additional training in inpatient medicine with individualized mentoring by senior hospitalists, with a focus on those subspecialties that are deemed to be most utilized by a hospitalist.  The track also includes a specialized month focusing on procedures and palliative care medicine.  It will not require any additional months of training but is rather a revamping of your existing schedule.  Those residents that participate in the hospitalist track will get a separate certificate at graduation acknowledging their participation and sucessful completion of the hospitalist track. 

     This program is for interns or residents interested in hospitalist medicine and is not available to those residents who are applying for a fellowship.  We are pleased to announce that the hospitalist track program will be contine to be available to incoming interns as well.  Students who have matched with LSU internal medicine, medicine-pediatrics, or any combined medicine residency are eliglible to apply and participate in the track.  Participation in the hospitalist track does not preclude anyone from later choosing a field in a medicine subspecialty, as they may drop out of the track at any time to apply for a fellowship. Anyone interested in applying to this track for next year needs to send me an email stating their interest with attached CV by April 30th.  The interns or residents selected for the hospitalist track will be announced in early May.  See below for more details.

 

Hospitalist Track

Acceptance: The program will accept 2-4 people per year, with 4-10 residents in the program at one time. Applicants will apply by April 30th of this year by submitting a CV with email of intent/interest to me. A decision on accepted applicants would be made in early May. Resident schedules will be finalized from May through June.  Residents interested in or on course to become chief resident are still eligible to participate.  Residents who are currently applying for a fellowship are not eligible for the hospitalist track.  Any hospitalist track resident who decides to apply for fellowship will be asked to vacate the track to allow someone else interested in hospitalist medicine to participate.

Schedule: See sample below.

Normal Year

Hospitalist Tract

PGY 1

5 Wards

1 ICU

1 Ambulatory

1 ER

4 Subspecialty


 

PGY 2

6 Wards

1 Ambulatory

1 Neurology

4 Subspecialty

 

PGY 3

4-5 Wards

1 ICU

1 Ambulatory

1 Geriatrics

1 Elective

1 GMC

1 Night Float

 1-2 Subspecialty

PGY 1

5 Wards

1 ICU

1 Ambulatory

1 ER

4 Subspecialty

 

PGY 2

6 Wards

1 Hospitalist Wards

1 Critical Care

1 Neurology

3 Subspecialty

 

PGY 3

4-5 Wards

1 Hospitalist Wards

1 Professional Development/Research Month

1 ICU

1 Geriatrics

1 GMC

1 Night Float

1-2 Subspecialty

The intern year for the hospitalist track resident would stay the same as a categorical resident. 

As an upper-level resident, the hospitalist track would offer 2 additional wards months.  The hospitalist resident ward months will be with a senior hospitalist attending at one of the three hospitals in the system.  The resident will be given instruction on billing and coding, healthcare reform, and the day-to-day intricacies of being a hospitalist.  There will also be special emphasis placed on protocol order sets and evidence-based medicine.  There will also be an extra critical care month during the second year with the LSU Pulmonary team at Ochsner Medical Center - Kenner.

The professional development/research month would be designed for the resident to attend lectures on palliative care and healthcare policy, perform procedures with anesthesia, design protocols/order sets, work on required research projects and scholarly activities, along with attend clinics for any needed subspecialty exposure.  The month will be split between working with Dr. Kay and Anesthesia focusing on procedures as well as with Dr. Chris Blais on the palliative care consult service at Ochsner-Kenner Medical Center.  This allows the resident to get experience in endotracheal intubations, alternative airways, starting venous and arterial lines, and gaining invaluable experience in end-of-life issues and palliative care.

The subspecialty months will be designed to focus on the core electives for hospitalist. Five of these months would be predetermined. Two months: Cardiology and Pulmonary. One month: Renal, Gastroenterology and Infectious Disease.

 

 

 

 

Conferences: There will be a weekly dedicated hospitalist conference where both the hospitalist residents and attendings will be presenting. The hospitalist residents will be required to attend these conferences and the other residents will be invited as well.  Attendence at these conferences is mandatory for all months on medicine except for ER or ICU rotations.  The residents are still required to make the other conferences offered in the month for categorical residents.

Journal Club: Hospitalist journal club will be held quarterly with one presentation by each of the hospitalist tract residents each year.

Committees: Residents will be expected to attend committee meetings and participate on various committees held at each of the three hospitals.

Presentations/Lectures: Residents will help to prepare guideline lectures along with evidence medicine research lectures specific to hospital policy. Possible lecture topics include: consult medicine, quality improvement, geriatrics, palliative care, evidence-based medicine, practice-based learning, multidisciplinary care, leadership, transitions of care, financial obligations including coding and billing, medical ethics and professionalism, resource allocation, risk management, communication between disciplines, education and research.

Research: Residents are encouraged to actively participate in writing case reports for publication in addition to two abstract submissions required by categoricals.  Anyone interested in research projects that can lead to publications can approach myself or one of the hospitalist attendings.

Funding: The program will attempt to acquire funding for grants, publications, regional meetings, and Society of Hospital Medicine national meetings.

Certificate:Those residents who successfully complete the hospitalist track will receive a separate certificate of completion at graduation.

Questions: Feel free to email me at nmasri@lsuhsc.edu with any questions regarding the hospitalist track.

 

Najy Masri, MD        

Assistant Professor, LSU Department of Medicine, Section of Hospitalist Medicine              

Chief of Medicine, Ochsner Medical Center - Kenner                           

Director of LSU Hospitalist Services, Ochsner Medical Center- Kenner