Our Programs, the services we provide, and the amazing hospital medicine treatment teams delivering care are continuously expanding. Our providers have outstanding clinical and academic skills and have completed their medical training at some of the best institutions in the United States. Our Programs are supported by an outstanding administrative team who helps us succeed in our various missions. I would like to describe our main areas of focus and also recommend that you view other pages within our website which may contain more detail.
Our hospitalists and advanced practice providers provide inpatient general medicine services including admitting, rounding on, and discharging patients. At both Duke University and Duke Regional Hospitals, hospitalists work with Duke Medicine residents as well as independently to provide these clinical services. The Programs’ patient encounters and volumes have consistently grown and, in 2015, we anticipate approximately 137,000 total patient encounters by hospitalists across the three hospitals. We primarily see patients in the intermediate care areas of the hospitals and do not provide routine intensive care unit coverage. In addition to inpatient services, Duke University Hospital has a robust and expanding, hospitalist-staffed ultrasound guided bedside procedure service that is favored by patients, physicians, and nurses. Additionally, Duke Regional Hospital has a hospitalist-staffed preoperative clinic that provides excellent preoperative and perioperative services to patients and surgeons. A continued area of focus for the Hospital Medicine Programs is providing safe, high-quality to patients which includes carefully and regularly monitoring our quality and safety performance and establishing well-defined processes aimed at improvement. Examples of the performance metrics monitored include venous thromboembolism measurements, immunization status, mortality, length of stay, case mix index, readmission rates, Emergency Department consult turnaround time, patient experience scores, as well as other metrics. With the aim of providing the best care possible to our patients and their loved ones, we continuously reassess areas of focus and evolve our practices. Also, hospitalists are actively involved in institutional improvement initiatives including electronic medical record development (EPIC/Maestro) and clinical care redesign.
We are fortunate to be part of the highly regarded and prolific academic institution that is Duke University. The Hospital Medicine Programs offer a formalized orientation and subsequent onboarding process to ensure the supportive and successful integration of new providers, as well as formal mentorship programs to aid faculty in meeting their academic goals. Our academic mission focuses primarily on work in the areas of quality and safety as well as education and teaching of learners. In addition, we actively support our faculty with the resources needed to successfully pursue quality and safety research work, educational development, or other types of career development. Every year, our Hospital Medicine faculty present numerous abstracts and presentations at national meetings such as the Society of Hospital Medicine
as well as publish journal articles. Please see our “Research & Presentation” page for a comprehensive list of such academic accomplishments. Across the three hospitals, Hospital Medicine faculty is involved in teaching learners of various levels. At DUH and DRH faculty participate in the education of Duke Residents, medical students, physician assistant students, and nurse practitioner students. In addition to rotating on resident services, hospitalist faculty engage in classroom lectures, curriculum development, and other educational activities. Furthermore, DRH and DRAH Hospital Medicine faculty are significantly involved in physician assistant student education. Moreover, some Hospital Medicine faculty perform research activities for which federal or other grants support their effort. We continue to encourage and facilitate the pursuit of external funding opportunities related to such research activities. Finally, most Hospital Medicine academic appointments are housed within the Department of Medicine
and specifically the Division of General Internal Medicine
Our program leadership and team members are especially proud of the team culture at each of the three hospitals. Our providers are an extremely dedicated and diverse group of individuals who provide excellent care to our patients, their loved ones, and each other. If you are interested in career opportunities within hospital medicine at Duke University Health System please contact us here.
Thank you very much for your interest in our programs.
David Gallagher MD SFHM
Chief, Duke University Hospital Medicine Programs
Associate Chief Medical Officer
Department of Medicine, Duke University