The Tulane Internal Medicine Hospitalist Track
If you are looking for a career in Academic Hospital Medicine, you have found your home at Tulane! There is absolutely no residency program in the United States that has the sophistication and dedication to training future academic hospitalists like the Tulane Internal Medicine Team.
Training in Hospital Medicine is more than just doing more inpatient ward and ICU rotations. True Hospital Medicine is about ensuring Quality and Patient Safety in the inpatient environment, and about acquiring the knowledge and skills necessary to become a “systems architect” in changing the hospital system for the better. Further, it is about becoming the master in Transitions of Care.
How the Track Works
The Tulane Academic Hospitalist Track is built around preparing residents to assume a role as a leader in Academic Hospital Medicine upon their graduation. Residents interested in the Academic Hospitalist Track have the same intern-year schedule as other residents. The difference in training, however, does begin on day one…. As those interested in Academic Hospital Medicine are immediately paired with a Hospitalist Mentor to begin their scholarly pursuits. And mentorship is not hard to find at Tulane: 100% of Tulane’s inpatient services are staffed by Academic Hospitalists. Exposure to these individuals, each with their own research interests in Quality and Patient Safety innovations, begins the successful journey for the resident interested in Academic Hospital Medicine.
Developing An Academic Career in Hospital Medicine
An academic career in hospital medicine hinges upon central tenet: you have to find your “value added service.” Regardless of where you decide to practice, doing all clinical time is not sustainable: the intensity of the inpatient environment is too much to do it twelve months of a year. The year’s work has to be divided between clinical and non-clinical time. But if you want to be successful in academic hospital medicine, the question you will have to answer is, “What value-added service will you offer to the University during my non-clinical time?” All residency’s will more or less prepare you for the clinical portion of hospital medicine, but only a few (if any) will prepare you to answer the “value added service” question like Tulane.
As part of the Hospital Medicine track, you will be exposed to research, quality improvement, teaching, administration and leadership. Each of these domains may or may not be for you, but over the course of the three year training, you’ll have the opportunity to figure out which one (or more) of these is for you. Further, you’ll have the mentorship in training to develop early competence in your chosen domain. Can you imagine? Leaving residency ready to assume the role of a course, clerkship or associate program director? (Education). Leaving residency ready to not only participate in quality improvement projects, but to lead them? (QI/Patient Safety)? Leaving residency not only to participate on committees, but to lead them en route to becoming a CMO or CEO? This is what our graduates have done… and this is what you will do too!
But despite Tulane’s exceptional hospital medicine curriculum, the strongest aspect is Tulane’s depth in mentorship in Hospital Medicine. As noted above, 100% of Tulane’s inpatient services are supervised by Teaching Hospitalists. Each of these 17 individuals has their own “non-clinical” interest…. Allowing you not only exceptional mentorship in clinical practice, but also exceptional opportunities for a mentor in your chose “value added” interest. And, of course, you’ll have the luxury of having Dr. Wiese as your program director…. Who just happens to be the President of the Society of Hospital Medicine. Can you imagine the networking and connections you will make with Dr. Wiese looking after your career? And when it comes to training Academic Hospitalists, there is no one better than Dr. Wiese. He was the originator of the Teaching Hospitalist Educators Course (THE Course) at SHM, and one of the designers and senior advisors/faculty for the Academic Hospitalist Academy. And he happens to be the committee chair of the ABIM Hospital Medicine Maintenance of Certification Board Examination. If there is anyone who knows that you need to be successful as an Academic Hospitalist, it is Dr. Wiese. And Tulane, you will have that direct connection from the beginning.
Hospital Medicine at Tulane
Hospital Medicine at Tulane is more than just ‘geography’ (internists practicing indoors versus outdoors). Hospital Medicine here is about preparing “agents of change.” People who have the sincere interest in their heart to make the care of the patient in the hospital better than it was before. It’s about learning out to study and change systems… and in the process of residency training, its about acquiring and developing the skills necessary to be a leader in the field. Maybe that in education, maybe its in research, maybe its in leadership… but regardless, if you are serious about a career in Academic Hospital Medicine…. Welcome Home! For Tulane is the place for you.