Welcome to the Division of Hospital Medicine at Michigan Medicine! With over 100 faculty members, our Division is not only the most recent addition, but also one of the largest in the Department of Medicine. We take pride in our rich tradition of inpatient care that began with the establishment of a hospital medicine program over 20 years ago. Since these early days, Hospital Medicine at Michigan has thrived. Today, our faculty provides care for more than half of all hospitalized medical patients at the University and Veterans Affairs Hospitals. We are nationally and internationally recognized for our academic achievements in education, research and scholarship. The Division of Hospital Medicine is thus among the flag bearers of the clinical care, research, and education missions in the Department of Medicine.
Our hospitalists are renowned for delivering high quality clinical care to patients. At the University Hospital, our clinical enterprise includes a dedicated, non-resident attending service. In addition, hospitalists serve as teaching attendings on resident services where they oversee delivery of care and training of internal medicine residents. True to the spirit of innovation that is Hospital Medicine, our Division has also established several unique care delivery platforms. For example, the Medical Short Stay Unit (MSSU) is an innovation spearheaded by our faculty that provides both observation and inpatient level care to patients in a dynamic, multidisciplinary setting. Similarly, our Medicine Hematology Physician Assistant (MHP) service embeds hospitalists with hematologists/oncologists to provide state-of-the-art care to patients with hematological and solid organ malignancies. The Division is also home to a novel hospitalist-led Renal Transplant service that provides care to patients with kidney transplants as well as a Perioperative Consult Service that provides medical consultation and co-management services for patients undergoing surgical procedures. At our Veterans Affairs Hospital, the Blue Hospitalist Service provides direct care to Veterans and helps oversee hospital operations including bed flow, outside hospital transfers, and medical consultations. Our teaching services at the VA are among the most highly regarded learning grounds for medical students who consistently choose this site for training and sub-internships in medicine. Over the past few years, we have pioneered new community-based care platforms at St. Josephs Mercy Hospital in Ypsilanti and at Chelsea Hospital. We provide care for general medical patients and specific diagnoses in these unique settings, bringing the Michigan Difference to these non-contiguous environments.
In addition to our clinical enterprise, the Division is highly regarded in research and scholarship in Hospital Medicine. Members of our Division have published original research in top-tier journals such as The New England Journal of Medicine, Lancet, JAMA and Annals of Internal Medicine. Additionally, our faculty have successfully competed for extramural research funding from the National Institute of Health, Agency for Healthcare Research and Quality, Veterans Health Administration, Centers for Disease Control and others. To continue to grow the pipeline of hospitalist investigators, we run two dedicated research fellowships in Hospital Medicine: the Quality Improvement Scholars and Research tracks. These fellowships pair rigorous methodological training through the National Clinician Scholars Program with strategic career guidance and mentorship from established senior investigators in Hospital Medicine. The Division also supports quality initiatives for academic clinicians through two dedicated quality improvement (QI) awards that provide protected time to engage in important and meaningful work. Recipients of the QI awards receive mentorship from senior faculty, as well as support from biostatisticians and project managers, to ensure success. Prior projects have focused on a myriad of clinical issues including blood culture contamination, visual displays to communicate information to patients at the bedside, vascular access device selection, and advance directive planning and communication.
One of the joys of academic hospital medicine lies in training the doctors of tomorrow. Our Division prides itself in this role, and has some of the best teachers at Michigan Medicine. Our faculty have won prestigious awards from the medical school, including the Kaiser Permanente Award (Michigan’s highest teaching honor). Division members play key roles in the medical school at all stages of learning from the M1 to the M4/sub-intern years. Our faculty serve as directors of courses, curricula, and clinical clerkships in medicine. Similarly, members of the Division have been recognized as outstanding educators of residents and occupy important leadership roles in the Internal Medicine residency training program. Such education occurs not only through our role as ward attendings, but also as guest faculty for resident training retreats, morning report sessions, and year-long mentoring on patient safety or quality improvement projects.
With this backdrop, I hope you can sense the excitement, energy, and creative force that flows through Hospital Medicine at Michigan. Our distinguished history and accomplishments reflect a constant desire to reinvent, re-engineer, rethink, and reform inpatient care. Fueled by unparalleled achievements in scholarship, research, education, and outstanding patient care – we are proud to be Leaders and Best in Hospital Medicine.
Vineet Chopra, MD, MSc, FHM
Chief, Division of Hospital Medicine
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