Journal of General Internal Medicine

, Volume 29, Issue 7, pp 1026–1030 | Cite as

Hospitalist Career Decisions Among Internal Medicine Residents

  • John T. Ratelle
  • Denise M. Dupras
  • Patrick Alguire
  • Philip Masters
  • Arlene Weissman
  • Colin P. West
Original Research



Hospital medicine is a rapidly growing field of internal medicine. However, little is known about internal medicine residents’ decisions to pursue careers in hospital medicine (HM).


To identify which internal medicine residents choose a career in HM, and describe changes in this career choice over the course of their residency education.


Observational cohort using data collected from the annual Internal Medicine In-Training Examination (IM-ITE) survey.


16,781 postgraduate year 3 (PGY-3) North American internal medicine residents who completed the annual IM-ITE survey in 2009–2011, 9,501 of whom completed the survey in all 3 years of residency.


Self-reported career plans for individual residents during their postgraduate year 1 (PGY-1), postgraduate year 2 (PGY-2) and PGY-3.


Of the 16,781 graduating PGY-3 residents, 1,552 (9.3 %) reported HM as their ultimate career choice. Of the 951 PGY-3 residents planning a HM career among the 9,501 residents responding in all 3 years, 128 (13.5 %) originally made this decision in PGY-1, 192 (20.2 %) in PGY-2, and 631 (66.4 %) in PGY-3. Only 87 (9.1 %) of these 951 residents maintained a career decision of HM during all three years of residency education.


Hospital medicine is a reported career choice for an important proportion of graduating internal medicine residents. However, the majority of residents do not finalize this decision until their final year.


graduate medical education physician workforce hospital medicine 


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Copyright information

© Society of General Internal Medicine 2014

Authors and Affiliations

  • John T. Ratelle
    • 1
  • Denise M. Dupras
    • 2
  • Patrick Alguire
    • 3
  • Philip Masters
    • 3
  • Arlene Weissman
    • 3
  • Colin P. West
    • 4
    • 5
    • 6
  1. 1.Department of MedicineMayo ClinicRochesterUSA
  2. 2.Division of Primary Care Internal Medicine, Department of MedicineMayo ClinicRochesterUSA
  3. 3.American College of PhysiciansPhiladelphiaUSA
  4. 4.Division of General Internal Medicine, Department of MedicineMayo ClinicRochesterUSA
  5. 5.Division of Biomedical Statistics and Informatics, Department of Health Sciences ResearchMayo ClinicRochesterUSA
  6. 6.Division of General Internal Medicine, Department of Medicine, Division of Biomedical Statistics and Informatics, Department of Health Sciences ResearchMayo ClinicRochesterUSA

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