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Journal of General Internal Medicine

, Volume 34, Issue 5, pp 754–757 | Cite as

Triaging Inpatient Admissions: an Opportunity for Resident Education

  • Emily S. WangEmail author
  • Sadie Trammell Velásquez
  • Christopher J. Smith
  • Tabatha H. Matthias
  • David Schmit
  • Sherwin Hsu
  • Luci K. Leykum
Article

Abstract

In the context of internal medicine, “triage” is a newly popularized term that refers to constellation of activities related to determining the most appropriate disposition plans for patients, including assessing patients for admissions into the inpatient medicine service. The physician or “triagist” plays a critical role in the transition of care from the outpatient to the inpatient settings, yet little literature exists addressing this particular transition. The importance of this set of responsibilities has evolved over time as health systems become increasingly complex to navigate for physicians and patients. With the emphasis on hospital efficiency metrics such as emergency department throughput and appropriateness of admissions, this type of systems-based thinking is a necessary skill for practicing contemporary inpatient medicine. We believe that triaging admissions is a critical transition in the care continuum and represents an entrustable professional activity that integrates skills across multiple Accreditation Council for Graduate Medical Education (ACGME) competencies that internal medicine residents must master. Specific curricular competencies that address the domains of provider, system, and patient will deliver a solid foundation to fill a gap in skills and knowledge for the triagist role in IM residency training.

KEY WORDS

medical education-graduate medical education-curriculum hospital medicine care transitions patient throughput 

Notes

Acknowledgements

The research reported here was supported by the Department of Veterans Affairs, Veterans Health Administration. Author salary support is provided by the South Texas Veterans Health Care System and by the Division of Hospital Medicine at the University of Texas Health Science Center San Antonio.

Funding

This work was supported in part by a 2017 Alliance for Academic Internal Medicine (AAIM) Innovation Grant.

Compliance with Ethical Standards

Conflict of Interest

The authors declare that they have no conflicts of interest.

Disclaimer

The views expressed in this article are those of the authors and do not necessarily reflect the positions or policies of the Department of Veterans Affairs or collaborating institutions.

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Copyright information

© Society of General Internal Medicine 2019

Authors and Affiliations

  • Emily S. Wang
    • 1
    • 2
    Email author
  • Sadie Trammell Velásquez
    • 1
    • 2
  • Christopher J. Smith
    • 3
  • Tabatha H. Matthias
    • 3
  • David Schmit
    • 1
    • 2
  • Sherwin Hsu
    • 4
  • Luci K. Leykum
    • 1
    • 2
  1. 1.Department of Medicine South Texas Veterans Health Care SystemSan AntonioUSA
  2. 2.Division of General and Hospital MedicineUniversity of Texas Health Science Center at San AntonioSan AntonioUSA
  3. 3.Division of Hospital MedicineUniversity of Nebraska Medicine CenterOmahaUSA
  4. 4.Department of MedicineOlive View – University of California Los Angeles Medical CenterLos AngelesUSA

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