Triaging Inpatient Admissions

an Opportunity for Resident Education

Emily S. Wang, Sadie Trammell Velásquez, Christopher J Smith, Tabatha Holtz Matthias, David Schmit, Sherwin Hsu, Luci K. Leykum

Research output: Contribution to journalArticle

1 Citation (Scopus)

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.

Original languageEnglish (US)
Pages (from-to)754-757
Number of pages4
JournalJournal of General Internal Medicine
Volume34
Issue number5
DOIs
StatePublished - May 15 2019

Fingerprint

Inpatients
Internal Medicine
Education
Medicine
Physicians
Graduate Medical Education
Patient Transfer
Accreditation
Triage
Patient Admission
Internship and Residency
Systems Analysis
Hospital Emergency Service
Outpatients
Health
Transitional Care

Keywords

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

ASJC Scopus subject areas

  • Internal Medicine

Cite this

Triaging Inpatient Admissions : an Opportunity for Resident Education. / Wang, Emily S.; Velásquez, Sadie Trammell; Smith, Christopher J; Matthias, Tabatha Holtz; Schmit, David; Hsu, Sherwin; Leykum, Luci K.

In: Journal of General Internal Medicine, Vol. 34, No. 5, 15.05.2019, p. 754-757.

Research output: Contribution to journalArticle

Wang, Emily S. ; Velásquez, Sadie Trammell ; Smith, Christopher J ; Matthias, Tabatha Holtz ; Schmit, David ; Hsu, Sherwin ; Leykum, Luci K. / Triaging Inpatient Admissions : an Opportunity for Resident Education. In: Journal of General Internal Medicine. 2019 ; Vol. 34, No. 5. pp. 754-757.
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