This has been trumpeted as an important role for hospitalists. Recent data from UCSF, though, are a bit disappointing. Consultation with generalists (read: hospitalists) in this study had no impact on cost, length of stay or outcome. The rate of VTE prophylaxis was increased (on PO day 1 only) but that was about it.
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I believe I can still remember a time long ago and far way when surgeons not only took care of their patients pre and post op and not only believed they should do that but also believed they knew better than anyone else how to do that.
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