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9HospitalistsBringingBetterCareintheHospitalandtheFamilyDoctorsOcesDr.KentSmithINSETofPenacookFamilyPhysiciansremembersthestressoftryingtobeintwoplacesatonetime.Patientswaitedinhisofcewhilehewas11milesawaytreatingpatientsfromhispracticewhohadbeenadmittedtoConcordHospital.OrpatientsintheHospitalwaitedtoseehimwhilehewashandlingregularofceappointments.ItwasadailybalancingactinwhichheandotherfamilyphysicianstypicallybegantheirdayattheHospitalseeingandtreatingpatientsandcoordinatingcarewithHospitalspecialistsbeforeheadingtotheirofces.Itwasmadeevenmoredifcultwhenfamilyphysicianswereon-calltotendtohospitalizedpatientsforallofthedoctorsintheirpractice.Ifyouwereon-callforaweekendyoucouldbeupfortwonightsthenhavetofunctionintheofceonMondayDr.Smithsaid.Thedifcultyofrushingbetweenofcesandhospitalsandtherealizationthatprimarycarephysicianswouldhavetoseeevenmorepatientsintheirofcesiftheirpracticesweretoourishledtoanewmedicalspecialtyhospitalists.Hospitalistsaredoctorsnursepractitionersandphysicianassistantswhospendalloftheirtimecaringforpatientsinahospital.Theyorderandevaluatetestscollaboratewithspecialistsdeveloptreatmentplansmonitorchangesinapatientshealthandplanappropriatecarepriortoandafterapatientisdischarged.AtConcordHospitalandConcordHospitalMedicalGroupthetransitionbeganinthemid-1990swhenspecialistsfromConcordPulmonaryMedicinebegancaringforthemostseriouslyillpatientsfromPenacookFamilyPhysiciansintheHospitalsIntensiveCareUnit.CONTINUEDONPAGE10DevelopsTreatmentPlansCollaboratewithSpecialiststoDevelopTreatmentPlansMonitorChangesinaPatientsHealthPlanappropriatePatientCarewhileintheHospitalandafterDischargeHospitalistsareDoctorsNursePractitionersPhysicianAssistantsHospitalistsarededicatedtoonlypracticingmedicineinaHospitalOrderandEvaluateTestsAHospitalistcontinuallycommunicatesandcollaborateswithapatientsPrimaryCareProviderasthey