SHM Converge Scientific Abstract ePoster Gallery-Impact of Hospitalists Years of Experience on Clinical Outcomes of Inpatients

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This retrospective cohort study examined whether hospitalists’ years of clinical experience influence inpatient outcomes in Korea. Using data from two tertiary centers, the researchers analyzed 4,958 patients admitted to internal medicine hospitalist wards between 2017 and 2022. Patients were grouped by their attending hospitalist’s experience: 1, 2, 3, or 4 years.<br /><br />The main outcomes were in-hospital death, 30-day and 90-day emergency room (ER) visits, and 30-day and 90-day readmissions. The analysis adjusted for age, sex, and Charlson Comorbidity Index.<br /><br />The study found that greater hospitalist experience was associated with better post-discharge outcomes. Compared with patients treated by 1-year hospitalists, those cared for by hospitalists with 2, 3, or 4 years of experience had progressively lower odds of ER visits and readmissions. For example, adjusted odds ratios for 30-day ER visits were 0.71, 0.58, and 0.55 for 2, 3, and 4 years of experience, respectively. A similar pattern was seen for 30-day readmissions, with odds ratios of 0.59, 0.50, and 0.38. These favorable trends also appeared in 90-day outcomes.<br /><br />In-hospital mortality did not differ significantly for the 2- and 3-year experience groups, but was higher in the 4-year group. The authors also noted that more experienced hospitalists tended to care for patients with lower KTAS scores, suggesting they may have managed more clinically severe cases.<br /><br />Overall, the findings suggest that increasing hospitalist experience improves care quality after discharge and may reduce pressure on emergency services. The study supports retaining experienced hospitalists to strengthen inpatient care outcomes.

Asset Subtitle

SeoYoung Lee

Meta Tag

Author List SeoYoung Lee, Seung Jun Han, Sung Woo Moon

Category Research

Concept Hospitalist Clinical Experience

Concept 30-Day Emergency Department Visit

Concept 90-Day Emergency Department Visit

Concept 30-Day Readmission

Concept 90-Day Readmission Rate

Distinguished Non-Finalist

Presenter Organization Departement of Hospital Medicine Center, Seoul National University Hospital, Seoul

Presenting Author SeoYoung Lee

Track Outcomes Research

Keywords

hospitalist experience

inpatient outcomes

retrospective cohort study

Korea

emergency room visits

readmission rates

post-discharge outcomes

internal medicine wards

Charlson Comorbidity Index

tertiary centers

Hospitalist Clinical Experience

30-Day Emergency Department Visit

90-Day Emergency Department Visit

30-Day Readmission

90-Day Readmission Rate