Letters

Ambulatory-only care

 

Fam Pract Manag. 1999 Apr;6(4):9.

To the Editor:

In the debate over the implications of the hospitalist movement for family physicians (“What the Hospitalist Movement Means to Family Physicians,” November/December 1998), one point has been overlooked: An ambulatory-only practice may not be in our patients' best interests.

Without the inpatient experience and the interaction with specialist colleagues, real continuing medical education will decline. How can this be replaced? Lectures in a darkened hotel ballroom will not keep me abreast of changing approaches to the management of, for example, ischemic heart disease — therapies that will carry over into my office practice. The longer we are away from inpatient medicine, the more likely we will lose the ability to recognize truly ill patients.

Without the inpatient experience, we will truly be indistinguishable from midlevel providers. The choice of hospital-only versus ambulatory-only care is about more than personal satisfaction or economics; it is about the quality of care we will provide for our patients.

 
 

Copyright © 1999 by the American Academy of Family Physicians.
This content is owned by the AAFP. A person viewing it online may make one printout of the material and may use that printout only for his or her personal, non-commercial reference. This material may not otherwise be downloaded, copied, printed, stored, transmitted or reproduced in any medium, whether now known or later invented, except as authorized in writing by the AAFP. Contact fpmserv@aafp.org for copyright questions and/or permission requests.

Want to use this article elsewhere? Get Permissions


MOST RECENT ISSUE


Sep-Oct 2020

Access the latest issue
of FPM journal

Read the Issue


FPM E-Newsletter

Sign up to receive FPM's free, weekly e-newsletter, "Quick Tips & Insights."

Sign Up Now


AAFP SUPPLEMENTS

Maternal Immunization Task Force for Pregnant Women: A Call to Action
The current increase in hesitancy about the safety and efficacy of vaccines has created an environment that calls for physicians’ urgent commitment to discussing the evidence-based benefits of vaccination with pregnant women.

Keys to High-Quality, Low-Cost Care: Empanelment, Attribution, and Risk Stratification
Understand attribution and alignment methodologies in value-based payment arrangements to know which patients are assigned to you. Use empanelment and risk stratification to better understand where to expend your practice's care management and care coordination resources.