Depending on the hospital, ob-gyn hospitalists may directly supervise and teach residents and students provide surgical and consultative support to certified nurse–midwives, certified midwives, and family physicians or manage unassigned patients in the emergency department or medical floors.
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Responsibilities may be broad or narrow in focus, ranging from only providing triage and care for unassigned patients, to admitting and providing the full spectrum of labor and delivery and postpartum care for some or all obstetric patients.
In contrast to internal medicine hospitalists who have essentially replaced their practice-based colleagues in the hospital, ob-gyn hospitalists may replace, but also can assist and complement, their colleagues. Consistent use of standardized terminology, like the term ob-gyn hospitalist, with standardized definitions will facilitate data collection to determine the efficacy and outcomes for patients cared for by these physicians. Although recognizing that some facilities may use the term “obstetric hospitalist” or “laborist,” the term “ob-gyn hospitalist” will be used throughout this document. Some use the term “obstetric hospitalist” to distinguish an obstetric hospitalist provider who defers all gynecologic responsibility to focus solely on obstetric care. An ob-gyn hospitalist also may provide urgent gynecologic care and consultation to the emergency department or hospital inpatient services. Although not universally standardized, the term “obstetric and gynecologic (ob-gyn) hospitalist” (which is consistent with the term used by the Society of OB/GYN Hospitalists) most commonly refers to an obstetrician–gynecologist who has minimal outpatient and elective surgical responsibilities, and whose primary role is to care for hospitalized obstetric patients and to help manage obstetric emergencies that occur in the hospital 2. The application of the hospitalist concept to the practice of obstetrics and gynecology was first suggested in 2002 4. The Obstetric and Gynecologic Hospitalist Concept Hospitals and other health care organizations should ensure that candidates for positions as ob-gyn hospitalists are drawn from those with documented training and experience appropriate for the management of the acute and potentially emergent clinical circumstances that may be encountered in obstetric care.Īdditional outcomes research is needed to determine the effect of the ob-gyn hospitalist model on the safety and quality of care and to determine the economic feasibility of various models. Standardization of medical care has been shown to lead to improved outcomes, and ob-gyn hospitalists can serve as a driving force behind the implementation of these protocols in labor units.Įffective patient handoffs, updates on progress, and clear follow-up instructions between ob-gyn hospitalists and patients, nurses, and other health care providers are vital to maintaining patient safety.
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The American College of Obstetricians and Gynecologists supports the continued development and study of the obstetric and gynecologic (ob-gyn) hospitalist model as one potential approach to improve patient safety and professional satisfaction across delivery settings. Hospitals and other health care organizations should ensure that candidates for positions as ob-gyn hospitalists are drawn from those with documented training and experience appropriate for the management of the acute and potentially emergent clinical circumstances that may be encountered in obstetric care. Effective patient handoffs, updates on progress, and clear follow-up instructions between ob-gyn hospitalists and patients, nurses, and other health care providers are vital to maintaining patient safety. Their activities may include patient care, teaching, research, and inpatient leadership. ABSTRACT: The term “hospitalist” refers to physicians whose primary professional focus is the general medical care of hospitalized patients.
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