Hospitalist – Unit Medical Director

Yale New Haven Health System


To be part of our organization, every employee should understand and share in the YNHHS Vision, support our

Mission, and live our Values. These values-integrity, patient-centered, respect, accountability, and compassion – must guide what we do, as individuals and professionals, every day.

The staff hospitalist must be able to competently care for the hospitalized patient throughout the hospital stay. This includes emergency evaluation and triage in addition to admission to the hospital and formation of a differential

diagnosis. It is essential to formulate a comprehensive care plan in accordance with the most up to date, evidence based protocols. The staff hospitalist must possess excellent communication skills and exhibit these through communication with primary medical doctors as well as in house consultant physicians and colleagues. The hospitalist must interact in a professional manner with all members of the patient care team. The hospitalist physician should participate in education of the housestaff physicians, students, nurses and all members of the patient care team. The hospitalist should keep high quality care and patient safety in mind while transitioning the patient back to the outpatient setting upon discharge. The hospitalist shall deliver the above with service excellence and patient satisfaction in mind.



Provides direct patient care

A. Admits adult patients to the hospital (both on and off house staff teams) for private primary care

physicians, from the out-patient center and when there is no local primary care physician.

B. Conducts comprehensive examinations and evaluations and makes treatment decisions.

C. Communicates regularly and effectively verbally and in writing at frequent and appropriate intervals

(including on admission and discharge) with the primary care physicians who care for the patients.

D. Provides general internal medicine consultation to non-internal medicine physicians regarding patients

seen in the Emergency Department and/or for pre-operative assessment, risk stratification and post-operative


E. Provides primary and consultative in-patient medical care on patients admitted to Medicine, Surgery and

the Medical/Surgical Intensive Care Unit with appropriate sub-specialty consultation.

F. Takes call as necessary to provide 24/7 coverage.

G. Coordinates care of patients through appropriate collaboration with other physicians (including house

staff), nursing staff, case managers and ancillary service providers.

H. Enrolls in all Managed Care plans with which the Hospital participates.

Teaches and Role Models

A. Provides leadership in the Department of Medicine and the Internal Medicine Residency Program as an

expert in in-patient medical practice.

B. Directly supervises and teaches medical residents and students.

C. Role models excellence in service to patients and primary care physicians and non -internal medicine

specialists and medical sub-specialists.

D. Provides leadership to the Medical Staff in the use and in-service education of Physician Computerized

Order Entry and the Health Information System.

E. Participation and leadership in formal medical education, transitional care rounds.

F. Provides in-service education on hospital based best practice to nursing staff . G. Assists the Residency Program Director in revising the curriculum for the residency in in -patient medical

practice and consultative medicine.

H. Completes mandatory hospital/unit based in-services.

I. Helps identify goals for achievement consistent with the Department and Hospitals long and short -range


J. Actively participates in own performance appraisal.

K. Demonstrates the ability to accept constructive criticism by showing improvement within established time


Evaluates Outcomes of In-patient Medical Care

A. Identifies problem prone clinical practices and initiates solutions to maximize desired outcomes.

B. Works collaboratively with the Hospitalist Director, Program Director, Medicine / Cardiology and with

Case Management and Quality Management staff in Process Improvement studies in in -patient medical

practice and documenting outcomes.

C. Evaluates outcomes and identifies improvements in care.

D. Performs and coordinates clinical documentation audits to assure compliance with best practice

standards and appropriateness of medical care.

E. Enhances academic and clinical productivity through publication and presentation of quality focused PI

projects locally and nationally.

F. Coordinates such studies with the Internal Medicine Residency and other providers in the Yale New

Haven Health System.

Demonstrates Leadership Skills

A. Assures that all patients are treated with respect and that needs are met promptly.

B. Shows consideration for patient’s family and visitors by acknowledging them promptly and speaking in a

way that shows concern.

C. Remains calm in stressful situations promoting a sense of confidence to patient and family members.

Interdisciplinary Rounds participation will directly impact

A. Patient safety

B. Length of stay

C. Early discharge

D. Through put/flow/process

Improve communication with

A. Nursing

B. Ancillary, PT/OT/Pharmacy

C. Consultant

D. Family & Patient


Increase service to

A. Patient & Family

B. Consultant

C. Nursing & Ancillary Staff

Increase efficiency/decrease Waste

A. Better time management

B. Patient care

C. Improve nursing efficiency

D. Reduce waste

Increase Production

A. Utilization management – Conversion of observation to inpatient – Direct communication with the medical directors on insurance

  • Reduction in denial

B. Availability to the CDS team will increase the CMI/ SI

Leadership Role

A. Participation to different committees related to patient care

B. Undertaking quality assurance projects



Medical Degree (MD, DO) and Internal Medicine Residency completion


Inpatient Care of the Medical Patient. Minimum of one year of experience preferred 

SPECIAL SKILLS: Procedural skills desirable but not required


Board Certification in Internal Medicine

Additional Information

To learn more, please email: Elena Geanuracos at [email protected] 


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