Duke Health Hospital Medicine Programs span Duke University Hospital (DUH), Duke Regional Hospital (DRH), and Duke Raleigh Hospital (DRAH) and have been in existence for over 20 years.
Hospital Medicine Group

The Duke Hospital Medicine Program is continuously growing. We pride ourselves on our team’s exceptional clinical and academic skills, diverse backgrounds, innovative problem solving, and engagement with projects and committees driving the success of our health system. Our program is supported by an outstanding administrative team who helps us succeed in our mission. I would like to describe our main areas of focus and also recommend that you view other pages on our website which contain more detail.

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Our hospitalists and advanced practice providers perform inpatient general medicine services including admitting, rounding on, and discharging patients. As of 2022, our group includes over 200 hospitalist physicians, nocturnists and moonlighters, and over 40 physician assistants and nurse practitioners. At both Duke University and Duke Regional Hospitals, our hospitalists work with Duke Medicine residents as well as independently to provide clinical services. Our patient volumes have continuously grown and, in FY22, our hospitalists performed over 200,000 patient encounters across the three hospitals. We primarily see patients in the intermediate care areas of the hospitals and do not provide routine intensive care unit coverage. In addition to inpatient care, our providers staff a variety of other services such as perioperative medicine at Duke Regional and Duke Raleigh Hospital, and a robust and expanding ultrasound-guided bedside procedure service at Duke University Hospital.

A continued area of focus for Hospital Medicine is providing safe, high-quality care to patients which includes carefully and regularly monitoring our quality and safety performance and establishing well-defined processes aimed at improvement. Examples of the performance measures monitored include mortality, length of stay, case mix index, readmission rates, Emergency Department consult turnaround time, patient experience scores, as well as other metrics. To provide the best care possible to our patients and their loved ones, we continuously reassess areas of focus and evolve our practices. Also, our hospitalists are actively involved in institutional improvement initiatives including electronic medical record development (EPIC/Maestro) and clinical care redesign.

We are fortunate to be part of the highly regarded and prolific academic institution that is Duke University. Our academic mission focuses primarily on work in the areas of quality and safety as well as the education and teaching of learners. We actively support our faculty with the resources needed to successfully pursue quality and safety research work, educational development, or other types of career development. Every year, our Hospital Medicine faculty present numerous abstracts and presentations at national meetings such as the Society of Hospital Medicine as well as share their work in peer-reviewed journal publications. Please see our “Research & Presentation” page for a list of such academic accomplishments.

Across the three hospitals, Hospital Medicine faculty are involved in teaching learners at various levels including Duke residents, medical students, physician assistant students, and nurse practitioner students. In addition to rotating on resident services, hospitalist faculty engage in classroom lectures, curriculum development, and other educational activities. We have a group of Hospital Medicine faculty who perform research activities supported by federal grants and other funding. We encourage and facilitate the pursuit of external funding opportunities related to such research activities. Finally, most Hospital Medicine academic appointments are associated with the Department of Medicine and specifically the Division of General Internal Medicine. We offer a formalized orientation and subsequent onboarding process to ensure the supportive and successful integration of new providers, as well as formal mentorship programs to aid faculty in meeting their academic goals.

A diverse workforce that is treated with equity, inclusivity, and respect is a primary goal of ours. Ensuring that our patients and their loved ones are treated with these key values is paramount. To keep these concepts as a core priority for our program, we have a dedicated Hospital Medicine committee and we partner with the Duke Office of Institutional Equity.

Our program leadership and team members are especially proud of the team culture at each of the three hospitals. Our providers are an extremely dedicated and diverse group of individuals who provide excellent care to our patients, their loved ones, and each other. If you are interested in career opportunities within Hospital Medicine at Duke University Health System please contact us here.

David Gallagher

Thank you very much for your interest in our programs.

 

Sincerely,

David Gallagher MD SFHM
Chief, Duke University Hospital Medicine Programs
Associate Chief Medical Officer
Department of Medicine, Duke University